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Dr. Michael J. Breus

Dr. Michael J. Breus

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The Hat Trick for CPAP

Posted: 04/28/11 09:03 PM ET

If you're one of the 18 million Americans who suffer from Obstructive Sleep Apnea (OSA), you know that one of the most helpful forms of treatment is the CPAP machine. People with OSA stop breathing repeatedly during their sleep, often for a minute or longer and as many as hundreds of times during a single night.

CPAP stands for Continuous Positive Airway Pressure -- basically, CPAP works like a vacuum cleaner in reverse by pushing air down a person's throat while they are sleeping to help keep their airway open, so breathing is possible. Left untreated, sufferers of sleep apnea suffer from poor quality sleep and chronic sleep deprivation, leading to health issues that can be life-threatening: weight gain, diabetes, and cardiovascular problems. The benefits of CPAP use are pretty clear.

It's critical to regularly use a CPAP machine if you have OSA, but that's easier said than done for many people. I know from my patients that the trouble many people have with the CPAP is getting a mask that feels comfortable. In fact, a guest editorial by a doctor in Sleep Review Magazine not only describes this problem, it offers an awesome solution--but it might not be what you'd expect. Dr. Edward Michaelson suggests using an ordinary baseball cap as a way to make your CPAP machine more comfortable.

He calls his innovation a 'hat-trick' because there are three ways in which it is helpful (just like a person who scores three consecutive goals in hockey is said to have accomplished a 'hat trick'):


  •     The baseball cap helps both the top and back straps of the CPAP mask stay on, particularly for people who are bald

  •     The hat adds space, helping to reduce facial strap marks

  •     The bill of the cap can help "lock" the position of the CPAP mask-tubing, making the whole system more secure and lessening the likelihood of leaks AND if the cap is worn backwards, it will keep people off of their back, the worst sleeping position for those with sleep apnea


All of this is good news for people who find that their CPAP masks often fall off. In fact, Dr. Michaelson writes that he first looked into this alternate use of a baseball hat because his goatee made most CPAP masks difficult to wear--talk about innovative medicine! I saw this editorial and couldn't pass up the opportunity to blog about something that made me think about new ways to address old problems--it's so simple (and sort of funny).

This 'hat-trick' sounds like a real score.

Sweet Dreams,


Michael J. Breus, PhD
The Sleep Doctorâ„¢
www.thesleepdoctor.com

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Red45
We can turn the tide
08:51 PM on 06/13/2011
As a sleep apnea patient, I wish someone would invent something a lot less cumbersome than the c-pap machine. It works but something a lot smaller and less equipment-like would be deeply appreciated.
05:20 PM on 04/29/2011
These are great suggestions by Dr. Breus. CPAP is not fun for a lot of people. But strokes, heart disease, diabetes, depression and obesity are not fun either. Leaving the obstructive sleep apnea untreated can lead to any or all of these. I'd say "try the hat..."!
http://www.sleepofchampions.com
http://www.sleeprestlive.com
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yatinjpatel
Board certified sleep physician, Author, Speaker
12:22 AM on 04/30/2011
I concur, Patty. I too like the idea of hat!
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yatinjpatel
Board certified sleep physician, Author, Speaker
04:45 PM on 04/29/2011
Excellent article on a very important issue, Dr Breus. Here are my 5 tips for CPAP success that I stress to my patients. 1. Nose is the key to success. Make sure that you don't have allergies and that your nasal passages are not inflamed. 2. Before you buy the mask, make sure it fits well and feels good on the face. 3. Be patient. It may take up to 6 months to get used to sleeping with CPAP. 4. If you have claustrophobia, try nasal pillows. 5. Use heated or cool mist humidifier to avoid dryness. Keep nasal saline spray (available over the counter) bedside and use it as needed. You can also watch my video titled "How Not to Hate CPAP" on YouTube http://youtu.be/Yq6HB67VqhI
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Roses
In a gentle way, you can shake the world.
03:46 AM on 04/29/2011
My husband has a beard which made his CPAP difficult to wear. He now sleeps on 6 different pillows arranged in a wedge shape and his snoring and gasping has stopped.
It seems being elevated and a change in position has stopped the snoring and subsequent gasping at night. He says he is now getting uninterrupted sleep throughout the night.
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HUFFPOST SUPER USER
hipocampelofantocame
retired pediatrician
10:27 PM on 04/28/2011
Dr. Breuss: I remember from my pediatric residency when CPAP was first developed for
premature infants with respiratory distress syndrome. Some bright person noted that they
would grunt on expiration in an attempt to keep positive intra-alveolar pressure. President
Kennedy's son died in DC of that problem.
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HUFFPOST COMMUNITY MODERATOR
ConfuciusSay-
Aglets: their purpose is sinister.
02:10 AM on 04/29/2011
My ENT friends have mentioned that there's a biphasic approach now that applies some negative pressure to assist expiration.
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HUFFPOST SUPER USER
CPAwADD
Always look on the bright side of life.
07:48 AM on 04/29/2011
It's definitely better.