A proven method of treating sleep apnea disorders is the use of a special method and medical devices, united by one term - CPAP. Its popularity in recent years has contributed to a significant increase in the number of manufacturers, brands and models of these devices. The first step to successfully eliminate sleep problems is the correct choice of the treatment device, which will be discussed in this review.
Content
CPAP is a translation of the English abbreviation CPAP - Constant Positive Airway Pressure ("constant positive airway pressure").
The term is applied both to a therapeutic method for the treatment of sleep apnea, and a medical device for maintaining the natural rhythm, frequency and depth of breathing during a person's sleep. As a result, the appearance of night snoring is prevented, and a sufficient amount of oxygen enters the brain.
The main components are:
The work consists in supplying filtered atmospheric air to the system under pressure, which is regulated by a valve and the speed of rotation of the turbine (fan). As a rule, the value is within 4-20 centimeters of the water column. After turning on the device, it is minimal, and increases during sleep.
The CPAP machine and the respiratory organs (alveoli, bronchi, airways) create a closed system in which the air entering the human lungs increases the pressure in the chest. As a result, a peculiar air “wedge” that arises contributes to the extension of the root of the tongue, the expansion of the lumen of the respiratory tract, the stabilization of the mobile tissues of the pharynx and palatine uvula with the disappearance of respiratory arrest, as well as snoring.
The main difficulty in use is the bulkiness of the device. At the initial stage, the tubes and mask create discomfort and inconvenience. However, with the normalization of sleep, the provision of quality rest after the disappearance of headaches, increased irritability or constant fatigue, these difficulties become almost imperceptible.
Recommended for the treatment of sleep apnea and snoring in mild to moderate stages. The package includes a standard compressor, control unit, CPAP mask. The required pressure is generated and maintained during the entire time of use, regardless of the absence or presence of respiratory arrests. In the case of a high value, exhalation is difficult, which significantly reduces the comfort of therapy. At the same time, when choosing an adequate value, a laboratory titration procedure is required with additional costs.
The main advantage is the relatively low cost.
Recommended for patients with obstructive sleep apnea (OSA) with varying degrees of severity in case of increased demands on comfort. The device has a system of automatic pressure adjustment depending on the characteristics of breathing, which allows you to lower it if necessary. Titration is not necessary, since the range setting can be corrected according to the data recorded by the device.
Recommended for the treatment of apnea and snoring at any stage of development, incl. complex. This device creates two levels of pressure: on exhalation - lower, on inspiration - higher.Thanks to the difference, not only the upper airways are kept open, but also respiratory support is provided during sleep.
The use of CPAP devices has a beneficial effect on the human body:
The disadvantages usually include:
The use of CPAP machines is recommended for the treatment of:
At home, CPAP devices can be used in complex therapy or as an adjunct treatment in the following cases:
There are no absolute contraindications for CPAP. However, it is not recommended to use the device with implicit sleep disorders and at the initial stage of snoring, as the problem is solved by more convenient and less expensive methods.
Manifestations of side effects:
The main reason for negative symptoms is an uncomfortable mask.
Experts advise what to look for in order to avoid mistakes when choosing a particular model:
1. Determine the required class of equipment and budget:
The difference in the cost of purchasing the simplest and most advanced CPAP machine can be up to 1.5 thousand US dollars.
2. Specify the firm and model of preference. Top manufacturers include:
3. Proper selection of a comfortable mask is usually performed during trial CPAP therapy.
4. The need for a heated humidifier to further prevent respiratory infections and eliminate problems caused by the irritating effects of dry air.
5. Color monitor and menus make it easy to interact with the machine
6. The possibility of warranty or post-warranty repair, as well as clinical and technical support for therapy at home.
New and popular models can be bought in branded stores offering medical equipment. As a rule, the assortment there is always checked, and there is no low-quality counterfeit of unknown production. Sales consultants will always help with practical advice and competent recommendations - which company is better, how to choose, how much it costs. In the absence of a medical diagnosis, before selling an expensive medical device, they will refer the potential buyer to the right specialist.
If there is no opportunity to visit the company store at the place of residence, the required device can be easily ordered online in the online store, on the pages of the Yandex.Market aggregator or with Ali Express, where models from different manufacturers are presented with descriptions, specifications, photos, as well as customer reviews .
In Moscow, CPAP machines are offered at a price of 22,000 rubles. (ReSmart BMC-630C) up to 420,000 rubles. (Resmed AirCurve 10CS PaceWave).
