Abstract

BLANCO, Magalí; SCHONFELD, Silvana  and  BORSINI, Eduardo. Mask Selection for Treatment with CPAP in Obstructive Sleep Apnea Syndrome. Rev. am. med. respir. [online]. 2020, vol.20, n.1. ISSN 1852-236X.

Continuous positive airway pressure (CPAP) is the most effective standard treatment for the obstructive sleep apnea and hypopnea syndrome (OSAHS). The lack of adherence to the treatment is frequently due to inconvenience or discomfort generated by side effects related to the masks. CPAP acceptance depends greatly on the selection of the adequate interface. To make the right choice, it is necessary to have experienced personnel and the possibility to select the model that best suits every patient. Also, interfaces must meet minimum requirements to provide comfort and therapeutic efficacy. Current evidence suggests that the nasal mask is better tolerated, requires less pressure to solve obstructions and is associated with better quality of sleep and adherence to the treatment. So, nasal masks or pillows should be the first option. Oronasal masks may be suitable when the nasal mask is not tolerated or the documented oral leakage persists. Specialists in respiratory medicine are responsible for controlling the process of selection and administration of the mask and guiding our patients on the available options.

Keywords : Sleep apnea syndromes; Treatment adherence and compliance; Continuous positive airway pressur.

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