Sleep Dynamic Therapy » CPAP

UARS: CFLEX vs. BPAP

Dr. Krakow — Sun, 08 Nov 2009 11:20:34 +0000

Dr. Barry Krakow discusses the use of CFLEX compared to BPAP for treatment of upper airway respiratory syndrome.

Full Face Mask and Chin Strap

Dr. Krakow — Sat, 22 Aug 2009 16:50:33 +0000

Video Blog: Dr. Krakow discusses a recent question asked by a patient. Is there a reason to wear a full face mask and chin strap at the same time?

BPAP Treatment for Expiratory Pressure and Tolerance

Dr. Krakow — Tue, 07 Apr 2009 16:17:33 +0000

Video Blog: Discussing BPAP in comparison to CPAP.

PAP Therapy and Bariatric Surgeries

Dr. Krakow — Mon, 06 Apr 2009 16:17:11 +0000

Video Blog: Many obese patients are reluctant to get PAP therapy, but using PAP therapy prior to bariatric surgery can reduce surgical risk.

The Ramp Button Cure for Middle-of-the-night Insomnia

Dr. Krakow — Wed, 21 Jan 2009 17:44:46 +0000

Video Blog: Insomnia and Sleep Apnea often occur together…

Newer PAP devices – replacing CPAP?

Dr. Krakow — Mon, 05 Jan 2009 16:57:56 +0000

Video Blog: Not as many people are using CPAP devices. Many patients are finding better results with newer devices…

Bilevel Preferred Over CPAP

Dr. Krakow — Thu, 03 Apr 2008 06:21:21 +0000

One thing that continues to puzzle us in our work at our sleep center is how frequently patients are prescribed CPAP when we suspect they should have been initiated with bilevel therapy. We work on 2nd opinion patients quite a bit, and in nearly 90% of cases, the patient presents with a failed response to CPAP. Few if any of these patients ever report that their physicians discussed the potential to use bilevel instead of CPAP. Some had been exposed to auto-CPAP, Cflex, and other expiratory relief systems, but very few had even heard of the term bilevel.

In our clinical experience, where we specialize in mental health patients with insomnia and SDB, we quickly transition the patient to bilevel once they have failed CPAP therapy either initially during the desensitization procedure before the overnight titration or during the titration when it becomes apparent that they are struggling to breathe out against pressurized airflow coming in (expiratory intolerance).