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VOLUME 16 , ISSUE 4 ( October-December, 2021 ) > List of Articles


Continuous Positive Airway Pressure Compliance: Addressing the Elephant in the Room

Rohit Kumar, Siddharth R Yadav

Citation Information : Kumar R, Yadav SR. Continuous Positive Airway Pressure Compliance: Addressing the Elephant in the Room. Indian Sleep Med 2021; 16 (4):95-96.

DOI: 10.5005/jp-journals-10069-0084

License: CC BY-NC 4.0

Published Online: 28-01-2022

Copyright Statement:  Copyright © 2021; The Author(s).


  1. Sullivan CE, Issa FG, Berthon-Jones M, et al. Reversal of obstructive sleep apnoea by continuous positive airway pressure applied through the nares. Lancet 1981;1(8225):862–865. DOI: 10.1016/s0140-6736(81)92140-1.
  2. Giles TL, Lasserson TJ, Smith BJ, et al. Continuous positive airways pressure for obstructive sleep apnoea in adults. Cochrane Database Syst Rev 2006;(1):CD001106. DOI: 10.1002/14651858.CD001106.pub2.
  3. Kribbs NB, Pack AI, Kline LR, et al. Objective measurement of patterns of nasal CPAP use by patients with obstructive sleep apnea. Am Rev Respir Dis 1993;147(4):887–895. DOI: 10.1164/ajrccm/147.4.887.
  4. Rotenberg BW, Murariu D, Pang KP. Trends in CPAP adherence over twenty years of data collection: a flattened curve. J Otolaryngol Head Neck Surg 2016;45(1):43. DOI: 10.1186/s40463-016-0156-0.
  5. Krakow B, Ulibarri V, Melendrez D, et al. A daytime, abbreviated cardio-respiratory sleep study (CPT 95807-52) to acclimate insomnia patients with sleep disordered breathing to positive airway pressure (PAP-NAP). J Clin Sleep Med 2008;4(3):212–222. PMID: 18595433; PMCID: PMC2546453.
  6. Morgenthaler TI, Aurora RN, Brown T, et al. Practice parameters for the use of autotitrating continuous positive airway pressure devices for titrating pressures and treating adult patients with obstructive sleep apnea syndrome: an update for 2007. An American Academy of Sleep Medicine report. Sleep 2008;31(1):141–147. DOI: 10.1093/sleep/31.1.141.
  7. Kennedy B, Lasserson TJ, Wozniak DR, et al. Pressure modification or humidification for improving usage of continuous positive airway pressure machines in adults with obstructive sleep apnoea. Cochrane Database Syst Rev 2019;12(12):CD003531. DOI: 10.1002/14651858.CD003531.pub4.
  8. Sunderram J, Ayappa I, Lu SE, et al. PAP adherence and nasal resistance. A randomized controlled trial of CPAPflex versus CPAP in World Trade Center responders. Ann Am Thorac Soc 2021;18(4): 668–677. DOI: 10.1513/AnnalsATS.202009-1161OC.
  9. Means MK, Edinger JD. Graded exposure therapy for addressing claustrophobic reactions to continuous positive airway pressure: a case series report. Behav Sleep Med 2007;5(2):105–116. DOI: 10.1080/15402000701190572.
  10. Haniffa M, Lasserson TJ, Smith I. Interventions to improve compliance with continuous positive airway pressure for obstructive sleep apnoea. Cochrane Database Syst Rev. 2004;(4):CD003531. DOI: 10.1002/14651858.CD003531.pub2.
  11. Rapelli G, Pietrabissa G, Manzoni GM, et al. Improving CPAP adherence in adults with obstructive sleep apnea syndrome: a scoping review of motivational interventions. Front Psychol 2021;12(3266):705364. DOI: 10.3389/fpsyg.2021.705364.
  12. Sparrow D, Aloia M, Demolles DA, et al. A telemedicine intervention to improve adherence to continuous positive airway pressure: a randomised controlled trial. Thorax 2010;65(12):1061–1066. DOI: 10.1136/thx.2009.133215.
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