The rating of high-quality devices is compiled according to the opinions of users who have left their reviews on the pages of online stores. The popularity of models is determined by functionality, technical capabilities, reliability, customer ratings and price.
The review presents models of the best basic, automatic and two-level CPAP machines.
Brand - ResMed (Australia).
The country of origin is Indonesia.
Universal premium model with a constant level of positive pressure for the treatment of OSAS in people weighing more than 30 kg in a hospital or at home. Innovative developments were used in the production process, including intelligent recognition of the patient falling asleep with a smooth increase in air pressure, adjusting the brightness of the display depending on the illumination, etc.
The kit includes an SD card for storing / transferring information about the course of therapy. After transferring the data to a computer, they can be studied and analyzed with updating treatment parameters.
Price - from 95,900 rubles.
How to use AirSense 10 Elite:
Brand - Fisher & Paykel (USA).
The country of origin is New Zealand.
The compact model of the basic class device for the effective elimination of apnea, snoring and hypopnea. Normalization of breathing is ensured by the creation of positive pressure in the airways during the night. The use of TermoSmart technology results in optimal humidification of the supplied air, which prevents the development of side effects and contributes to increased comfort. The use of a heated tube prevents condensation and provides additional humidification. Therapy session data is stored in the device on a memory card and can be transferred via the USB port to a computer.
Warranty period - 1 year. Price - from 35,000 rubles.
ICON+ Novo device:
Brand - BMC (China).
The country of origin is China.
One of the most budgetary models of its class in the domestic market for the treatment of OSA both in stationary conditions and at home. When working in the airways, a certain pressure is created, which is selected by a somnologist to prevent them from “sticking together” in a dream. All indicators are recorded on a memory card and are available to the doctor for analysis.
Management is carried out using the monitor. The presence of intelligent control allows you to provide increased safety and comfort compared to a conventional CPAP machine. Additional convenience is provided by automatic activation when you take a deep breath or turn off when you remove the mask.
Warranty period 12 months. Price - from 22,000 rubles.
Unboxing RESmart BMC-630C:
AirSense 10 Elite | ICON+Novo | BMC-630C | |
---|---|---|---|
Treatment pressure range, cm H2O | 4-20 | 4-20 | 4-20 |
Smooth pressure set | + | + | + |
Humidifier heating | + | + | + |
Humidifier | removable | removable | removable |
Facilitate expiration | + | - | + |
sleep delay | + | + | + |
Noise level, dB | 26.6 | 29 | 30 |
Display | color | monochrome | monochrome |
Software | + | + | - |
Connecting to a computer | + | + | - |
Recording results to a card (USB, SD, CF) | + | + | + |
Memory card included | + | - | - |
Dimensions, cm | 11.6x25.5x15 | 16x17x22 | 31x19x11 |
Weight, kg | 1.3 | 2.2 | 2.4 |
Bag included | + | + | + |
Brand - Prisma (Germany).
The country of origin is Germany.
A compact model for eliminating the symptoms of OSAS of any form of severity and snoring with the possibility of automated adjustment to the characteristics of the patient's body. Thanks to the SoftPAP breath control function, with each exhalation, it decreases, and with inhalation it increases to the set level. All treatment data can be displayed on the touch monitor, as well as adjusting the device settings if necessary.Auto-start and auto-stop system installed.
The warranty period is 2 years. The average price is 117,600 rubles.
Apnea and snoring treatment at home with Weinmann Prisma:
Brand - Philips Respironics (USA).
The country of origin is the USA.
Multifunctional model for the treatment of OSAS and snoring with the ability to automatically adjust the pressure, which reduces the load on the lungs and the patient's body. The guarantor of restful sleep is the presence of additional functions aimed at increasing and decreasing depending on the frequency of exhalations and inhalations.
A 2-year extended warranty is available. Price - from 68,900 rubles.
Ultra-modern Philips Respironics PR System One:
Brand - ResMed (Australia).
Country of origin - Australia.
A compact premium novelty to relieve breathing problems, enjoy healthy restful sleep and rejuvenate overnight. Designed specifically for the treatment of snoring and sleep apnea, which are accompanied by sticking of the muscles of the larynx. The device is able to adapt to a person's breathing and adjust the pressure supply depending on the characteristics and condition of the body during the entire sleep. The fit of the mask is constantly monitored, and an alarm is triggered if the tightness is violated.
