Peter Hibberd, M.D., is a doctor whose advice is based on more than 28 years of hospital outpatient and inpatient experience. He is an experienced emergency medicine physician, surgeon, and consultant. Dr. Hibberd is certified by the American Board of Emergency Medicine. He is also a fellow and active member of the American Academy of Family Physicians, an active member of the American College of Emergency Physicians, and a member and fellow of the American Academy of Emergency Medicine. Dr. Hibberd has earned numerous national and international professional certifications, memberships, and awards.
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Obstructive and Central Apnea

Monday, 09 Jan 2012 09:20 AM

Question: I have both obstructive and central sleep apnea. I use a CPAP machine at night, but I still have many days when I wake up tired. Is there any additional help for this condition?

Dr. Hibberd's Answer:
There are new devices available that you might want to ask your doctor about. One is the Bi-level positive airway pressure or BPAP. Unlike CPAP, which supplies steady, constant pressure to your upper airway as you breathe in and out, BPAP builds to a higher pressure when you inhale and decreases to a lower pressure when you exhale.
The goal of this treatment is to boost the weak breathing pattern of central sleep apnea. These machines can be set to automatically deliver a breath if the device detects you haven't taken a breath after a certain number of seconds. The second is adaptive servo-ventilation (ASV), and some studies have shown it to be more effective than the CPAP or BPAP for treating central sleep apnea.
For obstructive sleep apnea, explore possibility of surgery with your doctor.

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