Positive airway pressure (PAP) for obstructive sleep apneaPPositive airway pressure (PAP) for obstructive sleep apneaPositive airway pressure (PAP) for obstructive sleep apneaEnglishRespiratoryToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)TracheaNasopharynx;TracheaNon-drug treatmentCaregivers Adult (19+)NA2013-09-19T04:00:00ZDebra L. Medin, MS, RRT, RPSGT7.0000000000000074.00000000000001681.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how positive airway pressure helps treat obstructive sleep apnea in children.</p><h2>What is obstructive sleep apnea?</h2><p>Your child has been prescribed positive airway pressure (PAP) therapy because they have obstructive sleep apnea. <a href="/Article?contentid=1918&language=English">Obstructive sleep apnea (OSA)</a> means that a person's airway becomes partially or completely blocked while they are sleeping. This makes it difficult for them to breathe. Symptoms of OSA include snoring, gasping or pauses in breathing. </p><p>During obstructive sleep apnea, the oxygen levels in your child's blood may change. This can reduce the quality of their sleep. If poor sleep goes untreated, it can affect your child's learning and daytime functioning. </p><h2>Treating obstructive sleep apnea with PAP </h2><p>Treatments for obstructive sleep apnea may include <a href="/Article?contentid=1019&language=English">removing the adenoids and/or tonsils</a>, taking medicines and losing weight. If these treatments do not clear your child's airway, PAP may then be used on its own or with other treatments. </p> <figure> <img alt="Child using a PAP device" src="https://assets.aboutkidshealth.ca/akhassets/PMD_PAP_therapy_EN.jpg" /> </figure><h2>Key points</h2> <ul> <li>Positive airway pressure (PAP) therapy may be used on its own or with other treatments for obstructive sleep apnea.</li> <li>PAP therapy uses a device that blows air under pressure into your child's airway. The pressure keeps your child's airway open while they sleep and makes breathing easier.</li> <li>Your child will have a sleep study to set the pressure on the PAP device.</li> <li>For your child's comfort and for the PAP to work best, it is important that the mask fits properly. You should not fasten the mask and headgear too tightly.</li> <li>Your child will have another sleep study after they start using PAP therapy to make sure everything is working normally and to see if the amount of pressure that has been prescribed needs to change.</li> </ul><h2>Involving your child's health-care provider </h2> <p>The health-care provider who referred your child to the sleep clinic will receive a copy of the sleep study and clinic visit letters. With your permission, the sleep clinic can send the results to your child's other health-care providers. A copy of the sleep study and sleep clinic visit will also be kept in your child's health record at the hospital. </p> <p>If your child is sick and you are concerned about their breathing, contact your family doctor or paediatrician (child's doctor) or have your child seen in your local emergency department. If you have questions about the CPAP device, contact your home care company. If you have other questions about your child's sleep, contact a member of the sleep medicine team.</p><h2>How does PAP work? </h2> <p>PAP is provided by a device that blows air under pressure into your child's airway. The pressure keeps your child's airway open while they sleep and makes breathing easier. Sometimes, the air is blown under a single continuous pressure, called CPAP. Other times, the air might switch between two different pressures, a treatment that is called biLevel PAP or biPAP. </p> <p>The PAP device is attached to a mask that is fitted to your child's face with straps. The straps reach around the back of your child's head. Your child will wear this mask while they are sleeping to receive the air from the device. For most children, the air that blows is not oxygen. </p><h2>What happens if PAP is recommended for my child?</h2> <h3>Trying out the mask and headgear </h3> <p>First, your child will be given a mask and headgear to take home so that they can practise wearing it at home for short periods during the day. Your child should wear the mask while they are awake and doing a quiet activity that they enjoy, such as watching a movie or television show or listening to a story. </p> <h3>Sleep study </h3> <p>Next, your child will have an overnight <a href="/Article?contentid=1287&language=English">sleep study</a> to set the pressure(s) on the PAP device. Make sure you bring your child's mask to this study. Your child already had a sleep study before they were diagnosed with sleep apnea. This second sleep study will be much the same except that a sleep technologist will adjust the pressure(s) from the PAP device while your child is sleeping to achieve the best breathing and sleep for your child.