Frequently Asked Questions

This is known as aerophagia and is caused by swallowing air. This usually subsides once you become more comfortable with breathing against your therapy pressure. Contact your Sleep Therapy Consultant if these problems persist.

We carry four brands; Philips, ResMed, Fisher & Paykel and BMC. All four brands have various models with slightly different features. Speak to your Sleep Therapy Consultant or Sleep Physician to find out which one is best suited for you.

The life expectancy of a CPAP device differs based on the specific model, its usage, its operating environment and how well it is maintained. In general, CPAP devices have a service life of approximately three to five years.

You should certainly try to use your CPAP device while on holidays. It will help you and those you travel with enjoy the holiday more. Most CPAP devices work on both 110 and 240 volts power sources. Many CPAP devices also run on a 12 volt battery. This means they can be used when overseas and while camping. As a general rule, most CPAP devices are able to run on other voltages, such as 110V in the United States without modification, as they have an inbuilt “switch mode” power supply.3

If you plan to use your device while on a flight, ResMed Airsense 10, ResMed AirMini,4 and F&P SleepStyle all automatically compensate for the change in altitude.5 Philips Dreamstation, Philips Dreamstation Go 6and F&P SleepStyle all automatically compensate for the change in altitude.

Yes, the CPAP device will only start therapy when you press the start button on the device or if the mask is applied to your face (only if the Auto Start setting is switched on). When the Auto Start setting is on, the CPAP device will detect your breathing through the mask and begin therapy. Otherwise the device will remain in sleep mode.

Treatment should not be louder than a whisper. The noise of the device may fluctuate between inhalation and exhalation, but should mimic that of a soft breathing sound. If your equipment is making loud noises, some of the parts might not be connected properly or it may need to be repaired. If you are hearing a hissing noise, check that all your equipment is connected properly and that there are no holes or deformities.11 You can try placing a mouse pad under the device to reduce noise vibrations. The Philips Beside Organiser offers a noise reducing pad to sit your device on and has a pocket for safe daily storage of mask and tubing as well.

Airsense 10: Autoset – Clinical Guide

DreamStation: User Guide

Sleep Style: User Manual

BMC: User Manual

CPAP devices deliver a constant air pressure while the patient is sleeping. Automatic, or Auto-Titrating Positive Airway Pressure (APAP) devices use an algorithm to deliver a variable air pressure according to the patient’s needs. By constantly measuring how much resistance is present in your breathing on a breath-by-breath level, APAP technology knows whether to decrease pressure when the upper airway is stable, and increase pressure when it senses an airway event (such as an apnea, a hypopnea, flow limitation or snoring). Both CPAP and APAP are effective treatments of sleep apnea but unlike CPAP devices, APAP devices only deliver the amount of pressure necessary at any given moment. This can contribute to a more comfortable therapy experience for the patient. Some Physicians find patients with more complex sleep apnea conditions (such as REM-related apnea or positional apnea), or who simply cannot get used to standard CPAP therapy, may experience better results with APAP therapy.

We encourage you to have your CPAP, APAP or BiLevel sleep apnea device pressure tested to ensure you are still receiving the correct pressure. Utilising a pressure manometer, we test the device to ensure it reaches and maintains the pressure that is set. Depending on the results of the general servicing, it may have to be sent to the manufacturer for further assessment.

Before flying with your sleep therapy equipment, you should: Get clearance from the airline to use your device on the flight at least two weeks prior to the date of departure. If your approval is in the form of a letter, carry a copy with you when checking into your flight. Find out if you can sit near a power source on the aircraft. If you don’t have access to power, the RPS II, our lightweight and portable external battery, is designed to run an AirSense™ 10, AirCurve™ 10 or Lumis™ sleep apnea device (without humidification) for over 14 hours. Operating time is reduced with older batteries. See the Battery/device compatibility list for details of operating times with other ResMed devices. Confirm the type of power cord or adapter used by the aircraft. Carry a letter from your doctor certifying your need your CPAP device for sleep apnea therapy. Take a copy of ResMed’s FAA compliance letter for ResMed sleep apnea devices.

Ensure that there is no water in the humidifier tub before detaching it from the CPAP device and pack it away. Do not use your humidifier on the aircraft as turbulence increases the risk of water spillage and damage to the device. Enable Airplane Mode (in devices with wireless connectivity*. See user manual for details.) Most ResMed sleep apnea devices run on most aircraft power supplies with a suitable adapter. While most of our CPAP devices will automatically compensate for altitude changes experienced during the flight. Some older CPAP devices might require manual adjustment. If no adjustment is made, it may deliver less effective therapy. Please consult your doctor for more information.

The cost of CPAP therapy equipment varies depending on what brand and model you are looking at. It’s best to speak to your Sleep Therapy Consultant to find out more about our CPAP package offers and which one is most suitable for you. We also offer CPAP device rentals and interest free plans if you have difficulties in meeting the up front costs.

