J Rhinol.  2020 Nov;27(2):73-82. 10.18787/jr.2020.00319.

Positive Airway Pressure Prescription and Management for Patients with Obstructive Sleep Apnea

• Choi JH

• KMID: 2508950
• DOI: http://doi.org/10.18787/jr.2020.00319

Abstract

Obstructive sleep apnea (OSA) is characterized by repeated events of complete or partial upper airway obstruction during sleep and is a chronic sleep disorder that requires long-term comprehensive management. Positive airway pressure (PAP) is recommended for treatment of OSA in adults with excessive daytime sleepiness, decreased sleep-related quality of life, and comorbid hypertension. During PAP therapy, regular follow-up is continuously necessary to evaluate side effects or complications, compliance, and treatment effects such as OSA-related symptoms, quality of life, and consequences. This review provides knowledge about PAP-related background information, indications for PAP prescription including the Korean National Health Insurance criteria, optimal pressure, PAP modes, patient education and support, short-term and long-term management, interpretation of PAP uses, and alternative therapies.

Keyword

Obstructive sleep apnea; Positive airway pressure; Prescription; Management; Compliance; 폐쇄성수면무호흡증; 양압기; 처방; 치료; 순응도

Figure

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  Fig. 1. Application for PAP enrollment of the Korean National Health Insurance.

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  Fig. 2. Prescription for PAP of the Korean National Health Insurance.

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