</p> <h3>After the study </h3> <p>If your child has been prescribed CPAP, you will need to buy your child's mask and device from a local home care company. The sleep team will refer you to this company and will give it a prescription with your child's specific CPAP pressure, for example 5 cm H2O. It is a good idea to write the pressure on a piece of paper and tape it to the outside of the CPAP device. </p> <p>If your child has been prescribed biPAP, the machine will be provided through the Ventilator Equipment Pool of the Ministry of Health. Home care providers from this agency will contact you to set up an appointment in your home.</p>
Traitement de l’apnée obstructive du sommeil par ventilation spontanée en pression positive (VSPP)TTraitement de l’apnée obstructive du sommeil par ventilation spontanée en pression positive (VSPP)Positive airway pressure (PAP) for obstructive sleep apneaFrenchRespiratoryToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)TracheaNasopharynx;TracheaNon-drug treatmentCaregivers Adult (19+)NA2013-09-19T04:00:00ZDebra L. Medin, MS, RRT, RPSGT7.0000000000000074.00000000000001681.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how positive airway pressure helps treat obstructive sleep apnea in children.</p><h2>En quoi consiste l’apnée obstructive du sommeil?​​</h2> <p>On a prescrit un traitement par ventilation spontanée en pression positive (VSPP) à votre enfant qui est atteint d’apnée obstructive du sommeil. a href="/Fr/HealthAZ/HealthandWellness/Sleep/Pages/obstructive-sleep-apnea.aspx">L’apnée obstructive du sommeil (AOS)se manifeste quand les voies respiratoires sont partiellement ou entièrement obstruées pendant le sommeil, ce qui rend la respiration difficile. L’obstruction des voies respiratoires peut causer des ronflements, des halètements et des pauses entre les respirations.​</p> <p>L’apnée obstructive est caractérisée par des variations du taux d’oxygène dans le sang, ce qui peut nuire à la qualité du sommeil. Si on ne remédie pas au sommeil perturbé de votre enfant, il risque d’éprouver des troubles d’apprentissage et d’avoir des difficultés à fonctionner pendant la journée.</p> <h2>Traitement de l’apnée obstructive du sommeil par VSPP </h2> <p>Les traitements de l’apnée obstructive du sommeil peuvent prévoir une chirurgie pour <a href="/Article?contentid=1019&language=French">extraire les adénoïdes ou les amygdales ou les deux</a>, l’administration de médicaments et la perte de poids. Si ces mesures ne permettent pas de dégager les voies respiratoires, on peut alors avoir recours à la VSPP seule ou en conjugaison avec d’autres traitements.. </p> <figure> <img alt="Child using a PAP device" src="https://assets.aboutkidshealth.ca/akhassets/PMD_PAP_therapy_FR.jpg" /> </figure><h2>Key points</h2> <ul> <li>Positive airway pressure (PAP) therapy may be used on its own or with other treatments for obstructive sleep apnea.</li> <li>PAP therapy uses a device that blows air under pressure into your child's airway. The pressure keeps your child's airway open while they sleep and makes breathing easier.</li> <li>Your child will have a sleep study to set the pressure on the PAP device.</li> <li>For your child's comfort and for the PAP to work best, it is important that the mask fits properly. You should not fasten the mask and headgear too tightly.</li> <li>Your child will have another sleep study after they start using PAP therapy to make sure everything is working normally and to see if the amount of pressure that has been prescribed needs to change.</li> </ul><h2>Mise à contribution de votre fournisseur de soins de santé</h2> <p>Le fournisseur de soins de santé qui vous a renvoyé à la clinique du sommeil recevra un exemplaire des résultats de l’étude du sommeil et des lettres qu’on vous a remises concernant vos rendez-vous à la clinique. Si vous l’autorisez, la clinique du sommeil peut faire parvenir les résultats de l’étude à d’autres fournisseurs de soins de santé. Des exemplaires des résultats de l’étude du sommeil et des lettres seront aussi versés au dossier de santé de votre enfant de l’hôpital. </p> <p>Si votre enfant est malade et que sa respiration vous préoccupe, communiquez avec votre médecin de famille ou votre pédiatre ou amenez votre enfant au service des urgences de l’hôpital local. Si vous avez des questions au sujet de l’appareil de VSPPC, communiquez avec votre fournisseur d’équipement. Pour toutes autres questions concernant le sommeil de votre enfant, communiquez avec un membre de l’équipe de médecine du sommeil.