CPAP Machine. There are three main types of sleep apnea: Inspire is only for treating obstructive sleep apnea; it will not treat central sleep apnea. Numerous clinical trials have found Inspire to be safe and effective at treating OSA. For some, sleeping with a CPAP machine is impossible. Adaptive servo ventilation (ASV). Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Neighbor islands : 8 a.m. to 5 p.m. Monday through Friday, 5 p.m. to 8 a.m. next day; Weekends and holidays, 24 hoursOahu: 808-432-7700Neighbor islands: 1-800-467-3011. Get in touch with an Inspire Advisor. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. Sleep apnea means that breathing stops for short periods during sleep. Problems with memory and concentration, or mood changes. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. My wife can't believe the change in my attitude during the day. This uses different air pressures when you breathe in and out. Note: The "printer friendly" document will not contain all the information available in the online document some Information (e.g. This information does not replace the advice of a doctor. Details. CPAP stands for "continuous positive airway pressure.". Obstructive sleep apnea is the most common type. Register. Surgery is 2.5-3.5 hours-outpatient most have a quick recovery got to wait a month to turn the device on. You may be able to help treat sleep apnea by making some lifestyle changes. For recommended treatments, please consult with your health care provider. I have apnea and the restmed that I have been using has been difficult at best to keep on my face, I just move around way too much at night. Sign In Enter C688 in the search box to learn more about "Sleep Studies: About This Test". But other treatments work almost as well in most people. Monday through Friday,7:30 a.m. to 7 p.m.Saturday and Sunday,8 a.m. to 4:30 p.m. Estamos trabajando para restaurar el sitio kp.org/espanol lo antes posible. These will record things like brain activity, eye movement, oxygen levels, and snoring. Central sleep apnea is caused by a problem with how the brain signals the breathing muscles. Apnea episodes and snoring may return over time. The Health Encyclopedia contains general health information. I also read that surgery may only help about half of the time. Raise your risk of having high blood pressure in the lungs (pulmonary hypertension). No, that's wrong. Sign In Monday through Friday, 7:30 a.m. to 9:00 p.m. Oahu:808-432-2000Maui:808-243-6000Hawaii:808-934-4000 (Hilo) / 808-334-4400 (Kona). And the surgery can cause many complications. Disorders that may increase your risk include hypothyroidism and acromegaly. Los planes Medicare Advantage no estn disponibles actualmente en la regin montaosa de Colorado. CPAP is a machine that prevents your airways from closing during sleep. A tracheostomy nearly always cures sleep apnea. This device pushes your tongue and jaw forward to improve airflow. The main side effect of tracheostomy is that you have a hole in your throat where the breathing tube sits. Since I travel a lot, CPAP isn't very convenient for me. We talked about my having surgery to treat my sleep apnea so I wouldn't have to use CPAP anymore. Inspire - Obstructive sleep apnea treatment option - VA News Clarksburg VA performs the Inspire procedure, an obstructive sleep apnea treatment that works inside the body with the natural breathing process. Your use of this information means that you agree to the Terms of Use and Privacy Policy. If you're interested in Inspire, it's best to speak to your provider to discuss your options. Conditions such as periodic limb movement disorder. Your airway can become blocked when your throat muscles and tongue relax during sleep. Designed to make shopping easier. 1995-2023 Healthwise, Incorporated. If you get worse, you and your doctor will decide what to do next. Tonsillectomy and Adenoidectomy for Obstructive Sleep Apnea and Snoring, Continuous Positive Airway Pressure (CPAP) Therapy for Obstructive Sleep Apnea, Oral Breathing Devices for Sleep Apnea and Snoring, Request for confidential communications forms. All Rights Reserved. If your tonsils or other tissues are blocking your airway, your doctor may suggest surgery to open the airway. An HGNS is like a cardiac pacemaker. They also find out how much oxygen you have in your blood during sleep. For most people, lifestyle changes and/or CPAP work to control sleep apnea symptoms. Yes, you're right. The Medicare program will cover those who require the use of Inspire. This is done by having a sleep study. To learn more about Healthwise, visit Healthwise.org. If you can't get used to CPAP, talk to your doctor. Here's a record of your answers. For more information, please visit. Enlarged tonsils or adenoids are a common cause of sleep apnea in children, so surgery to remove them is usually the first treatment. A recent study found that Inspire resulted in a 79% decrease in sleep apnea events. If you're interested in Inspire for treating your obstructive sleep apnea, I recommend