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What are the indications under the Continuous Positive Airway Pressure (CPAP) Medical Directive - AUXILLARY?

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Continuous Positive Airway Pressure (CPAP) is a common treatment for obstructive sleep apnea involving a mask that delivers pressurized air to keep the airway open, improving oxygen levels and reducing apnea episodes. It can also be used in central sleep apnea with additional therapies. CPAP's use extends to neonatal care, particularly for premature infants with RDS.

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Continuous Positive Airway Pressure (CPAP) for Sleep Apnea

Sleep apnea is a disorder characterized by repetitive cessation of breathing during sleep. A common treatment is the use of a continuous positive airway pressure (CPAP) machine which delivers pressurized air through a mask to keep the airway open. This is especially useful in obstructive sleep apnea, where the airway collapses or gets blocked during sleep. Conversely, central sleep apnea involves the brain's respiratory centers failing to regulate breathing properly, and while CPAP may be used, supplemental oxygen and other treatments might be necessary. CPAP devices usually consist of a mask that covers the nose or both the nose and mouth, and they are effective in maintaining open airways leading to improved blood oxygen levels and reduced apnea episodes.

In addition to CPAP, lifestyle changes such as weight management, avoidance of alcohol and certain drugs, and optimizing sleep position can be beneficial. For some patients, the use of an oral device that moves the lower jaw forward may help keep the airway open. In more severe cases, surgery to remove obstructing tissues might be considered.

Compliance with CPAP treatment can be challenging due to discomfort, but it's a crucial component of managing moderate to severe sleep apnea. In neonatal care, CPAP is also utilized to support premature infants with respiratory distress syndrome (RDS), often in conjunction with pulmonary surfactant therapy to facilitate proper lung development and reduce the risk of mortality.

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