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Respiratory therapists keeping up with new technologies in sleep field.
INTRODUCTION:Technology has been changing the way we deal with CPAP adhesion. Respiratory therapists involved in sleep field have to keep up with new developments such as devices and masks.
OBJECTIVES: Establish the profile of age and related comorbidities in sleep apnea patients; quantification of different positive pressure devices with different programming; quantification of different masks models that patients adapted.
METHODS: Retrospective analysis of first evaluation data including age and comorbidities and quantitative analysis of CPAP devices and masks models applied from years 2014 to 2019 in patients of private sleep clinic in first evaluation.
RESULTS: 50 patients were analyzed, 37 were male, average age: 58,2 (±12,45891206), minimum age 25 and maximum age 87. Regarding comorbidities 24% had hypertension, 18% were obese, 12% had diabetes, 8% had psychiatric disorders, 6% had had brain stroke or sinusitis or Alzheimer or heart disease, 2% had cancer or fibromyalgia or leg thrombosis or insomnia or hypothyroidism. 12% of the patients had no other health problems. For CPAP devices 64% were S9 Resmed®,10% S10 Resmed®, 8% System One Philips Respironics® or S8 Resmed®, 6% Remstarpro Philips Respironics®, 2% Dreamstation Philips Respironics® or Cpap Transcend®. The mask types that best adapted were 16% Prong Nuance Pro Philips Respironics®, 12% Nasal Swift FX Resmed®, 10% Nasal Mirage FX Resmed® or Full Face Mirage Quattro Resmed®, 8% Full Face Quattro Fx Resmed®, 6% Nasal Eson Fisher&Paykel® or Nasal Mirage Activa Resmed® , 4% Full Face AmaraView Philips Respironics® or Nasal Eson 2 Fisher&Paykel® or Nasal Mirage Micro Resmed® or Nasal Pico Philips Respironics® or Nasal Swift FX Nano Resmed® or Nasal Wisp Philips Respironics®, 2% Nasal DreamWear Philips Respironics® or Full Face Airfit Resmed® or Full Face Mirage Activa Resmed® or% Nasal Softgel Resmed®.
CONCLUSIONS: The profile of comorbidities and age fits other studies of sleep apnea patients. Eight different positive pressure devices were used along with seventeen different masks from years 2014 to 2019. The respiratory therapist must keep up with new devices and masks to adapt the sleep apnea patient using the best technology available in Brazil.
Keywords: Sleep Apnea Syndromes, Continuous Positive Airway Pressure, Trends, Instrumentation.
Susana Cristina Lerosa Telles