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Understanding the Procedure:

Preparing for Your Sleep Study:

During the Sleep Study:

After the Sleep Study:

Respikart’s Home Service:

Conclusion:

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With each passing year we get all the top brands competing for the coveted spot in the list of Best Rated CPAP machine in India [2022]. This year we are getting new top of the line units being offered from market leaders like Resmed , Philips, F&P et al.

The recent recall of Philips range of cpap/bipaps had left a severe shortage of quality respiratory players in the market. Resmed made most of it and was catapulted to the top of our ranking. Not only Philips loss was Resmed’s gain.  The exceptional build quality of Resmed CPAPs and boasting of no toxic/volatile foam compound inside, Resmed stands out for safety of its devices as well. With big brands like Devilbiss exiting the cpap market, it has left a big void for CPAP enthusiasts and users alike.

We sincerely hope you would find the list useful and help you in taking your cpap purchase decision in Indian market with ease.

1. Resmed Airsense 11 Autoset with humidifier

Resmed Airsense 11 Autoset Cpap Machine comes with touchscreen and Smartstart & Stop capabilities.

Main Features:

• The LCD display has a setting that automatically adjust itself to the light in the room and turn off automatically when not required.
• The Airsense 11 Autoset is a transportable machine. The Cpap tubing cords and the mask can be easily packed.
• it’s very quiet and so it make sleeping very comfortable.
• The Airsense 11 Autoset Humidifier is designed to provide comfortable therapy while preventing dry mouth and congestion.

2. DreamStation 2 Auto CPAP with humidifier

In India, we are looking at re-entry of Philips with its updated Dreamstation 2 platform, which was a much needed change post the issues with recall of their earlier models of cpap and bipaps. And, Dreamstation 2 does not disappoint as it has state-of-the-art features and technology to fight for the top spot in our list.

DreamStation 2 Auto Cpap Machine Comes with integrated cell modem and Bluetooth.

Main Features:

• The all new Philips Respironics Dreamstation 2 Auto Advanced CPAP is designed with comfort and ease in mind.
• The Philips Dreamstation 2 was designed to keep everything manage-able.
• It has colored touchscreen and integrated humidifier ramp plus technology and adjustable comfortable settings.
• Compare to other leading Cpap the Dreamstation 2 is 22% smaller and 16% lighter.
• It has Philips DreamMapper sleep apnea mobile app with improved built in bluetooth connectivity which enables patients to view their own nightly sleep data to help them stay motivated and keep track of their therapy.

3. Loewenstein Prisma Smart Plus Auto CPAP Machine

It’s a great looking machine with good features that deserves a place in your room.

Loewenstein Prisma SMART Plus offer modern, reliable APAP therapy featuring integrated connectivity, precise event detection and a high level of patient comfort.

The plus stands for integrated Bluetooth for data transmission to the prisma APP and thus for modern patient self-management.

Equipped with an integrated modem, the max variants also offer the complete telemedical prisma CLOUD connection.

Main Features:

• Two dynamic options for pressure adjustment in APAP mode
• Deep sleep indicator prisma RECOVER for evaluation of sleep quality
• Several convenience functions such as autoSTART, softSTART, pressure relief softPAP
• Detection of periodic breathing, RERA, snoring, hypopnea, apnea and flow limitations
• Reliable differentiation of obstructive apnea from central apnea, thanks to FOT (Forced Osciallatory Technique)
• Extensive range of prisma accessories
• Diverse interfaces (SD, PSG, LAN, internal Bluetooth, internal modem)
• For 22 mm and 15 mm breathing tube systems
• Unheard-of silence

4. F&P SleepStyle Auto CPAP Machine

Meet the only CPAP device in the world to receive the coveted Ease-of-Use Award from the American Arthritis Foundation: the Fisher & Paykel SleepStyle Auto CPAP Machine. Designed to make therapy comfortable and straightforward, the device features automatic treatment pressure adjustments, large and responsive buttons, and a dishwasher-safe humidifier chamber.

Main Features:

• Almost-Noiseless Device Ideal for Light Sleepers
• Automatic Pressure Adjustments
• CPAP Therapy Progress with the SleepStyle Mobile App
• Straightforward Functionality Makes Therapy a Breeze
• Increase Comfort with Integrated Humidification-At No Extra Cost

The F&P SleepStyle CPAP Machine is Ideal For:

• Light Sleepers
• Allergy Sufferers 
• Budget-Conscious Shoppers
• If You Are New to CPAP

Almost-Noiseless Device Ideal for Light Sleepers

The F&P SleepStyle clocks in at 28 decibels; thanks to this nearly whisper-quiet CPAP machine, you and your bed partner sleep soundly.

