Journal of Sleep Disorders & Therapy
Open Access

Department of Sleep Medicine, Brigham and Women’s Hospital, Harvard Medical School, Boston, USA

Publications

• Research Article   
  Reducing Inspiratory Positive Airway Pressure (IPAP) to Treat Obstructive Sleep Apnea Provides Equivalent Therapy, Improves Comfort, and Reduces Unintentional Leak
  Author(s): Robert J. Farney*, Bernard Hete, David P. White, Krishna M. Sundar, Wilson D. Lannom, Molly Ann Pucket and William H. Noah
  
  Background: Continuous positive airway pressure is the most effective therapy for Obstructive Sleep Apnea (OSA) but long-term adherence remains a challenge. Reducing Inspiratory Positive Airway Pressure (IPAP) below Expiratory Positive Airway Pressure (EPAP) may improve comfort and potentially compliance. The goal of this quality control evaluation was to determine if reducing IPAP below EPAP using the V-Com™ device maintained efficacy as assessed by the residual Apnea Hypopnea Index (AHI), P90%/P95% pressure requirements, usage time and leak. Methods: We reduced IPAP below EPAP by adding non-compensated resistance (V-Com™) to the AutoPAP (APAP) circuit in patients with uncomplicated OSA. Four consecutive nights of data were collected with and without the V̇- Com™. Objective parameters obtained from the AP.. View More»
  DOI: 10.35248/2167-0277.24.13.533

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