Do You Keep Breathing While Asleep? Understanding and Treating Sleep Apnea

Do You Know How Many Times You Stop Breathing When You sleep?

I had no idea about this thing until it happens with my Mom. After multiple Sleep Studies we can clearly conclude that she stops breathing about 50 time sin an hour. That's an acute Apnea. So where do we go from here?

Are You Breathing Comfortably in Your Sleep? Understanding and Treating Sleep Apnea

Imagine this: you're drifting off to sleep, ready to conquer the day ahead. But unbeknownst to you, your journey to slumber is riddled with roadblocks. Your breathing repeatedly stops and starts, disrupting your sleep cycle and depriving your body of precious oxygen. This, in a nutshell, is sleep apnea, a surprisingly common sleep disorder that affects millions of people worldwide.

So, what exactly is sleep apnea? It's a condition characterized by intermittent pauses in breathing during sleep. These pauses, called apneas, can last anywhere from a few seconds to several minutes and occur multiple times throughout the night. There are two main types:

• Obstructive sleep apnea (OSA): This is the most prevalent form, accounting for roughly 80% of cases. In OSA, the upper airway becomes blocked during sleep, often due to relaxed throat muscles or enlarged tissues. This blockage prevents air from reaching the lungs, leading to apneas and a drop in oxygen levels.

• Central sleep apnea (CSA): Less common than OSA, CSA is caused by the brain's failure to send proper signals to the muscles responsible for breathing. As a result, breathing becomes shallow or stops altogether during sleep.

Why does sleep apnea occur? The culprit can be a combination of factors. Risk factors for OSA include:

• Anatomy: People with a narrow airway, enlarged tonsils, or a large tongue are more susceptible.

• Weight: Excess weight can contribute to tissue build-up in the airway, causing blockage.

• Neck circumference: A thicker neck can compress the airway.

• Family history: Having a family member with sleep apnea increases your risk.

• Medical conditions: Allergies, heart disease, and chronic nasal congestion can play a role.

On the other hand, CSA is often linked to:

• Underlying medical conditions: Heart failure, stroke, and neurological disorders can disrupt breathing control.

• Medications: Certain medications can suppress the respiratory drive.

The consequences of untreated sleep apnea are far-reaching. The constant sleep disruption leads to excessive daytime sleepiness, impacting concentration, memory, and mood. It can also increase the risk of high blood pressure, heart disease, stroke, and diabetes.

Fortunately, sleep apnea is a treatable condition. Here are some treatment options:

• CPAP (continuous positive airway pressure): This device uses a mask to deliver a constant stream of air pressure, keeping the airway open during sleep.

• BiPAP (bilevel positive airway pressure): Similar to CPAP, but with adjustable pressure settings for inhalation and exhalation.

• Oral appliances: These custom-made mouthpieces help maintain the airway by positioning the jaw and tongue forward.

• Surgery: In some cases, surgery may be recommended to remove excess tissue or reshape the airway.

• Lifestyle changes: Weight loss, quitting smoking, and avoiding alcohol before bed can all improve sleep quality and reduce apneas.

If you suspect you or someone you know might have sleep apnea, consult a healthcare professional. A sleep study can diagnose the type and severity of the condition, paving the way for effective treatment. Remember, a good night's sleep is vital for overall health and well-being. By addressing sleep apnea, you can reclaim your restful nights and wake up feeling refreshed and ready to take on the day.

Diving Deeper into Sleep Apnea Treatments:

The images are not representatives of the actual products.

1. CPAP (Continuous Positive Airway Pressure):

• Function: The workhorse of sleep apnea treatment, CPAP uses a machine to deliver a constant stream of air pressure through a mask (worn over the nose, mouth, or both) to keep your airway open during sleep. The gentle pressurized air acts like a splint, preventing the airway from collapsing.

• Benefits: Highly effective for most OSA cases, CPAP significantly reduces apneas and improves sleep quality. Studies have shown it can lower blood pressure, decrease daytime sleepiness, and improve overall health.

• Challenges: Adjusting to the mask and air pressure can take time. Some users report discomfort, claustrophobia, or leaks around the mask. Regular cleaning and maintenance are crucial for optimal performance.
  

