I am traveling through airport security for the first time since getting my Inspire® implant. What should I tell the airport security agent?
In addition, standardized data capture alongside with agreed definitions of success and outcomes (which are likely to be a combination of patient scoring systems and objective polysomnography outcomes) are essential.
Stimulation lead: The cuff electrodes in the stimulation lead deliver gentle nerve stimulating electrical currents that cause the base of the tongue to move forward and open the upper airway.
They are indicated for patients with mild to moderate OSA and for patients with severe OSA who are intolerant or choose not to use CPAP therapy3. In addition to less severe disease, other predictors of a more favorable response to oral appliance therapy include younger age, lower BMI, smaller neck circumference and those with more positional (supine dependent) OSA.
Creating confidence that the stimulation is comfortable and that only at the extreme there is discomfort.
Early Treatment is Key: If you develop red marks, CPAP dermatitis, or other related skin irritation, it’s important to treat the area early on.
Check Out the V-Usando: The V-Usando is a relatively new product with promising results already! It is designed to make CPAP airflow more comfortable and easier to adjust to, so it’s a great solution for anyone struggling to breathe with their CPAP here machine.
A retrospective analysis of STAR trial responders reported a trend that non-responders might be younger and less likely to have had prior upper airway surgery for OSA 20.
The primary aims of surgery are to either bypass upper airway obstruction or to increase the upper airway dimensions. By addressing anatomical obstructions or areas of collapse in these OSA patients, CPAP requirements may be reduced and therefore improve patient compliance, although the observational studies outlined above do not necessarily support this theory. The key however remains appropriate patient selection and DISE is invaluable in this regard. Patients with a high BMI tend to do less well and may be better served, in the first instance, by weight loss measures, either with lifestyle, medical or surgical interventions. Patient counselling should highlight that multilevel obstruction is the norm and that CPAP remains the gold standard treatment.
The device comes with two remotes. After the Inspire sleep apnea device is implanted, a doctor uses the physician remote control to program the setting for the nerve stimulation. Those using Inspire also have a remote control to turn the treatment on before going to sleep and off after waking.
Rigid endoscope image of nasal polyposis (NP); note the differing texture, colour and position of the polyp in comparison to the normal nasal mucosa; polyps are also insensate.
If you’re fed up with your CPAP, schedule an evaluation at our office to see if oral appliance therapy might be a good alternative for you.
CPAP is typically the first PAP therapy used to treat sleep disordered breathing. It's simple approach to supporting the airway is effective for many sleep apnea patients. However, it may not successfully treat everyone.
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