that you speak to your doctor to assess your needs and if it's a good fit for you. Register. Some people have both types. Inspire is a popular alternative to the CPAP machine. Kaiser Permanente is not responsible for the content or policies of external websites. So if you have sleep apnea, you may: When you stop breathing because of obstructive sleep apnea, the oxygen levels in your blood go down and carbon dioxide levels go up. Follow us on these external social media sites that will open in a new browser window. Healthwise, Healthwise for every health decision, and the Healthwise logo are trademarks of Healthwise, Incorporated. Your airway can become narrowed when your throat muscles and tongue relax during sleep. All rights reserved. You may also hear this called BiPAP. It happens when the brain has trouble controlling breathing. If you use CPAP, or another machine to help you breathe, you need to use it every night and while you nap. Lifestyle changes may reduce your snoring. Don't use alcohol or certain medicines before bed. Cookie Notice Here's how it works and who should use it. To diagnose sleep apnea, the doctor will gather information about your child's symptoms and general health. Oral breathing devices or other types of devices that you wear while you sleep have not worked for you. Learn How this information was developed. or You can get many of these devices without a prescription. Medicare is covering Inspire for those who qualify. 1995-2023 Healthwise, Incorporated. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. This information does not replace the advice of a doctor. CPAP is a small machine that you use at home every night while you sleep. While youre asleep, a camera records how your airway opens and closes, The whole exam only takes about 20 minutes, and when youre done, youll find out if Inspire is right for you, Inspire is placed under the skin, in a same-day, outpatient procedure that takes about two hours, Most patients take over-the-counter pain medication and resume non-strenuous activities within a few days, You can resume more strenuous activities within a couple of weeks, Inspire sends mild stimulation to the motor nerve that controls your tongue, moving it out of the way. Soft elastic belts will be placed around your chest and belly to measure your breathing. Eat sensibly, exercise, and stay at a healthy weight. How often should my doctor check the Inspire system? Healthwise, Incorporated disclaims any warranty or liability for your use of this information. Problems with nighttime behaviors. Now it's connected only to your hypoglossal nerve, which stimulates the tongue and airway muscles that open your airway. The Inspire system is controlled by a small handheld sleep remote. The side effects of CPAP aren't bad enough to keep me from using it. Other forms of surgery are not right for you. Since I travel a lot, CPAP isn't very convenient for me. Overview The hypoglossal nerve stimulator (HGNS) is a treatment for obstructive sleep apnea (OSA). Think about what matters most to you in this decision, and show how you feel about the following statements. Our team of advisors are here to help. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Most sleep apnea patients who meet eligibility requirements for Inspire have access to insurance coverage. CPAP: If you have a bed partner, they may also sleep better when you use a CPAP. Despite seeming like a minor annoyance that might keep your partner up at night, there are several serious side effects of sleep apnea if left untreated, including high blood pressure, strokes and heart issues. De lunes a viernes, de 7:30 a. m. a 9:00 p. m. Lnea de consejos fuera del horario normal, De lunes a viernes, de 5 p. m. a 8 a. m. del da siguiente; fines de semana y das festivos, las 24 horas del da Oahu: 1-808-432-7700 Islas vecinas: 1-800-467-3011, De lunes a viernes, de 8 a. m. a 5 p. m. y sbados de 8 a. m. a medioda, Servicio a los Miembros (rea metropolitana de D.C.), Servicio a los Miembros (fuera del rea metropolitana de D.C.), De lunes a viernes,de 7:30 a. m. a 9:00 p. m, Portland: 503-813-2000Todas las dems reas: 1-800-813-2000, Servicio a los Miembros (fuera de Portland) 1-800-813-2000 (TTY 711), Washington (rea de Vancouver/Longview) Direccin, Kaiser Foundation Health Plan of the Northwest 500 NE Multnomah St., Ste. Sorry, you're wrong. You may find that you want to take off the mask, or you may find it hard to sleep. It senses pauses in breathing and adjusts air pressure. But unlike adults with sleep apnea, they may not seem very sleepy during the day. The Inspire device is placed during a minor surgical procedure, but you can usually go home the same day. It also reduces the chance that tissue will collapse and narrow the airway when you breathe in. Uvulopalatopharyngoplasty (UPPP) surgery (which removes tissue from the back of your throat) may reduce sleep apnea and snoring for some people. If you use portable sleep monitoring, follow the instructions your doctor gave you. Gregory Thompson MD - Internal