The air delivered during therapy may overwhelm the body’s ability to add heat and moisture, which can lead to a sore, dry throat, nasal congestion, or a runny nose.19Heated humidification has been shown to help minimise the side effects associated with positive airway pressure therapy, and help make it a more comfortable experience.

No, you do not have to use the humidifier, but it is recommended because it adds heat and moisture to the dry air that is being provided with the therapy.

You should first determine if CPAP treatment is effective at treating your sleep apnea. If your apnea hypopnea index (number of times you stop breathing per hour) has been reduced while on therapy, then this is a good indication that the therapy is effective in treating your condition. You should also consider if the symptoms associated with sleep apnea are resolving as a result of the therapy. You should consult your physician if you have any concerns about continuing your CPAP treatment.

Yes. Humidifiers are a potential source of Legionnaires’ disease. Patient education on device maintenance is important in reducing the risk of infection. Proper upkeep of your CPAP device can help ensure the device functions properly. We recommend using fresh distilled water in your humidifier before starting your therapy. Distilled water prevents mineralization in the humidifier, and helps extend its operating life

If your Apnea Hypnopnea Index or AHI (number of times you stop breathing per hour) is considered controlled in comparison to your AHI on your sleep report, your device pressure is generally considered accurate. If you use an Auto-titraing device, the mask seal, body position and allergies are just a few factors that can contribute to changes in your pressure during therapy. You should consult your physician if you have any concerns about the pressure setting of your CPAP device and its impact on the effectveness of your CPAP treatment.

We advise that you speak to your Sleep Physician if you would like change the settings on your device relating to your prescription. Depending on the change, you may require another prescription from your Sleep Physician. Your Sleep Therapy Consultant may be able to make small adjustments to the device’s comfort, humidity and temperature settings. This may be done remotely if you are registered with our connected care system.

This may be due to a number of reasons. A few of the most common ones are described here.

1. Removal of Mask: It can be difficult to adjust to CPAP therapy, waking in the night may prompt removal of the mask. Many people take their mask off towards morning, convincing themselves that, without it, they can get some “good sleep”. Unfortunately, obstructive sleep apnea is often worsened in the last few hours of the night. Rapid eye movement (REM) sleep occurs in the last third of the night. By removing the mask at any stage during the night, you reduce the benefits of the therapy and as a result may not feel any different in the morning.

2. Mild Sleep Apnea: If you have been diagnosed with mild sleep apnea, with only 10 events per hour, and the number of apneic events is reduced to 5 events per hour with therapy, you may not experience as much improvement.

3. Not Enough Time: People may expect instant results from CPAP therapy, but this is rarely the case. If sleep apnea is very severe with significant symptoms prior to treatment, a dramatic improvement may occur. When it is more subtle, it may take longer to notice improvement. If you have only used the therapy for a few days, and especially if you have not been able to use it through the night, more time is required to experience improvements. It may take several weeks before you can note the improvement. If you are not noticing a benefit with your treatment, speak with your Sleep Therapy Consultant about ways to optimize your therapy. If this persists, see your Sleep Physician.

Your mask needs to be fitted throughout the night in order to achieve the full benefits of your therapy. If you are removing the mask off during the night consciously or unconsciously, it is a good indication that either your mask is not fitted correctly or you may need replace a mask part. Most patients unknowingly remove their mask because it’s uncomfortable or leaking.

Most humidifiers have manual and automatic settings. Manual settings are set by the user, while automatic settings allow your humidifier to make adjustments to maintain a certain temperature and humidity level throughout the night. The temperature and humidity of the room where you are sleeping will have an effect on the amount of water used in the humidifier. For example, if your environment is quite hot and humid, the humidification device is more likely to deliver less humidity and thus result in more water remaining in the water chamber at the end of your therapy. If you have a large mask leak, this may also increase the amount of water used by the device. If you are having difficulties with the settings on your humidifier, refer to the user manual or consult your Sleep Therapy Consultant for support.

Untreated sleep apnea can reduce time spent in calorie-burning activities. Feeling low energy, tired, and unfocused are common sleep apnea symptoms that make it hard to participate in daily activities such as walking the dog, mowing the lawn or pushing a shopping cart. If diagnosed with OSA, CPAP therapy can improve your sleep and overall well-being.29A healthier lifestyle will have a positive impact on your weight loss efforts. By improving your sleep quality, CPAP therapy can lead to significant weight loss in the first 3 months of therapy in obese people with severe sleep apnea.

• 
  

  Fisher & Paykel SleepStyle Auto

• 
  

  Fisher & Paykel SleepStyle

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  Philips DreamStation Go

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  Philips DreamStation PAP/APAP

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  ResMed AirMini Bedside Starter Kit

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  RESMED AIRMINI

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  RESMED AIRSENSE 10 AUTOSET 4G

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  AirSense 10 Elite

Make sure your mask is fitted correctly. Use a mirror to make sure the mask is symmetrically secured on your face. You can run a Mask Fit Test for confirmation by selecting this menu option on your CPAP device. Be aware, the pressure used during the test is often higher than what you will experience during your therapy. Refer to each device’s troubleshooting section for how to run the Mask Fit Test or ask your Sleep Therapy Consultant for more information.