Example: Imagine John, an otherwise healthy man struggling with constant daytime fatigue and morning headaches. A sleep study diagnoses him with moderate OSA. He starts CPAP therapy. After a week of adjusting to the mask, John finds himself sleeping soundly through the night. He wakes up feeling refreshed and energized, his daytime sleepiness fades, and his headaches disappear.

2. BiPAP (Bilevel Positive Airway Pressure):

• Function: Similar to CPAP, BiPAP uses a mask to deliver pressurized air. However, BiPAP offers more flexibility. It provides two adjustable pressure settings: a higher pressure for inhalation (when you breathe in) and a lower pressure for exhalation (when you breathe out). This can be more comfortable for some users, especially those who find CPAP's constant pressure difficult to exhale against.

• Benefits: Suitable for people with central sleep apnea or complex breathing patterns where CPAP isn't sufficient. BiPAP's adjustable settings allow for tailored therapy to meet individual needs.

• Challenges: BiPAP machines are typically bulkier and more complex than CPAP devices. They may also require more frequent adjustments by a healthcare professional.

Example: Sarah has central sleep apnea due to a heart condition. CPAP therapy isn't ideal for her because the constant pressure makes it hard to exhale. Her doctor recommends BiPAP. The adjustable settings allow Sarah to breathe comfortably throughout the night, effectively treating her sleep apnea and improving her sleep quality.

3. Oral Appliances:

• Function: These custom-made mouthpieces work by gently holding the jaw and tongue in a forward position, which helps open the airway during sleep. There are two main types: mandibular advancement devices (MADs) that focus on the jaw, and tongue-retaining devices that keep the tongue in place.

• Benefits: Often preferred for those who find CPAP or BiPAP uncomfortable. Oral appliances are typically more portable and discreet than CPAP machines. They may be a good option for mild to moderate OSA cases.

• Challenges: Not as effective as CPAP for severe sleep apnea. May not be suitable for everyone, especially those with jaw problems or teeth grinding. Regular dental checkups are necessary to ensure proper fit and function.

Example:  Mary has mild OSA and struggles with the mask and noise of CPAP therapy. Her dentist fits her with an MAD. The mouthpiece keeps her airway open at night, eliminating apneas and improving her sleep quality. Mary finds the MAD comfortable and discreet, allowing her to travel easily with it.

4. Surgery:

• Function: Surgical intervention for sleep apnea is usually reserved for severe cases or when other treatments haven't been successful. Procedures vary depending on the cause of the blockage. Examples include:

• Uvulopalatopharyngoplasty (UPPP): This surgery removes excess tissue from the uvula, soft palate, and tonsils to enlarge the airway.

• Mandibular advancement surgery (MMA): This surgery surgically repositions the jawbone forward, creating more space in the airway.

• Benefits: Surgery can be a permanent solution for some people with sleep apnea, especially those with anatomical abnormalities contributing to airway blockage.

• Challenges: Surgery carries inherent risks and requires a recovery period. It's not a first-line treatment due to its invasive nature. Lifestyle changes and other interventions are often attempted first.

Example:  David has severe OSA and hasn't tolerated CPAP or oral appliances. After careful evaluation, he undergoes MMA surgery. The surgery successfully widens his airway, eliminates sleep apneas, and dramatically improves his sleep quality. However, David experiences some discomfort and swelling during recovery, requiring pain medication and rest.

5. Lifestyle Changes:

• Function: While not a standalone treatment, lifestyle changes can significantly improve sleep apnea and its symptoms. These include:

• Weight loss: Even modest weight loss can reduce excess tissue in the airway, improving airflow and reducing apneas.

• Sleeping on your side: Sleeping

Choosing the Right Tools for Sleep Apnea Treatment:

While a doctor's diagnosis and guidance are crucial for treating sleep apnea, several products can help with your therapy or overall sleep hygiene:

CPAP Products:

• CPAP Machines: These come in various models with features to suit individual needs. ResMed AirSense 10 AutoSet CPAP Machine with HumidAir Humidifier [ResMed AirSense 10 AutoSet CPAP Machine with HumidAir Humidifier] is a popular option offering automatic pressure adjustment and a built-in humidifier for comfort.

• CPAP Masks:  Finding the right mask is essential for successful CPAP therapy. Popular types include:

• Full face masks: Cover the nose and mouth (e.g., Fisher & Paykel Simplus Full Face CPAP Mask [Fisher & Paykel Simplus Full Face CPAP Mask]), ideal for those who breathe through their mouth at night.

