CPAP Intolerance

CPAP_IntolerancePatients diagnosed with Obstructive Sleep Apnea are successfully treated with positive pressure ventilation. This uses a mask to deliver pressure for opening your airway at night, ensuring that you breathe uninterrupted throughout the night.

In many patients, tolerating CPAP can be quite a challenge. This challenge can result from underlying issues with claustrophobia and/or anxiety. In other cases, there are true anatomic obstructions that prevent successful transmission of the positive pressure.

Proper ENT examination can assess the entire airway and discover such obstructions. For patients wearing either a full face mask or nasal mask, obstructions such as a deviated nasal septum, enlarged inferior turbinates, nasal polyps, and large adenoids can cause significant airway resistance and intolerance of CPAP. In other cases, patients possessing large tonsils or an elongated soft palate may also experience such resistance to CPAP tolerance.

One common finding in patients who have anatomic airway obstructions preventing them from tolerating CPAP is a very high pressure setting on their CPAP machine. Proper ENT examination will routinely discover airway obstructions requiring such high pressures, and appropriate medical or surgical treatment can consistently reduce the required pressure and improve CPAP tolerance.

If you feel you have difficulty tolerating CPAP, feel free to contact us for further assessment and treatment.