Multidisciplinary Alternatives to CPAP Program for CPAP-Intolerant Patients

Abstract

Continuous positive airway pressure (CPAP) intolerance remains a persistent problem for many obstructive sleep apnea patients. Clinicians and researchers continue to search for other effective treatment modalities given the well-documented sequelae associated with untreated obstructive sleep apnea. A multidisciplinary "Alternatives to CPAP program" (ALT) can facilitate systematic evaluation of non-CPAP therapies appropriate for an individual patient. We review successful strategies and barriers encountered during implementation of an ALT at our institution. Creation of similar programs in private practice and academic settings can help medical, dental, and surgical sleep medicine specialists coordinate evaluation and treatment of CPAP-intolerant patients.

Keywords: CPAP intolerance surgery; alternative treatments; multidisciplinary; obstructive sleep apnea; oral appliance.

© 2017 American Academy of Sleep Medicine

Figures

Figure 1. Alternatives to CPAP program flow algorithm.

ALT = Alternatives to CPAP program, CPAP = continuous positive airway pressure, OSA = obstructive sleep apnea.