• Nasal masks: Fit over the nose (e.g., Philips Respironics DreamWear Nasal CPAP Mask with Headgear [Philips Respironics DreamWear Nasal CPAP Mask with Headgear]), preferred by many for comfort and freedom of movement.

• CPAP Accessories:  Enhance comfort and therapy adherence. Examples include:

• Heated humidifiers: Add moisture to the airflow, reducing dryness and congestion (often integrated into CPAP machines).

• Chin straps: Prevent mouth leaks for those who breathe through their mouth during sleep.

• Headgear replacements: Ensure a proper and comfortable fit.

Oral Appliance Products:

• Custom-made MADs and tongue-retaining devices: Fabricated by dentists based on individual dental impressions.

• Boil-and-bite mouthpieces: Over-the-counter option for mild snoring or sleep apnea. These require boiling to soften and then biting down to mold them to your mouth. However, custom-made devices from a dentist typically offer a better fit and more effective treatment for sleep apnea.

Other Sleep Apnea Products:

• Positional therapy pillows: These specially designed pillows encourage side sleeping, which can help keep the airway open.

• Nasal dilators: Spring-like devices inserted gently into the nostrils to help widen the nasal passages and improve airflow.

Consulting a doctor or sleep specialist is vital before using any product for treating sleep apnea. They can assess your individual needs and recommend the most appropriate options.  Additionally, some insurance plans may cover CPAP machines and other medical equipment for sleep apnea treatment

ResMed AirSense 11 AutoSet CPAP Elite Review: A Modern Choice for Sleep Apnea Therapy

The ResMed AirSense 11 AutoSet CPAP Elite is a premium offering within the ResMed AirSense 11 line, designed for effective sleep apnea treatment with advanced features and user-friendly design. Here's a detailed breakdown:

Features:

• AutoSet Algorithm: This clinically proven algorithm automatically adjusts pressure settings throughout the night to meet your changing needs. It ensures you receive the optimal level of pressure for effective treatment of sleep apnea, regardless of sleep position or environmental factors.

• Fixed Pressure Mode: While the AutoSet mode offers automated pressure adjustments, the AirSense 11 Elite also allows switching to a fixed pressure mode if prescribed by your doctor.

• Integrated Humidifier: A built-in humidifier adds moisture to the airflow, significantly improving comfort and reducing dryness and congestion commonly associated with CPAP therapy. The humidifier level can be adjusted for personalized comfort.

• Wireless Connectivity: The AirSense 11 Elite features Bluetooth connectivity, allowing data transfer to the myAir app (https://www.resmed.com/en-us/healthcare-professional/products-and-support/monitoring-and-data-management/myair/). This app provides therapy data, progress reports, and coaching tips, keeping you engaged and informed about your sleep apnea treatment.

• Advanced Event Detection: The device monitors various sleep events, including apneas, hypopneas, and snoring. This data helps your doctor assess your therapy effectiveness and identify any potential issues.

• Quiet Operation: The AirSense 11 Elite is designed for quiet operation, minimizing noise disruption for you and your sleep partner.

• Easy-to-Use Interface: A user-friendly touchscreen interface allows for intuitive navigation and adjustment of settings.

• Start/Stop Button: A simple on/off button makes starting and stopping therapy effortless.

Benefits:

• Effective Sleep Apnea Treatment: The AutoSet algorithm and pressure options ensure personalized and effective therapy for a good night's sleep.

• Improved Comfort: The integrated humidifier and quiet operation enhance comfort and user experience.

• Enhanced Therapy Management: Wireless connectivity with the myAir app empowers you to track progress and stay motivated.

• User-Friendly Design: The touchscreen interface and simple start/stop button make the device easy to use.

Potential drawbacks to consider:

• Cost: As a premium CPAP machine, the AirSense 11 Elite might be more expensive than some other CPAP options.

• Mask Selection: The AirSense 11 Elite itself doesn't come with a mask. You'll need to purchase a compatible mask separately based on your preference and doctor's recommendation.

• Data Privacy: Using the myAir app requires data sharing. Make sure you understand the app's privacy policy before connecting your device.