Sleep Better and Save Time and Money with Innovative Comfort Options

SensAwake™ responsive ramp is a feature that offers automatic pressure adjusting technology to help keep you asleep by monitoring your wakefulness and making instant adjustments to a more comfortable air pressure level for more effective treatment. Automatic adjustments can mean fewer doctor appointments, too; your therapy settings can easily be changed at home, helping you avoid some of the more common issues associated with new CPAP therapy.

The SleepStyle Auto CPAP also features expiratory relief, which reduces therapy pressure at exhalation for a more natural breathing experience.

5. Sefam S.Box

It Looks like a box.

Main Features:

• The Sefam S.box platform is illustrative by the mobile applications Sefam Access (for the patients) and Sefam access pro (for the professionals).
• The Sefam S.box is Compatible with the Sefam heated humidifier with 350ml water chamber capacity.
• S.box is easy to adjust and connect to the machine and offers comfort and breathing convenience by adding warm fresh air and moisture to the dry air of the room.
• The treatments starts automatically as soon as the patients breathes into the mask.
• It is specially designed to offer easy and comfortable therapy to patients with obstructive sleep apnea.

What is a Cpap Machine?

Cpap machines are prescribed for patients who are suffering from sleep apnea. It is also called continuous positive airway pressure. These are the machines made for making the process of breathing easy at night while you are sleeping. It is very effective in treating sleep apnea where one faces spontaneous pauses in breathing.

These Cpap machines prevent the airways from getting collapsed while you inhale by increasing the air pressure. These machines are also helpful in decreasing snoring. A humidifier is also attached to it to prevent excessive dryness in the throat and nose. It is designed in such a way that there would be no disruption while sleeping as it keeps you in a comfortable position to keep you in place.

Getting through this problem surely leaves a positive impact on one’s life by increasing the happiness, energy and decreasing the psychological pressure a person goes through.

Who should use it?

A Cpap machine is used by patients who develop breathing problems while sleeping. If somebody is suffering from OSA or obstructive sleep apnea then they are recommended to use a Cpap machine which allows enough air to reach your lungs resulting in better sleeping experience.

It is also used to treat infants whose lungs are not fully developed. This machine blows air in the baby’s nose which helps him/her in breathing.

OSA not only disturbs sleep but also increases the stress which in turn can make you suffer from higher blood pressure, strokes or heart attack. With the use of the machine, you feel more energetic, focused and with less risk of hazardous medical conditions.
Your physician can describe to you how it can be used for maximum effectiveness. A sleep study (polysomnogram) can be performed at a sleep clinic to understand the severity of the condition and the best option to be used. The physician or your sleep specialist can you try different Cpap masks which best suits your condition.

How does the Cpap machine work?

The working of CPAP is not at all complicated. It works by sending air into the throat via a mask. It constantly provides a gentle flow of pressurized air that keeps your airway from narrowing while you sleep. This helps you breathe properly without disruptions and maintaining good blood oxygen levels throughout the night.
There are a few things to make sure that your CPAP machine is working effectively. The Cpap mask comes in many shapes and sizes, so it’s best to try a few and see which style fits your face most comfortably. These machines also include a humidifier as it can dry out your mouth and nose.

Taking care of your Cpap machines

Proper care and maintenance are necessary if you want to make the most of it. Using distilled water to clean it will prevent natural minerals from accumulating. You should wash the mask daily after use; on the other hand, headgear can be washed weekly. CPAP’s humidifier chamber should be washed every day and the tube can also be cleaned weekly.
Alternately, you can use the vinegar solution (use one-part vinegar to three-part warm water) to soak the parts and rinse it thoroughly and then let them air dry.

To order CPAP machine, Call Respikart, our sleep experts will provide free guidance on 844-844-0648

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Sleep study is a non-invasive test to record data about your sleep to check whether you are going through any sleep disorder like obstructive sleep apnea by observing your brain and body. It is called a polysomnography or sleep study. This test can be done both at home and at a lab but most people prefer it in a lab as it is much more organized to conduct such tests. A person is called two hours before sleeping to a sleep center or a hospital. It is done in a lab that is made pleasant and dark for sleeping and performing the test.

