Abstract
Purpose: Obstructive sleep apnea (OSA) is a chronic condition characterized by airway obstructive events with important neurocognitive and cardiovascular complications, leading to a compromised quality of life. Continuous positive airway pressure (CPAP) is the gold standard therapeutic intervention for this disorder. The success of CPAP therapy depends largely on the selection of the proper interface (mask). Finding the correct interface for each patient can be a great challenge that greatly affects the long-term compliance to therapy.
Methods: To elaborate this work, the author proceeded to a systematic review of common database focusing mainly on works published between 2017 and 2019. The purpose was to assemble scientific knowledge, background information, or contained relevant theoretical speculation about the role of different interfaces in CPAP treatment efficacy, adherence, side effects, comfort, and sleep quality in patients with OSA.
Conclusions: Interface selection is a key factor to CPAP compliance and should be based on individual patient preference and tolerance. Patient should participate in decision-making as the best mask is the one that he will wear. Unless patients have significant nasal problems, CPAP therapy is better tolerated and more effective if initially commenced with nasal mask.
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Mestre, A.M., Ramos, A.L. (2020). Importance of Interface in the Effectiveness of CPAP. In: Esquinas, A.M., et al. Noninvasive Ventilation in Sleep Medicine and Pulmonary Critical Care. Springer, Cham. https://doi.org/10.1007/978-3-030-42998-0_19
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