</p><h2>Comment la VSPP est-elle effectuée? </h2> <p>La VSPP est réalisée à l’aide d’un appareil qui propulse de l’air sous pression dans les voies respiratoires. La pression d’air permet de maintenir les voies respiratoires ouvertes pendant le sommeil et facilite la respiration. L’air est parfois propulsé à une seule pression constante, ce qui porte le nom de VSPPC. Dans d’autres circonstances, il est propulsé à deux niveaux de pression. C’est ce qu’on appelle la VSPP à deux niveaux ou VSPPBi.</p> <p>L’appareil de VSPP est relié à un masque qui sera installé sur le visage de votre enfant à l’aide d’attaches fixées derrière la tête. Le masque permettra à votre enfant d’obtenir le flux d’air pendant qu’il dort. Ce n’est généralement pas de l’oxygène qui est employé pour ce traitement.</p><h2>Comment procèdera-t-on si des traitements par VSPP sont recommandés?</h2> <h3>Essai du masque avec harnais</h3> <p>On remettra d’abord à votre enfant un masque muni d’un harnais à apporter à la maison pour qu’il puisse le porter pendant de courtes périodes durant la journée afin de s’y habituer. Pendant ces périodes, il devrait faire une activité calme qu’il aime comme visionner un film, regarder une émission de télé ou écouter une histoire. </p> <h3>Étude du sommeil </h3> <p>Ensuite, votre enfant devra passer une nuit à l’hôpital pour une <a href="/Article?contentid=1287&language=French">étude du sommeil</a> afin qu’on puisse régler la pression (ou les pressions, s’il y a lieu) de l’appareil de VSPP. Vous devrez vous assurer d’y apporter le masque. Votre enfant a déjà subi ce test avant qu’on ait diagnostiqué chez lui l’apnée du sommeil. Le test se déroulera de la même façon à l’exception près qu’un technologue du sommeil réglera la pression de l’appareil pendant le sommeil de votre enfant de manière à ce qu’il respire et dorme le mieux possible.</p> <h3>Prochaine étape</h3> <p>Si on a prescrit des traitements par VSPPC, vous devrez acheter le masque et l’appareil d’un fournisseur local d’équipement de soins à domicile. L’équipe de médecine du sommeil vous donnera les coordonnées de l’entreprise et vous remettra une ordonnance précisant la pression de ventilation (par exemple, 5 cm H2O). Nous vous conseillons de consigner cette valeur sur un papier et de le fixer à l’extérieur de l’appareil à l’aide d’un ruban adhésif.</p> <p>Si des traitements de VSPPBi sont prescrits, vous obtiendrez un appareil du parc d’appareils de ventilation du ministère de la Santé. Un fournisseur de soins de la santé à domicile du ministère communiquera alors avec vous pour fixer un rendez-vous à la maison.</p>

 

 

Positive airway pressure (PAP) for obstructive sleep apnea977.000000000000Positive airway pressure (PAP) for obstructive sleep apneaPositive airway pressure (PAP) for obstructive sleep apneaPEnglishRespiratoryToddler (13-24 months);Preschooler (2-4 years);School age child (5-8 years);Pre-teen (9-12 years);Teen (13-18 years)TracheaNasopharynx;TracheaNon-drug treatmentCaregivers Adult (19+)NA2013-09-19T04:00:00ZDebra L. Medin, MS, RRT, RPSGT7.0000000000000074.00000000000001681.00000000000Health (A-Z) - ProcedureHealth A-Z<p>Learn how positive airway pressure helps treat obstructive sleep apnea in children.</p><h2>What is obstructive sleep apnea?</h2><p>Your child has been prescribed positive airway pressure (PAP) therapy because they have obstructive sleep apnea. <a href="/Article?contentid=1918&language=English">Obstructive sleep apnea (OSA)</a> means that a person's airway becomes partially or completely blocked while they are sleeping. This makes it difficult for them to breathe. Symptoms of OSA include snoring, gasping or pauses in breathing. </p><p>During obstructive sleep apnea, the oxygen levels in your child's blood may change. This can reduce the quality of their sleep. If poor sleep goes untreated, it can affect your child's learning and daytime functioning. </p><h2>Treating obstructive sleep apnea with PAP </h2><p>Treatments for obstructive sleep apnea may include <a href="/Article?contentid=1019&language=English">removing the adenoids and/or tonsils</a>, taking medicines and losing weight. If these treatments do not clear your child's airway, PAP may then be used on its own or with other treatments. </p> <figure> <img alt="Child using a PAP device" src="https://assets.aboutkidshealth.ca/akhassets/PMD_PAP_therapy_EN.jpg" /> </figure><h2>Key points</h2> <ul> <li>Positive airway pressure (PAP) therapy may be used on its own or with other treatments for obstructive sleep apnea.