+ Site Statistics
+ Search Articles
+ PDF Full Text Service
How our service works
Request PDF Full Text
+ Follow Us
Follow on Facebook
Follow on Twitter
Follow on LinkedIn
+ Subscribe to Site Feeds
Most Shared
PDF Full Text
+ Translate
+ Recently Requested

Nasal pillows as an alternative interface in patients with obstructive sleep apnoea syndrome initiating continuous positive airway pressure therapy



Nasal pillows as an alternative interface in patients with obstructive sleep apnoea syndrome initiating continuous positive airway pressure therapy



Journal of Sleep Research 20(2): 367-373



Side-effects directly due to the nasal mask are common in patients with obstructive sleep apnoea syndrome (OSAS) commencing continuous positive airway pressure (CPAP). Recently, nasal pillows have been designed to overcome these issues. Limited evidence exists of the benefits and effectiveness of these devices. Twenty-one patients (19 male, 49±10years) with the established diagnosis of OSAS [apnoea/hypopnoea index (AHI): 52±22] and who had a successful CPAP titration were commenced on CPAP therapy (10±2cmH2O), and randomized to 4weeks of a nasal pillow (P) and a standard nasal mask (M) in a crossover design. Outcome measures were objective compliance, AHI, quality of life, Epworth Sleepiness Score (ESS) and CPAP side-effects. There was no difference in compliance (M versus P: 5.1±1.9h versus 5.0±1.7h; P=0.701) and AHI (2.6±2.7 versus 3.0±2.9; P=0.509). Quality of life and ESS improved with CPAP, but there was no difference in the extent of improvement between both devices. Usage of nasal pillows resulted in less reported pressure on the face and more subjects found the nasal pillow the more comfortable device. However, there was no clear overall preference for either device at the end of the study (mask=57%, pillow=43%; P=0.513). The applied CPAP pressure did not correlate with compliance, AHI and ESS. Furthermore, no differences in outcome parameters were noted comparing groups with CPAP pressure <10 and ≥10cm H(2) O. Nasal pillows are equally effective in CPAP therapy, but do not generally lead to improved compliance.

Please choose payment method:






(PDF emailed within 0-6 h: $19.90)

Accession: 054548956

Download citation: RISBibTeXText

PMID: 20673292

DOI: 10.1111/j.1365-2869.2010.00873.x


Related references

Nasopharyngeal symptoms and nasal continuous positive airway pressure therapy in obstructive sleep apnoea syndrome. Acta Oto-Laryngologica 119(4): 497-502, 1999

Daytime hypercapnia in adult patients with obstructive sleep apnea syndrome in France, before initiating nocturnal nasal continuous positive airway pressure therapy. Chest 127(3): 710-715, 2005

Left ventricular function in patients with obstructive sleep apnoea syndrome before and after treatment with nasal continuous positive airway pressure. Respiration; International Review of Thoracic Diseases 67(4): 367-371, 2000

Left Ventricular Function in Patients with Obstructive Sleep Apnoea Syndrome before and after Treatment with Nasal Continuous Positive Airway Pressure. Respiration 67(4): 367-371, 2000

Oral appliance therapy versus nasal continuous positive airway pressure in obstructive sleep apnoea syndrome: a randomised, placebo-controlled trial on self-reported symptoms of common sleep disorders and sleep-related problems. Journal of Oral Rehabilitation 44(6): 452-460, 2017

Five-year effects of nasal continuous positive airway pressure in obstructive sleep apnoea syndrome. European Respiratory Journal 10(11): 2578-2582, 1997

Five-year effects of nasal continuous positive airway pressure in obstructive sleep apnoea syndrome. European Respiratory Journal 10(11): 2578-2582, 1997

Overnight changes in lung function with and without nasal continuous positive airway pressure treatment, and their relation to body fat distribution in patients with obstructive sleep apnoea syndrome. European Respiratory Journal Suppl. 10(25): 188S, 1997

Oral health under use of continuous positive airway pressure and interest in alternative therapy in patients with obstructive sleep apnoea: a questionnaire-based survey. Gerodontology 33(3): 416-420, 2016

Upper airway surgery benefits patients with obstructive sleep apnoea who cannot tolerate nasal continuous positive airway pressure. Journal of Laryngology and Otology 118(4): 270-274, 2004

Upper Airway Surgery Benefits Patients With Obstructive Sleep Apnoea Who Cannot Tolerate Nasal Continuous Positive Airway Pressure. Yearbook of Otolaryngology-Head and Neck Surgery 2006: 143-144, 2006

Continuous positive airway pressure therapy lowers vagal tone in patients with obstructive sleep apnoea-hypopnoea syndrome. Hellenic Journal of Cardiology 47(1): 13-20, 2006

Autonomic activity during specific sleep stages in normal subjects and patients with sleep apnoea syndrome before and after short-term nasal continuous positive airway pressure therapy. European Heart Journal 18(ABSTR Suppl. ): 591, 1997

Autonomic balance during sleep in young adults, middle aged healthy subjects and patients with sleep apnoea syndrome before and after nasal continuous positive airway pressure therapy. Circulation 96(8 Suppl. ): I741, 10/21/97, 1997

Response of patients and bed-partners to nasal continuous positive airway pressure for obstructive sleep apnoea. European Respiratory Journal Suppl. 9(23): 463S, 1996