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.
Tags: sleep | apnea | CPAP | BPAP

What's the Best Sleep Apnea Device?

Thursday, 19 Jul 2012 09:34 AM

Question: I have been diagnosed with sleep apnea. I have tried a CPAP machine, but I can’t stand the mask. Are there other treatments?

Dr. Hibberd's answer:
If CPAP continues to be a problem for you, try the newer nasal tips available. You may also be able to use a different type of airway pressure device that automatically adjusts the pressure while you're sleeping. For example, units that supply bi-level positive airway pressure (BPAP) are available. These provide more pressure when you inhale and less when you exhale. Another option is wearing an oral appliance designed to keep your throat open. CPAP is more effective than oral appliances, but oral appliances may be easier for you to use. Some are designed to open your throat by bringing your jaw forward, which can sometimes relieve snoring and mild obstructive sleep apnea. A number of devices are available from your dentist. You may need to try different devices before finding one that works for you. Once you find the right fit, you'll still need to follow up with your doctor and your dentist at least every three months during the first year and then at least once a year after that to ensure that the fit is still good and to reassess your signs and symptoms.

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Some sleep apnea machines are not well tolerated by patients, but there are alternatives to CPAP.
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Thursday, 19 Jul 2012 09:34 AM
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