</li> <li>PAP therapy uses a device that blows air under pressure into your child's airway. The pressure keeps your child's airway open while they sleep and makes breathing easier.</li> <li>Your child will have a sleep study to set the pressure on the PAP device.</li> <li>For your child's comfort and for the PAP to work best, it is important that the mask fits properly. You should not fasten the mask and headgear too tightly.</li> <li>Your child will have another sleep study after they start using PAP therapy to make sure everything is working normally and to see if the amount of pressure that has been prescribed needs to change.</li> </ul><h2>Using PAP at home with your child </h2> <h3>How can I help make sure that PAP is working for my child? </h3> <p>For your child's comfort and for the PAP to work best, it is important that the mask fits properly. If you think that the mask is not a good size, contact your home care company to see if there are other masks your child could use. </p> <p>Do not fasten the mask and headgear too tightly. This could cause skin to break down in the areas around the nose and mouth. Check your child's face for pressure marks and adjust the mask and headgear as needed. </p> <h3>How can I help my child get comfortable with a PAP device?</h3> <p>Most children take time to become comfortable with a PAP device. You can help with the success of the treatment by making the device part of your child's bedtime routine. </p> <p>You may also find it helpful to create a reward system for each night your child wears the mask and headgear. For younger children, this may include a sticker chart. Older children may benefit from other rewards. A respiratory therapist (a member of the sleep medicine team) will monitor your child's progress. </p> <p>If your child continues to have difficulty with the PAP device, contact your home care company or the sleep medicine team. </p> <h3>Will my child have to sleep only on their back while using PAP? </h3> <p>You should encourage your child to sleep on their back or side. If your child is normally a tummy sleeper and is finding it hard to adjust to a new sleep position, you may ask your home care company about a special PAP pillow. It can support your child and may make a change to a new position easier. </p> <h3>Must my child use the PAP device when they sleep away from home? </h3> <p>Yes. PAP is most successful in treating OSA when it is used every night for the whole night. </p> <h3>Will my child need to do any other sleep study once they start using PAP? </h3> <p>Yes, your child will be scheduled for another sleep study after they start using PAP. You will need to bring your child's mask, headgear and PAP device to the sleep study so that the sleep technologist can make sure that everything is working normally. The sleep technologist will monitor your child while they sleep to see if the amount of pressure that has been prescribed needs to change. </p> <h3>How long will my child need to use PAP? </h3> <p>Some children may need to use PAP as a long-term treatment. The sleep medicine team will continue to follow your child and reassess the need for PAP therapy at follow-up sleep studies and clinic visits. </p> <h2>Dealing with problems with the PAP device and tubing</h2> <h3>What do I do if my child complains of a dry nose or mouth or if water is pooling in the PAP tubing?</h3> <p>Most often the humidifier warming function simply needs a small adjustment. Increase the number if your child's nose or mouth is dry or reduce the number to get rid of condensation in the hose.</p> <h3>My child is complaining that the mask is uncomfortable or leaving marks on their face.</h3> <p>First, make sure that the straps on the mask are not too tight. If mask discomfort persists, ask the sleep team for more training to adjust the mask properly or to have your child fitted for another type of mask that may suit them better.</p> <h3>My child does not like the air pressure blowing through the mask.</h3> <p>Most PAP devices have settings that can be adjusted to help your child get used to the pressure. Ask a member of the sleep medicine team if this may be helpful for your child.</p> <p>If changing the settings would help, and your child is using a CPAP device, you may need to bring the device to your home care provider to make the adjustment. If your child is using a biPAP device, the respiratory therapist will make any changes in the clinic.</p> <h2>Maintaining the PAP device, mask and headgear </h2> <h3>How do I clean the PAP device, mask and headgear? </h3> <p>The home care company will give you instructions to maintain your child's PAP device.