Continuous positive airway pressure (CPAP) is a safe therapy for the management of obstructive sleep apnea (OSA). Complications such as sinus infection, bronchitis, ear pain, nasal congestion, and dryness of mucous membranes secondary to CPAP use have been reported. To follow, we describe a rare case of alternobaric vertigo secondary to CPAP therapy. To date, there has been only one reported ca...

BACKGROUND To reduce the risk of bronchopulmonary dysplasia in extremely-low-birth-weight infants, clinicians attempt to minimize the use of endotracheal intubation by the early introduction of less invasive forms of positive airway pressure. METHODS We randomly assigned 1009 infants with a birth weight of less than 1000 g and a gestational age of less than 30 weeks to one of two forms of non...

STUDY OBJECTIVES Mouth leak compromises nasal continuous positive airway pressure (CPAP) therapy. We hypothesized that patients who breathe mainly through their mouths during sleep, compared to those who breathe mainly through their noses, would have more mouth leak during CPAP and therefore lower adherence to CPAP. DESIGN A case-control study to compare adherence to CPAP at 1 year in mouth b...

Ungar RG, et al. Mouth leak with nasal continuous positive airway pressure increases nasal airway resistance. I thank Dr. Winck and colleagues for their interesting letter on the objective salutary effect of warming nasal continuous positive airway pressure (CPAP) air on their patient's nasal symptoms. They raise the interesting question of whether nasal symptoms are the result of the low tempe...

OBJECTIVE The aim of this study was to analyze the frequency of initiation of continuous positive airway pressure (CPAP) in patients with obstructive sleep apnea syndrome (OSAS) in a referral hospital in Mexico City serving mainly patients without public health insurance coverage and to assess their level of adherence. PATIENTS AND METHODS Patients with OSAS diagnosed by polysomnography or by...

BACKGROUND High-frequency pressure oscillations created by gas bubbling through an underwater seal during bubble CPAP may enhance ventilation and aid in lung recruitment in premature infants. We hypothesized that there are no differences in the magnitude of oscillations in lung volume (ΔV) in a preterm neonatal lung model when different bubble CPAP systems are used. METHODS An anatomically re...

Study Background: Low patient adherence to nasal Continuous Positive Airway Pressure (CPAP) limits treatment effectiveness. A wide variety of CPAP adherence intervention studies have been performed to date, with many showing some improvement in CPAP adherence. Better understanding of the theoretical foundations, specific behavioral change techniques, and modes of intervention delivery can help ...

Nasal continuous positive airway pressure (CPAP) is a noninvasive form of respiratory assistance that has been used to support spontaneously breathing infants with lung disease for nearly 40 years. Following reports that mechanical ventilation contributes to pulmonary growth arrest and the development of chronic lung disease, there is a renewed interest in using CPAP as the prevailing method fo...