Sleep Apnea

WHAT IS SLEEP APNEA?

 

Sleep apnea refers to the interruption of breathing during sleep.  The most common form is obstructive sleep apnea, this is when the muscles of the soft palate around the base of the tongue and uvula relax, thus obstructing the airway.  This airway obstruction causes the level of oxygen in the blood to fall, increases the stress on the heart, elevates blood pressure and prevents you from entering “REM sleep”, the restful and restorative stage of sleep.  Sleep apnea causes the deprivation of quality sleep.

 

WHAT ARE THE SYMPTOMS OF SLEEP APNEA?

 

The symptoms of sleep apnea include loud snoring or abnormal pattern of snoring with pauses and gasps, excessive daytime sleepiness, memory changes, depression and irritability.  In some patients sleep apnea can contribute to high blood pressure, heart failure, stroke and heart attack.  About 4% of middle-aged men and 2% of middle-aged women have sleep apnea.  Sleep apnea can be aggravated by alcohol, sleeping pills and tranquilizers taken at bedtime.

 

HOW IS SLEEP APNEA DIAGNOSED?

 

Sleep Laboratories” are available to monitor different stages of sleep, diagnose sleep apnea, determine the type and severity of sleep apnea and design treatment.

 

HOW IS SLEEP APNEA TREATED?

 

General measures in treating sleep apnea include weight loss, avoiding alcohol and sedatives, sleeping on one side and medications to relieve nasal congestion.  More specific treatment include CPAP (Continuous Positive Airway Pressure), oral appliances to open the airway, and ENT surgery, where the surgeon removes excessive soft tissue in the back of the throat to relieve obstruction.  CPAP is an effective treatment for sleep apnea.  A mask is worn over the nose during sleep while air is gently forced into the airway to splint it open.

CPAP (Continuous Postive Airway Pressure)

CPAP is an effective treatment for Obstructive Sleep Apnea Syndrome (OSAS).  OSAS occurs when the upper airway relaxes and collapses when we sleep, obstructing some or all air flow to the lungs.  CPAP patients wear a face mask connected to a special pump (the CPAP machine) that blows air into the upper airway at a set pressure to prevent obstruction and allow normal breathing.  The pressure delivered by the CPAP machine to the upper airway is continuous during both inspiration and expiration.  CPAP is safe and effective even in children.  With CPAP, daytime sleepiness and snoring improve or resolve, heart function and hypertension improve and more importantly, quality of life improves.  Initially CPAP patients are monitored in a sleep laboratory to determine the appropriate treatment and CPAP pressure.  The first few nights on CPAP therapy tend to be difficult.  Many patients at first find the mask uncomfortable, claustrophobic or embarrassing.  The staff at Kingston Oxygen Home Health Care Centre are specially trained and able to ease this transition.

BIPAP (Bilevel Positive Airway Pressure)

BiPAP (also known as BiLevel) is similar to CPAP therapy; however, with BiPAP therapy there are two different pressure settings for the patient.  BiPAP therapy is used to treat patients with breathing disorders beyond sleep apnea.  The BiPAP machine is able to be set at two pressures: an inspiratory and expiratory pressure.  The dual settings of the BiPAP machine allow patients with compromised lungs a more effective inspiration.  BiPAP therapy is useful for people who have congestive heart failure and various types of lung disorders.  BiPAP therapy is also used in treating central sleep apnea, a sleep disorder characterized by failure of the brain to signal the chest muscles to breathe.

APAP (Auto Positive Airway Pressure)

APAP is another treatment sometimes prescribed for patients who suffer from Obstructive Sleep Apnea Syndrome (OSAS).  APAP therapy automatically adjusts pressure levels delivered to the patient’s upper airway based on a patient’s breathing.  This is done on a breathe by breathe basis throughout the night.  The APAP machine calculates the minimum pressure required to prevent obstruction resulting in only the lowest pressure being delivered to the patient.  The lower average pressures generally improve comfort, reduce pressure-related side effects, and lead to more consistent use of therapy.  It may be particularly suited to patients with REM-related sleep apnea, positional apnea or those who are noncompliant with standard CPAP therapy.  Ask our staff if APAP therapy would be right for you.

CPAP Machines

Kingston Oxygen offers a variety of CPAP Machines. These are our most popular selling brands.

Click on any image to be taken to the Manufacturer’s Website for product specific information.