An increase in breathing comfort during sleep is ensured by the use of an air flow humidifier with a heating function.
Warranty - 1 year. Price - from 95,000 rubles.
AirSense S10 AutoSet Video Review:
Prisma 20A | REMstar Auto A-Flex | AirSense S10 AutoSet | |
---|---|---|---|
Treatment pressure range, cm H2O | 4-20 | 4-20 | 4-20 |
Smooth pressure set | + | + | + |
Humidifier heating | + | + | + |
Removable humidifier | + | + | + |
Tube 1.8 m d 22 mm | + | + | + |
Facilitate expiration | + | + | + |
sleep delay | + | + | + |
Noise level, dB | 26.5 | 27 | 26.6 |
Display | color | color | color |
Software | - | - | + |
Connecting to a computer | + | - | + |
Recording results to a card (USB, SD, CF) | + | + | + |
Memory card included | + | + | + |
Dimensions, cm | 18x17x13.5 | 28x15x9 | 11.6x25.5x15 |
Weight, kg | 2 | 2.7 | 1.248 |
Bag included | + | + | + |
Brand - Weinmann (Germany).
The country of origin is Germany.
Cardiorespiratory model for the treatment of patients with complex, central or mixed sleep apnea using the adaptive servoventilation method. Reduces the number of sleep apnea episodes, and quickly normalizes the respiratory flow in almost all patients, maintaining this level for a long time. After switching on, the pressure first decreases, and then slowly increases to a therapeutic value. In the event of a power failure, the data is saved and after switching on the device continues the interrupted mode of operation.
Warranty - 2 years. Price - from 472,958 rubles.
Brand - Philips Respironics (USA).
The country of origin is the USA.
Compact model with the installation of different therapeutic pressure for exhalation and inhalation for assisted ventilation of the lungs in sleep apnea. The use of the device increases the comfort and effectiveness of therapy due to easy synchronization with the patient's breathing. It is equipped with a liquid crystal monitor, a dial button and a rotating navigation wheel ("turned-pressed"). The breathing tube can be placed in any direction without kinks thanks to the rotating connection tube.
Warranty period - 12 months. Price - from 179,000 rubles.
not detected.
Brand - Navy (China).
The country of origin is China.
Functional model for performing non-invasive ventilation of the lungs in a hospital and at home. The device is equipped with an intuitive user menu and a color screen. Initial settings and selection of parameters are made with the control knobs. The device operates in five modes: supplying a constant level for inhalation, supplying in a predetermined range for inhalation, supplying a set value for exhalation and inhalation, supplying a fixed value for exhalation and within a predetermined range for inhalation, the device independently starts exhalation and inhalation with automatic control of their time .
Price - from 199,000 rubles.
SOMNOvent CR | System One BiPAP S/T | RESmart BMC GII BPAP System T-30T | |||||||||
---|---|---|---|---|---|---|---|---|---|---|---|
Treatment pressure range, cm H2O | 4-20 | 4-25 | 4-30 (inhale); 4-25 (exhale) | ||||||||
Smooth pressure set | + | + | + | ||||||||
Humidifier heating | + | + | + | ||||||||
Removable humidifier | + | + | + | ||||||||
Tube 1.8 m d 22 mm | + | + | + | ||||||||
Facilitate expiration | + | + | + | ||||||||
sleep delay | + | + | + | ||||||||
Noise level, dB | 31 | 27 | 30 | ||||||||
Display | LCD | Backlit LCD | color | ||||||||
Recording results to a card (USB, SD, CF) | + | + | + | ||||||||
Memory card included | - | + | + | ||||||||
Dimensions, cm | 44х9х18 | 28x18x10 | 29x19x13 | ||||||||
Weight, kg | 3.4 | 2.3 | 2.5 | ||||||||
Bag included | + | - | + |
The appointment of the use of CPAP equipment is carried out by a neurologist or somnologist after determining the cause of the disease based on the results of a clinical examination.
CPAP self-medication is strictly prohibited!
The first application is performed in a sleep center under the supervision of doctors. To monitor the condition, the patient is connected to a polysomnograph and the most comfortable mode is selected. Sometimes up to three sessions are required to determine optimal results.
Further treatment is carried out according to the recommendations of the doctor independently at home. Before going to bed, a special mask is put on, after turning on and setting up the device, you should go to bed. You are allowed to take a break once a week.
Good sleep. Take care of yourself and your loved ones!