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Re: Is this normal?

Posted by HAZY on April 27, 2005 at 09:08:18:

In Reply to: Re: Is this normal? posted by phils95cobra on April 21, 2005 at 09:05:12:

phils95cobra, I would like to comment on a couple of items, in the interest of education and helping understand sleep medicine. Of course, my own disclaimer....I too, am not an expert. Quoting you....."However, once doesn't need scientific evidence to realize that CPAP injects air, filtered, unfiltered, humidified for otherwise directly into your nose, quite literally forcing bacteria, germs, dust, etc directly into the sinuses. Alot of these pests wouldn't have ended up in your sinuses to start with if the CPAP were not involved." CPAP 'injects' the same air that you breathe all night and daylong. With PAP, it is filtered so it is cleaner than without PAP. The opposite is true, you would actually have more of these 'bacteria/germs without PAP. Although the pressure seems high, it is really only very slightly above atmospheric pressure. But the effect is quite real as we all know - that is why we have problems getting used to sleeping with PAP. You didn't bring this up, but many do so I will add this comment. I have heard sleep professionals talk about the "blast of air into your lungs". There is no blast without a leak. Without leaks, the volume (and velocity) of air in and out of our lungs is the same with or without PAP. It is only the leaks that make us think we are balsted with air. In reality, the air is slightly forced into our lungs, and we must try just a bit harder to exhale against PAP pressure. But your point is well taken. I think PAP users will have a tendency to have more sinus and hearing problems. My humble opinion too. Thanks for helping with your posts.

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