Positive Airway Pressure - Optional Features

Optional Features

  • Humidifier adds moisture to low humidity air
    • Heated: Heated water chamber that can increase patient comfort by eliminating the dryness of the compressed air. The temperature can usually be adjusted or turned off to act as a passive humidifier if desired. In general, a heated humidifier is either integrated into the unit or has a separate power source (i.e. plug).
    • Passive: Air is blown through an unheated water chamber and is dependent on ambient air temperature. It is not as effective as the heated humidifier described above, but still can increase patient comfort by eliminating the dryness of the compressed air. In general, a passive humidifier is a separate unit and does not have a power source.
  • Mask liners: Cloth-based mask liners may be used to prevent excess air leakage and to reduce skin irritation and dermatitis.
  • Ramp may be used to temporarily lower the pressure if the user does not immediately sleep. The pressure gradually rises to the prescribed level over a period of time that can be adjusted by the patient and/or the DME provider.
  • Exhalation pressure relief: Gives a short drop in pressure during exhalation to reduce the effort required. This feature is known by the trade name C-Flex or A-Flex in some CPAPs made by Respironics and EPR in ResMed machines.
  • Flexible chin straps may be used to help the patient not breathe through the mouth (full-face masks avoid this problem), thereby keeping a closed pressure system. The straps are elastic enough that the patient can easily open his mouth if he feels that he needs to. Modern straps use a quick-clip instant fit. Velcro-type adjustments allow quick sizing, before or after the machine is turned on.
  • Data logging records basic compliance info or detailed event logging, allowing the sleep physician (or patient) to download and analyse data recorded by the machine to verify treatment effectiveness.
  • Automatic altitude adjustment versus manual altitude adjustment.
  • DC power source versus AC power source.

Such features generally increase the likelihood of PAP tolerance and compliance.

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