Open AccessThe Importance of Mask Selection on Continuous Positive Airway Pressure Outcomes for Obstructive Sleep Apnea. An Official American Thoracic Society Workshop Report
Author(s) -
Pedro Rodrigues Genta,
Marta Kamińska,
Bradley A. Edwards,
Matthew R. Ebben,
Ana C. Krieger,
Renaud Tamisier,
Lichuan Ye,
Terri E. Weaver,
Olivier M. Vanderveken,
Geraldo LorenziFilho,
Pamela DeYoung,
William Hevener,
Patrick J. Strollo
Publication year - 2020
Publication title -
annals of the american thoracic society
Language(s) - English
Resource type - Journals
SCImago Journal Rank - 2.035
H-Index - 114
eISSN - 2329-6933
pISSN - 2325-6621
DOI - 10.1513/annalsats.202007-864st
Subject(s) - medicine , obstructive sleep apnea , continuous positive airway pressure , selection (genetic algorithm) , sleep apnea , airway , intensive care medicine , emergency medicine , anesthesia , artificial intelligence , computer science
Continuous positive airway pressure (CPAP) remains the major treatment option for obstructive sleep apnea (OSA). The American Thoracic Society organized a workshop to discuss the importance of mask selection for OSA treatment with CPAP. In this workshop report, we summarize available evidence about the breathing route during nasal and oronasal CPAP and the importance of nasal symptoms for CPAP outcomes. We explore the mechanisms of air leaks during CPAP treatment and possible alternatives for leak control. The impact of nasal and oronasal CPAP on adherence, residual apnea-hypopnea index, unintentional leaks, and pressure requirements are also compared. Finally, recommendations for patient and partner involvement in mask selection are presented, and future directions to promote personalized mask selection are discussed.