During the test, an ECG monitor records your brain waves to identify sleep cycles of REM and Non REM or NREM and any other disturbances that may e taking place during the sleep. In addition to it also records the oxygen quantity in your blood, beathing and heart rate as well as eye and leg actions during the test. It records your sleep pattern at night.

Why is it done?

It is done to diagnose certain sleep disorders. Your physician may prescribe you the test if you face difficulty in falling asleep, waking up in the morning, falling asleep during the daytime, snoring. These disorders may include:

1. Sleep apnea: In this condition, the person experiences obstruction in breathing while sleeping. The Breathing of the person stops and starts repeatedly during the sleep.
2. Insomnia: The person is facing trouble in falling asleep or staying asleep.
3. Circadian rhythm disorder: The person may experience insomnia, excessive daytime sleepiness or both.
4. REM sleep behavior disorder: In this condition, a person acts out dreams during sleep.
5. Narcolepsy: The person experiences Excessive daytime sleepiness and sudden attacks of sleep during the daytime.
6. Periodic limb movement disorder or restless leg syndrome: The person may experience involuntary flex in the leg muscles or you can say the legs extend involuntarily while sleeping.
7. Sleepwalking: The person may start walking or moving around during sleep.

Types of Sleep Study Tests

There are many types of sleep studies that are performed on the patients as per the requirement and the patient’s condition.

1. All-night sleep study: The all-night study is done to measure how well a person sleeps during the night. During the test, electrodes are attached to the patient’s skin to measure the pattern of breathing, oxygen levels in the blood, muscle activity and functioning of the heart. In addition to this other measurements can also be done on the advice of the doctor.

The technician records the data and after a detailed analysis, the results are    given the other morning. An effective treatment is suggested if the patient is diagnosed with any sleep disorder.

2. CPAP Titration: After the sleep is conducted the physician may prescribe you with CPAP test. It is done to understand the flow of pressure needed by a patient when he will use the CPAP machine to have a sound sleep without any obstruction. To understand this, the pressure is adjusted throughout the study so as to have the exact result.
3. Multiple Sleep Latency testing: This study is done after the all-night sleep study test. This test is done to evaluate how often and quickly a patient falls asleep during the daytime. It records the presence and how severe the daytime sleepiness is in a patient. In addition to this, it also measures abnormalities linked with narcolepsy.

It is also performed in the same manner as other tests by attaching the electrodes to the skin to record the brain, heart, and muscle activity. It also takes into account the movement of the eyes. The test is carried out for 7 hours. The test is done in five cycles in which the patient is asked to take a nap of 20 minutes every two hours. The sleep technologist ensures that the patient stays awake during the two hours wake period to have the correct reading.

4. Maintenance Wakefulness Testing: This test is performed on the people who belong to the transportation industry to check whether they can stay awake while driving or flying. This test is very similar to Multiple Sleep Latency testing as it is also done in 5 consecutive sessions of 40 minutes with a gap of 2 hours in between each session. The major difference between the two tests is that during Maintenance Wakefulness Testing the patient is asked to sit on the bed and stay awake instead of lying down and sleeping.
5. Epilepsy Monitoring: This test is done best together with the sleep study test or multiple sleep latency testing. The intimation of the test is given to the patient at the time of consultation only. Apart from attaching electrodes on the skin, it is also attached on the scalp with continuous EEG monitoring in conjunction with video monitoring Multiple Sleep Latency testing in case there are chances of seizures. This test can be performed both during the day and night.    

How to prepare for the test?

During the day of the test, you need to follow your regular routine which includes regular diet and daily routine. But apart from that, there are certain things which you need to remember to avoid any disturbance during the test.

It may also be possible that you do not fall asleep easily but the technicians try to make you as comfortable and relaxed as possible. Eventually, everyone falls asleep though it may be possible you take extra time than you usually take to fall asleep.

• Stay away from caffeine products like coffee, tea, chocolates, and soft drinks after you have your lunch on the day of testing.
• Do not take alcohol in the evening as it may disturb your sleep.
• Wash any hair styling products like hair gel before the test.
• Do not sleep during the day on the day of testing.
• You need to discuss any medication you are taking as he may ask you to stop it on a temporary basis.

What to bring?

There are certain things which you are in the habit of having at night before you sleep. So it becomes necessary to bring those things with you.

• You need to bring the medicines that you take regularly before sleeping or in the morning after waking up as per your doctor’s advice.
• Toiletries
• Comfortable slippers and sleepwear like pajamas or night suits.
• Pillow
• Blanket
• Book or any other reading material
• A friend or a family member to make you more comfortable

What to expect from the test?

