Does the type of continuous positive airway pressure mask (full face or nasal) effect the required therapeutic pressure and patient preference in patients with obstructive sleep apnea?

A comparison of nasal and full-face masks in patients with obstructive sleep apnoea prescribed continuous positive airway pressure therapy: required therapy pressure, comfort and mask preference

Status

Completed

Phases

Unknown

Study type

Interventional

Source

ANZCTR

Registry ID

ACTRN12611000243910

Enrollment

Registered

2011-03-04

Start date

2008-09-03

Completion date

Unknown

Last updated

2020-01-13

For informational purposes only — not medical advice. Sourced from public registries and may not reflect the latest updates. Terms

Conditions

None listed

Brief summary

When patients are established on CPAP treatment they must first undergo a titration study of some description which determines the pressure required to hold the upper airway open. Titration studies are commonly performed using a nasal mask but some patients may prefer a full-face or oronasal mask. This study looks at therpeutic pressures for full-face and nasal masks and patient preferences.

Interventions

Subjects will be randomised to either a nasal or an oronasal mask with the alternate mask style to be used on the second night. A chin strap will be used in conjunction with nasal mask. Mask interfaces for continuous positive airway pressure (CPAP) for obstructive sleep cover the patient's nose (nasal mask) or nose and mouth (oronasal mask). The chin strap gently supports the jaw so the mouth is closed when using a nasal mask. Continuous positive air pressure (CPAP) was automatically titrate

Study design

Allocation

Randomised controlled trial

Intervention model

Crossover

Primary purpose

Treatment

Masking

Open (masking not used)

Eligibility

Sex/Gender

All

Age

0 to No maximum

Healthy volunteers

Inclusion criteria

CPAP naive subjects with obstructive sleep apnea syndrome Referral from sleep laboratory in a university hospital for CPAP titration Respiratory Disturbance Index >15

Exclusion criteria

Previous oronasal operations History of clinically severe nasal or sinus disease Complex sleep disorded breathing Significant comorbid respiratory disease Significant comorbid cardiac disease Orofacial problems precluding the use of a nasal or oronasal mask

Outcome results