AirMini™ AutoSet
AirMini™ AutoSet
AirSense™ 10 CPAP
AirSense™ 10 CPAP
AirSense™ 10 AutoSet™ for Her
AirSense 10 AutoSet for Her
AirSense™ 10 Elite
AirSense™ 10 Elite
SleepStyle™
SleepStyle™
DreamStation CPAP
DreamStation CPAP
Dreamstation Pro
Dreamstation Pro

CPAP Masks

Kingston Oxygen offers three types of CPAP masks – nasal masks, nasal pillow masks, and full face masks.

Nasal Masks

We offer a variety of CPAP Nasal Masks.  These are our most popular selling models.

However, stock, sizes and availability are sometimes limited.  Please call ahead to ensure we have your specific mask in stock.

ResMed AirFit™ N10
ResMed AirFit™ N10
ResMed AirFit™ N10 for Her
ResMed AirFit™ N10 for Her
ResMed AirFit™ N20
ResMed AirFit™ N20
ResMed AirFit™ N20 for Her
ResMed AirFit™ N20 for Her
ResMed Swift™ FX Nano
ResMed Swift™ FX Nano
ResMed Swift™ FX Nano for Her
ResMed Swift™ FX Nano for Her
ResMed Mirage™ FX
ResMed Mirage™ FX
ResMed Mirage™ FX for Her
ResMed Mirage™ FX for Her
ResMed Mirage Activa™ LT
ResMed Mirage Activa™ LT
ResMed Mirage™ Micro
ResMed Mirage™ Micro
Philips Respironics ComfortGel Blue
Philips Respironics ComfortGel Blue
Philips Respironics TrueBlue
Philips Respironics TrueBlue
Philips Respironics Wisp
Philips Respironics Wisp
Philips Respironics Pico
Philips Respironics Pico
F&P Eson™ 2
F&P Eson™ 2
F&P Zest™ Q
F&P Zest™ Q

Nasal Pillow Masks

We offer a variety of CPAP Nasal Pillow Masks.  These are our most popular selling models.

However, stock, sizes and availability are sometimes limited.  Please call ahead to ensure we have your specific mask in stock.

ResMed AirFit™ P10
ResMed AirFit™ P10
ResMed AirFit™ P10 for Her
ResMed AirFit™ P10 for Her
ResMed Swift™ FX Nasal Pillows System
ResMed Swift™ FX Nasal Pillows System
ResMed Swift™ FX for Her Nasal Pillows System
ResMed Swift™ FX for Her Nasal Pillows System
ResMed Swift™ LT Nasal Pillows System
ResMed Swift™ LT Nasal Pillows System
ResMed Swift™ LT for Her Nasal Pillows System
ResMed Swift™ LT for Her Nasal Pillows System
ResMed Swift™ FX Bella Nasal Pillows System
ResMed Swift™ FX Bella Nasal Pillows System
Mirage Swift™ II Nasal Pillows System
Mirage Swift™ II Nasal Pillows System
Philips Respironics DreamWear
Philips Respironics DreamWear
Philips Respironics DreamWear Gel Pillows
Philips Respironics DreamWear Gel Pillows
Philips Respironics Nuance
Philips Respironics Nuance
F&P Brevida™
F&P Brevida™
F&P Pilairo™ Q
F&P Pilairo™ Q
F&P Opus™ 360
F&P Opus™ 360

Full Face Masks

We offer a variety of CPAP Full Face Masks. These are our most popular selling models.

However, stock, sizes and availability are sometimes limited.  Please call ahead to ensure we have your specific mask in stock.

ResMed AirFit™ F10
ResMed AirFit™ F10
ResMed AirFit™ F10 for Her
ResMed AirFit™ F10 for Her
ResMed AirFit™ F20
ResMed AirFit™ F20
ResMed AirFit™ F20 for Her
ResMed AirFit™ F20 for Her
ResMed AirTouch™ F20
ResMed AirTouch™ F20
ResMed AirTouch™ F20 for Her
ResMed AirTouch™ F20 for Her
ResMed Quattro™ FX
ResMed Quattro™ FX
ResMed Quattro™ FX For Her
ResMed Quattro™ FX For Her
ResMed Quattro™ Air
ResMed Quattro™ Air
ResMed Mirage Quattro™
ResMed Mirage Quattro™
ResMed Ultra Mirage™
ResMed Ultra Mirage™
ResMed Mirage™ Liberty
ResMed Mirage™ Liberty
Philips Respironics ComfortGel Full
Philips Respironics ComfortGel Full
Philips Respironics FitLife
Philips Respironics FitLife
Philips Respironics Amara View
Philips Respironics Amara View
F&P Simplus™
F&P Simplus™
F&P FlexiFit™ 431 and 432
F&P FlexiFit™ 431 and 432
F&P Forma™
F&P Forma™
F&P Oracle™ Oral Mask
F&P Oracle™ Oral Mask