</p> <p>It is important to clean the mask each morning because the oils from your child's skin can break down the mask. Wash it by hand with warm water and a mild soap to wash the mask and allow it to air dry (do not dry it with a towel or tissue). Wash the headgear by hand with mild soap and water once a week and leave it to air dry. </p> <h3>What do I do if my child's mask, tubing or PAP device is broken? </h3> <p>If there are problems with a CPAP device, contact your home care company. If there are problems with a biPAP device, contact the Ventilator Equipment Pool. You will get instructions to fix the problem. </p> <h3>What do I do if I hear an alarm sounding on the machine? </h3> <p>If you notice any alarms sounding when your child is wearing the machine, contact your home care company or a member of the sleep medicine team. </p><h2>Involving your child's health-care provider </h2> <p>The health-care provider who referred your child to the sleep clinic will receive a copy of the sleep study and clinic visit letters. With your permission, the sleep clinic can send the results to your child's other health-care providers. A copy of the sleep study and sleep clinic visit will also be kept in your child's health record at the hospital. </p> <p>If your child is sick and you are concerned about their breathing, contact your family doctor or paediatrician (child's doctor) or have your child seen in your local emergency department. If you have questions about the CPAP device, contact your home care company. If you have other questions about your child's sleep, contact a member of the sleep medicine team.</p><h2>How does PAP work? </h2> <p>PAP is provided by a device that blows air under pressure into your child's airway. The pressure keeps your child's airway open while they sleep and makes breathing easier. Sometimes, the air is blown under a single continuous pressure, called CPAP. Other times, the air might switch between two different pressures, a treatment that is called biLevel PAP or biPAP. </p> <p>The PAP device is attached to a mask that is fitted to your child's face with straps. The straps reach around the back of your child's head. Your child will wear this mask while they are sleeping to receive the air from the device. For most children, the air that blows is not oxygen. </p><h2>What happens if PAP is recommended for my child?</h2> <h3>Trying out the mask and headgear </h3> <p>First, your child will be given a mask and headgear to take home so that they can practise wearing it at home for short periods during the day. Your child should wear the mask while they are awake and doing a quiet activity that they enjoy, such as watching a movie or television show or listening to a story. </p> <h3>Sleep study </h3> <p>Next, your child will have an overnight <a href="/Article?contentid=1287&language=English">sleep study</a> to set the pressure(s) on the PAP device. Make sure you bring your child's mask to this study. Your child already had a sleep study before they were diagnosed with sleep apnea. This second sleep study will be much the same except that a sleep technologist will adjust the pressure(s) from the PAP device while your child is sleeping to achieve the best breathing and sleep for your child.</p> <h3>After the study </h3> <p>If your child has been prescribed CPAP, you will need to buy your child's mask and device from a local home care company. The sleep team will refer you to this company and will give it a prescription with your child's specific CPAP pressure, for example 5 cm H2O. It is a good idea to write the pressure on a piece of paper and tape it to the outside of the CPAP device. </p> <p>If your child has been prescribed biPAP, the machine will be provided through the Ventilator Equipment Pool of the Ministry of Health. Home care providers from this agency will contact you to set up an appointment in your home.</p><h2>How long will it take to get the CPAP or biPAP device? </h2> <p>When the home care company or Ventilator Equipment Pool receives the prescription from the hospital, it will contact you to arrange an appointment usually no more than two months after the sleep study. </p> <h2>How much does the PAP device cost? </h2> <p>If your child needs a CPAP device, you can ask the home care company about the costs. If you receive government assistance or have private insurance, some of the costs may be covered. </p> <p>If your child needs a biPAP device, you will get it at no cost to you. However, you will need to pay for any replacement masks, filters and hoses.</p>https://assets.aboutkidshealth.ca/akhassets/PMD_PAP_therapy_EN.jpgPositive airway pressure (PAP) for obstructive sleep apnea

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