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Pace to breathe — New treatments for sleep apnea

July 27, 2016

About the Author

photo of Stuart Quan, MD

Stuart Quan, MD, Contributing Editor

Dr. Quan is a graduate of the University of California, San Francisco School of Medicine. He did residency training in Internal Medicine at the University of Wisconsin, and fellowships in Critical Care Medicine and Pulmonary Medicine … See Full Bio
View all posts by Stuart Quan, MD


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Bruce Tizes, MD, Medical Editor,
August 4, 2016

Apparently coming soon to the market are cordless, maskless micro-CPAP devices such as (last year substantially overfunded on indiegogo). While I have no personal experience with these types of devices, we can be hopeful this or something similar will provide an efficacious, portable, comfortable and less restrictive CPAP approach. Exciting advances!

Bruce Tizes, MD, Medical Editor

Joan Masover
August 2, 2016

A very little known, unintrusive, lightweight, and inexpensive FDA-approved apnea treatment is Provent. One of my friends switched from her CPAP to this therapy. My skin was too sensitive for it, but I found that even the Theravent version (designed for snoring and not FDA approved) worked to stop my mild apnea.

Ofelia Osorio Delis
July 27, 2016

Magnifico el procedimiento, pero economicamente dificil de adquirir,
en cuantas personas se ha hecho la prueba de que realmente es efectivo? que tiempo de duracion esta estimada?

Stuart Quan
July 28, 2016

Los remito a este artículo: Strollo PJ Jr , Soose RJ , Maurer JT , de Vries N , J Cornelio , Froymovich O ,
Hanson RD, Padhya TA , Steward DL , Gillespie MB , Woodson BT , Van de Heyning PH ,
Goetting MG , Vanderveken OM , Feldman N , L Knaack , Strohl PK; ESTRELLA Grupo de Ensayos .
la estimulación de la vía aérea superior para la apnea obstructiva del sueño . N Engl J Med . ene 2014
9 ; 370 ( 2 ) : 139-49 . doi : 10.1056 / NEJMoa1308659

Alan Martin
July 27, 2016

Another less publicized treatment for OSA is to elevate the Thorax by 15-25 degrees while sleeping in a supine position. The soft palate still collapses, but is re-routed to collapse ALONG the airway, not ACROSS it, the patient still draws moist air into their lungs.
Adjustable beds may offer a viable alternative for OSA patients who are CPAP adverse.

July 27, 2016

Any idea of this procedure being accepted in Canada and if so, when? Would a cardiologist perform the procedure?
Thank you, R

Stuart Quan
July 27, 2016

Sorry. I have no information on availability in Canada.

Debra Larson
July 27, 2016

Dr. Stuart Quan’s article states ” Although the pacemaker is not yet available in the United States, FDA approval may be forthcoming. ”

How is this pacemaker that senses and paces the hypoglossal nerve different than the current FDA-approved Inspire device that senses and paces the hypoglossal nerve ? If so, can you please provide the difference in therapy and how it operates? Thank you.

Stuart Quan
July 27, 2016

I am writing about the Inspire device, so it is the same.

July 27, 2016

If the clinical procedure is relatively straightforward, it should be affordable. Paul Stephens UK

Daryl McCoy
July 31, 2016

I have used a (cpap) for over 25 yrs Two years ago I had a (heart pacemaker) installed. Would “Two” pacemakers work in harmony?

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