Document Detail


Nasal pillows as an alternative interface in patients with obstructive sleep apnoea syndrome initiating continuous positive airway pressure therapy.
MedLine Citation:
PMID:  20673292     Owner:  NLM     Status:  MEDLINE    
Abstract/OtherAbstract:
Side-effects directly due to the nasal mask are common in patients with obstructive sleep apnoea syndrome (OSAS) commencing continuous positive airway pressure (CPAP). Recently, nasal pillows have been designed to overcome these issues. Limited evidence exists of the benefits and effectiveness of these devices. Twenty-one patients (19 male, 49±10years) with the established diagnosis of OSAS [apnoea/hypopnoea index (AHI): 52±22] and who had a successful CPAP titration were commenced on CPAP therapy (10±2cmH2O), and randomized to 4weeks of a nasal pillow (P) and a standard nasal mask (M) in a crossover design. Outcome measures were objective compliance, AHI, quality of life, Epworth Sleepiness Score (ESS) and CPAP side-effects. There was no difference in compliance (M versus P: 5.1±1.9h versus 5.0±1.7h; P=0.701) and AHI (2.6±2.7 versus 3.0±2.9; P=0.509). Quality of life and ESS improved with CPAP, but there was no difference in the extent of improvement between both devices. Usage of nasal pillows resulted in less reported pressure on the face and more subjects found the nasal pillow the more comfortable device. However, there was no clear overall preference for either device at the end of the study (mask=57%, pillow=43%; P=0.513). The applied CPAP pressure did not correlate with compliance, AHI and ESS. Furthermore, no differences in outcome parameters were noted comparing groups with CPAP pressure <10 and ≥10cm H(2) O. Nasal pillows are equally effective in CPAP therapy, but do not generally lead to improved compliance.
Authors:
Silke Ryan; John F Garvey; Valerie Swan; Renata Behan; Walter T McNicholas
Publication Detail:
Type:  Comparative Study; Journal Article; Randomized Controlled Trial    
Journal Detail:
Title:  Journal of sleep research     Volume:  20     ISSN:  1365-2869     ISO Abbreviation:  J Sleep Res     Publication Date:  2011 Jun 
Date Detail:
Created Date:  2011-04-26     Completed Date:  2011-08-24     Revised Date:  2011-09-26    
Medline Journal Info:
Nlm Unique ID:  9214441     Medline TA:  J Sleep Res     Country:  England    
Other Details:
Languages:  eng     Pagination:  367-73     Citation Subset:  IM    
Copyright Information:
© 2010 European Sleep Research Society.
Affiliation:
Sleep Research Laboratory, St Vincent's University Hospital, Dublin, Ireland.
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MeSH Terms
Descriptor/Qualifier:
Adult
Continuous Positive Airway Pressure / adverse effects*,  instrumentation*
Equipment Design
Female
Humans
Male
Masks / adverse effects*
Middle Aged
Nose Diseases / prevention & control*
Patient Compliance / psychology
Patient Satisfaction
Pressure Ulcer / prevention & control*
Quality of Life / psychology
Questionnaires
Sleep Apnea, Obstructive / therapy*

From MEDLINE®/PubMed®, a database of the U.S. National Library of Medicine


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