This test is performed in a private room of a sleep center or a hospital. This test is performed at night so the patient needs to stay overnight for the test. The room stays dark during the test. The room is fixed with a low-light video camera to monitor the activities happening in the room. It is also fixed with an audio system to talk to you and hear from you.

As soon as you get ready for the tests the technician connects the person to the monitoring equipment. The technician fixes sensors on the scalp, temples, chest, and lungs of a person with the help of a tape or glue. These sensors are then connected to the computer with the help of a wire. You can easily move around in your bed. A small clip is also placed on your finger or your ear to check the level of oxygen in your blood.

Other equipment used during the sleep study:

• EEG (electroencephalogram) to measure and record brain waves.
• A flat microphone made of plastic to record snoring.
• Electromyography (EMG) are electrodes applied to the shin or forearm to monitor muscle movement
• Belts that stretch across the chest and stomach to measure breathing.
• Electrodes placed near the eye to measure eye movement called electrooculogram (EOG)
• Electrocardiogram (EKG) to monitor the heart rhythm
• Nasal airflow sensor to record airflow

Throughout the test the equipment and electrodes monitor brain waves, movements of eyes and muscles, sleep stages, the pattern of breathing and many more. The technician keeps a close watch from the other room throughout the night. If you are in need of any help then you can talk to them through the equipment.

This includes detaching the wire if you need to get up and go to the washroom at night. He may also assist you in any way you like if you wake up in the middle of the night.

During the test the technologist monitors:

• Brain waves
• Movement of the eyes
• Rate of heart
• Pattern of breathing
• Blood oxygen level
• Position of the body
• Movement of the chest and abdomen
• Movement of the limbs
• Snoring or other noise you make during sleep

If sleep apnea is observed then the treatment may start with Dreamstation CPAP to find the appropriate pressure for improved breathing. It delivers constant air pressure to keep the airways open if you experience an obstruction in breathing during sleep.

For some patients, a Bi-level positive airway pressure (BIPAP) machine may be suitable. They deliver two-way pressures while breathing in and breathing out. It delivers more pressure when somebody breathes in and less pressure when somebody exhales.

If given an opportunity then you should try the Positive airway machine (PAP) beforehand so that it doesn’t come as a surprise to you.

It really isn’t easy to fall asleep at the center as you sleep at home because of the change in the ambiance and bed. But it does not bring any change to the result. It is not necessary to sleep the whole night to have accurate results of the sleep test.

In the morning the sensors and other equipment are removed and you may leave for your home to carry on your regular life. You are asked to come for a follow-up.

Sleep Study Results

There are certain aspects of sleep evaluation. They are as follows:

1. Sleep efficiency: It tells the total number of minutes a person sleeps during the study by the total amount of sleep time recorded. Higher sleep efficiency means a higher percentage of sleep time compared to the awake time.
2. Apnea-Hypopnea Index (AHI): It calculates sleep apnea and hypopnea that is called partial obstruction. If this index exceeds five in number then it is considered abnormal.
3. Oxygen Desaturation Index (ODI): ODI records the number of times a person’s oxygen level drops. If it drops below 90 percent, it is considered abnormal. An oxygen concentrator can be of great help for people who experience breathing-related disorders.
4. Heart Rate: If the heart rate goes below 60 or over 100 then it is considered as abnormal as the normal heart rate falls between 60 and 100.

To summarize the whole result:

• It records the time you spent in each stage of sleep
• How many times you wake up during the sleep
• You have trouble breathing
• How often you snore
• Position of the body
• Movement of the limbs
• Unusual pattern of the brain activity

The Results

The data and information gathered during the tests are first analyzed by the sleep technologist after the tests are performed. Then the consolidated report is sent to the physician who reviews the whole report. After going through the report he may discuss further evaluation or any treatment that you needed as per the reports

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The obstruction that blocks your ability to breathe smoothly during sleep is called Obstructive Sleep Apnea (OSA). It affects millions of adults and the disease has been found taking over many more people over the last decade. Obstructive sleep apnea is a serious condition that brings a lot of changes and disturbance in one’s daily routine. This may further lead to medical complications and can have serious effects on health. Nobody wants to live with so many complications in their lives and for that matter, there are certain therapies that can help your airways to open and assist you in having a normal breathing phenomenon with good night sleep.

With the help of sleep study, the medical history and the symptoms a doctor may recommend a change in lifestyle that can help a person in recovering from sleep apnea. Apart from that, there are certain machines available in the market that also provides great relief in recovering from OSA.