The ResMed AirSense 11 AutoSet CPAP Elite is a well-rounded and effective choice for sleep apnea treatment. Its advanced features, user-friendly design, and data connectivity features make it a strong contender for those seeking a comfortable and modern CPAP therapy experience.

Here's how the AirSense 11 AutoSet CPAP Elite compares to other models in the ResMed AirSense 11 line:

• AirSense 11 AutoSet: This model shares the same core features as the Elite, including the AutoSet algorithm and integrated humidifier, but lacks the fixed pressure mode and may have a slightly different price point.

• AirSense 11 CPAP: This is the most basic model, offering fixed pressure therapy without the AutoSet algorithm or integrated humidifier.

AirSense Elite worked well for my Mom and she is able to sleep peacefully, finally, thanks to God.

The best ResMed AirSense 11 model for you depends on your specific needs and doctor's recommendations. Discuss your sleep apnea diagnosis and treatment options with your doctor to determine if the AirSense 11 AutoSet CPAP Elite is the right fit for you.

Philips Respironics DreamWear Full Face Mask: A Comfortable Choice for CPAP Users

The Philips Respironics DreamWear Full Face Mask is a unique option designed to address common pain points associated with traditional full face masks for CPAP therapy. For someone like my Mom who felt uncomfortable with face masks but who also breathes using her mouth while asleep, after a few trials and errors, this one worked for her. Here's a closer look at its features and how it might fit into your sleep apnea treatment:

Features:

• Under-the-Nose Cushion: Unlike traditional full face masks that cover the nose entirely, the DreamWear boasts an under-the-nose cushion. This design aims to reduce pressure and irritation on the bridge of the nose, potentially improving comfort.

• Top-of-Head Tube Connection: The air tubing connects at the top of the head, allowing for greater freedom of movement during sleep. You can toss and turn without the tube pulling or twisting uncomfortably.

• Soft Silicone Frame: The DreamWear frame is made of soft, flexible silicone designed to conform to the contours of your face and create a secure seal.

• Magnetic Headgear Clips: Magnetic clips on the headgear make it easy to put on and take off the mask, even in low light.

• Multiple Size Options: The DreamWear comes in various frame sizes (small, medium, large) and cushion sizes (small, medium, large, medium-wide) to ensure a proper fit for most users.

Benefits:

• Increased Comfort: The under-the-nose design and soft materials aim to reduce pressure points and irritation, potentially making CPAP therapy more comfortable.

• Freedom of Movement: The top-of-head tube connection allows for greater flexibility in sleep positions.

• Open Field of Vision: Without a bulky mask covering your nose bridge, you can enjoy a more open field of vision while wearing the mask. This can be beneficial for watching TV, reading, or wearing glasses before bed.

• Ease of Use: Magnetic headgear clips make attaching and removing the mask hassle-free.

Things to Consider:

• Potential for Leaks: The under-the-nose design might be more prone to leaks compared to traditional full face masks, especially for mouth breathers.

• Not for Everyone: The DreamWear might not be suitable for everyone, particularly those with severe sleep apnea or complex facial features. Consulting a healthcare professional for proper mask fitting is crucial.

• Recall: In September 2022, Philips Respironics issued a voluntary recall of the DreamWear mask due to concerns that the magnetic clips could interfere with certain medical devices. Be sure to check the serial number of your mask or consult the manufacturer's website for the latest information.

The Philips Respironics DreamWear Full Face Mask offers an innovative design focused on comfort and freedom of movement. If you experience discomfort with traditional full face masks or struggle with limited sleep positions due to the tubing, the DreamWear might be worth considering. However, it's essential to discuss this option with your doctor to ensure it's compatible with your sleep apnea severity and treatment plan.

Compatibility:

The Philips Respironics DreamWear Full Face Mask is designed to be compatible with most standard CPAP machines, including the ResMed AirSense 11. However, it's always recommended to double-check compatibility with your specific machine model before purchasing the mask. You can consult the user manual of your CPAP machine or contact the mask manufacturer for confirmation.

Don't let sleep apnea steal your precious sleep and well-being any longer. If you suspect you might have it, take the first step towards a restful night. Talk to your doctor about a sleep study. Remember, a diagnosis is the key to unlocking effective treatment options. With the right tools and support, you can reclaim control of your sleep and wake up feeling refreshed, energized, and ready to take on each day. After all, a good night's sleep is a fundamental investment in your overall health and happiness.

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