MedicineAdam Husney MD - Family MedicineKathleen Romito MD - Family MedicineHasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Medical Review:Anne C. Poinier MD - Internal Medicine & E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. Oral or nasal breathing devices may also help. 2. If your nose or mouth is dry, set the machine to deliver warmer or wetter air. The doctor may also ask you or your bed partner about your snoring and sleep behavior and how tired you feel during the day. Sleep apnea increases as people get older. Problems staying awake, such as narcolepsy. If youve got questions around insurance coverage for Inspire, speak with an Inspire Advisor. Always consult a physician or other qualified health provider regarding any questions you may have about a medical condition or health objectives. There are symptoms of sleep apnea that you may notice and symptoms that others may notice when you're asleep. A tracheostomy nearly always cures sleep apnea. Does UPPP always work well for sleep apnea? A doctor trained on the Inspire procedure can discuss the qualifications with you during an office visit. All Rights Reserved, Inspire works inside your body with your natural breathing process. It's not recommended for those who are pregnant or intend to become pregnant. These include: People who have sleep apnea are more likely to be obese. To learn more about Healthwise, visit Healthwise.org. 1. You can go back to your usual activities. All Inspire patients are eligible to have CT scans and X-Rays anywhere in the body. Do you understand the options available to you? For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. This prevents the tongue from relaxing and blocking your airway during sleep. Your doctor will probably do a physical exam and ask about your past health. People who have sleep apnea and tend to have swelling in their lower legs and ankles may be helped by wearing compression stockings during the day. The Health Encyclopedia contains general health information. The surgery called tracheostomy (which puts a permanent opening in your neck to your windpipe) almost always cures sleep apnea that is caused by blockage of the upper airway. You can use it to talk with your doctor or loved ones about your decision. Feeling unrefreshed or tired after a night's sleep. E. Gregory Thompson MD - Internal Medicine, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Request for confidential communications forms. When you're ready for bed, simply click the remote to turn Inspire on. Helps you have more normal sleep, so you feel less sleepy and more alert during the daytime. Navigation Menu - Opens a Simulated Dialog, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Request for confidential communications forms. There are risks with all kinds of surgery, including infection, bleeding, and a bad reaction to anesthesia. For more information, please see our Reddit and its partners use cookies and similar technologies to provide you with a better experience. Kaiser Permanente is not responsible for the content or policies of external websites. This information does not replace the advice of a doctor. Medical Review:E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. Servicio a los Miembros (rea metropolitana), Servicio a los Miembros (fuera del rea metropolitana) 1-800-777-7902 (TTY 711). Central sleep apnea is less common. Your use of this information means that you agree to the Terms of Use and Privacy Policy. Continuous positive airway pressure (CPAP), Sleep Apnea: How Treatment Can Improve Your Life, continuous positive airway pressure (CPAP), E. Gregory Thompson MD - Internal Medicine, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Continuous positive airway pressure (CPAP) for sleep apnea. People who are overweight may have extra tissue around their neck, adding to their risk for sleep apnea. Sleep apnea is often treated with machines that deliver air through a mask to help keep your airways open. Be sure to make and go to all appointments, and call your doctor if you are having problems. First, the patient must be diagnosed with at least moderate obstructive sleep apnea. Your blood oxygen levels will be checked by a small clip (oximeter) placed either on the tip of your index finger or on your earlobe. After your sleep problem has been identified, you may need a second study if your doctor orders treatment such as CPAP. Your doctor will probably have you try lifestyle changes and CPAP first. Kaiser Permanente is not responsible for the content or policies of external websites. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. I have been using continuous positive airway pressure (CPAP) to treat my sleep apnea for over a year. These studies usually are done in a sleep lab. We talked about my having surgery to treat my sleep apnea so I wouldn't have to use CPAP anymore. The more often it happens, the more serious the apnea is. According to Inspire, the stimulation is subtle and is designed to not wake you up, meaning it shouldn't be painful or uncomfortable.