Suggestive Lifestyle Changes

Sometimes change in lifestyle alone can help a person from recovering from sleep apnea if it is in its initial phase that can be called mild sleep apnea. Even if a person requires further treatment then also these lifestyle changes are highly recommended.

1. Losing weight:

Losing weight is highly recommended when a person is suffering from obstructive sleep apnea especially if you are obese. It really helps a lot in getting rid of this problem as when you lose weight, it also helps you get rid of the extra fat in your throat. This further relieves you of the constriction in your airway and restore to normal breathing.

2. Sleeping on your side:

Sleeping on your side can help you a lot in tackling this problem. When we sleep on our back then our tongue and soft palate fall back into our throat and thus block the airway. On the other hand Sleeping on either of your sides helps a lot if you are suffering from Obstructive sleep apnea.

3. Avoid taking alcohol:

Taking alcohol late during the day can aggravate the problem of sleep apnea. Alcohol makes you stay asleep for long hours and prevent you from waking up. This can make the condition go out of proportion, so one should avoid it.

4. Taking certain drugs:

Certain medications that include sleeping pills, tranquilizers, or opioids can make you sleep for long hours. It can further relax the muscles of your throat and cause your airway to collapse. This can increase snoring and aggravate sleep apnea.

5. Quitting smoking:

Quitting smoking can be of great help in alleviating the symptoms of sleep apnea. Smoking results in increasing upper airway inflammation and reducing the normal functions that can worsen obstructive sleep apnea.

6. Exercise:

Exercise can help a lot in reducing the symptoms and getting rid of sleep apnea. Regular exercise may reduce daytime sleepiness, improve sleep, and reduce weight and inflammation. Exercise also improves muscle tone in the throat and airways helping the patents of sleep apnea.

Treatment with breathing machines

Apart from the behavioral changes and changes in the lifestyle, there are certain other treatments where the use of machines that helps in treating Sleep apnea is used.

During this treatment, machines are used that provide a gentle flow of filtered air with pressure to keep your airway open into your airway via a tube that is attached to a face mask which is worn by the patient over the nose and the mouth. These help in removing obstructions and breathe normally during sleep.

CPAP Machines:

Continuous positive airway pressure machines are used to treat Obstructive sleep apnea (OSA). These machines provide the flow of pressurized air into the airway prescribed by the physician. Throughout the duration of the sleep, the pressure remains constant and maintains itself without any variation. During inhalation and exhalation, the pressure setting also remains the same. A Philips CPAP machine is considered as one of the most preferred choices for treating sleep apnea.

BPAP Machines:

Bi-level Positive airway pressure offers two levels of airway pressure. This allows you to have two different settings for inhaling and exhaling air called IPAP and EPAP (expiratory pressure setting) respectively. It is set at two different pressures that help you have a smooth breathing experience during sleep. These machines blow more pressure when you inhale and less pressure when you exhale. They strengthen the weak breathing pattern in individuals suffering from sleep apnea.

APAP Machines:

Automatic airway pressure has a pre-set pressure range and works automatically to adjust the pressure range. The physician sets the pressure between two ranges (high and low) and the machine fluctuates between the two as per the need throughout the sleep.

Expiratory Positive airway pressure device:

These are small single-unit devices that are small enough to fit in each nostril. It allows air to flow in freely and closes the valve when you breathe out thus increasing the air pressure in the airway to remain open. This is designed for patients who are not comfortable with CPAP machines.

Adaptive servo-ventilation:

It’s a smart machine that is similar to working in CPAP Machines in delivering positive air pressure to your airways. It is designed to record and learn your breathing pattern during sleep and store that information so that it can be used further to normalizes the breathing pattern.

Other Treatments

The other treatments apart from using machines and changing lifestyles are as follows:

1. Removal of tissue from the back of the mouth and top of the throat in which tissues from tonsils, adenoids, uvula, and other tissue from this area is removed.
2. Reconstructing the facial structure to open the airway which may include repositioning the jaw.
3. Tracheostomy is the procedure in which an opening is created in the neck and a breathing tube is inserted in the trachea to allow unobstructed breathing.
4. Surgeries like weight loss, gastric bypass, and nasal surgery may help in treating sleep apnea.
5. Implantation of a Neurostimulation Device is done underneath the skin of the neck and the chest which is similar to a pacemaker that monitors breathing patterns and offers mild stimulation to help keep the airway open as when needed.

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