If irritation or sores are developing, chances are you are over tightening your mask or your mask cushion and/ or headgear are due to be replaced. If this is not the cause then the shape of the mask may not suit you and a different mask choice may provide a more comfortable fit. Please contact your Sleep Therapy Consultant to help you refit your mask or provide an alternate solution.

All masks have exhalation ports to allow the escape of exhaled air which contains carbon dioxide. The higher the device pressure setting, the stronger this escape flow will be. Do not cover these exhalation ports as they are vital to the expulsion of carbon dioxide. Masks vary in their air diffusion features, if the escape flow is too much for you or your bed partner please contact your Sleep Therapy Consultant to try another mask.

Your mask size, style or fit may not be appropriate. Call your Sleep Therapy Consultant to discuss fit tips.

Wearing a CPAP mask can seem intimidating at first, however the key to adjusting to CPAP therapy is consistency. By wearing your mask and using the CPAP device every night, you are more likely to adjust quickly. Wearing your mask while reading or watching TV during the day or before bed may assist in acclimatising to CPAP therapy.1

Excess condensation can form in the CPAP tubing when the temperature of your bedroom is cooler than the air coming from your device. This is what is referred to as ‘rainout’ and does not usually occur when the humidity is set to automatic. This setting can be checked and changed if necessary in your device’s patient menu. If the problem persists the humidifier temperature may need to be adjusted. Please contact your Sleep Therapy Consultant for assistance. The problem can also be rectified by slightly incresing the room temperature until the ‘rainout’ no longer occurs.

Some masks are more suitable for certain sleeping positions, but in gerenal, all masks are designed to accomodate any sleeping position. The exhalation ports on the mask allow exhaled breath to escape the mask no mater what position you are laying in.

The exhalation ports on your CPAP mask allow for exhaled breath to be vented out of the mask.

Yes, all of the mask parts can be purchased separately.

If your mouth is open while using a nasal pillow or nasal mask, air may leak out of your mouth instead of travelling into your upper airway. Most CPAP devices can accomodate for a small leakage but if the leak is too high, your CPAP device may provide more pressure than what is actually required to maintain an open airway. Chin straps are useful in maintaining a closed mouth.3

The variation in mask size is one difference, but the main difference is the area of your face that the mask covers. A nasal pillow mask rests at the entrance of your nostrils, a nasal mask covers the nose and a full face mask covers the nose and mouth. The mask type that best suits you depends greatly on personal needs and preferences. Some things that you may want to take into consideration are your facial anatomy, facial hair, whether or not you’re claustrophobic, and if you have any underlying sinus or nasal conditions. Each mask has its own benefits and it’s recommend you see your Sleep Therapy Consultant or Sleep Physician if you are unsure on what will be best suited to your situation.5

If the mask is not fitted to the face properly, it will not provide a effective seal and the air will leak out. If this is experienced, try readjusting the mask straps to ensure you have a tight seal to your face.7

Your mask is arguably the most important piece of equipment in your CPAP setup. Like other regularly used personal health products, such as a toothbrush or razor/shaver, your mask becomes less effective and more unhygienic over time. The best way to know when it’s time for your mask (or any of its parts) to be replaced is to make it a habit of regularly inspecting it for wear and tear. Some mask parts will wear out sooner than you think! Mask cushions, for instance, rest against your face every night and can build up quickly with dirt, oil and bacteria. Without proper care, they can deteriorate leading to leaks and discomfort – even skin irritation. How often you replace your mask cushion depends on the kind you have. Silicone cushions are designed to be replaced every 6 months, whereas memory foam cushions are designed to be replaced monthly. Mask frames are more durable than mask cushions and their lifespan will depend on well you look after them. If they ever get damaged, cracked or discoloured, you should look to replace them. Mask headgear will lose elasticity and stretch out over time, leading to a bad mask fit. A common sign that your headgear needs to be replaced is when you’re starting to overtighten your headgear to achieve a secure seal. We suggest you replace headgear every 8 months or so to ensure your mask is always sealing as secure as it can without the need to overtighten it. Refer to your mask user instructions for further information.9

No. A nasal cannula is too small and will not create a seal against your nostrils. The leak around the nasal cannula would be too high and the CPAP device would not be able to deliver the desired air pressure required to keep your airway open.

Click here to see our recommended cleaning schedule.

The cost of the mask varies depending on what brand and model you are looking at. It’s best to speak with your Sleep Therapy Consultant to find out more information about our range of masks.

To date, micro-CPAP devices are not registered for use in Australia. We only offer CPAP equipment that is registered for use in Australia as part of our therapy service.11

You can consider a Mandibular Advancement Splint (MAS) if you have been diagnosed with mild to moderate OSA, or moderate to severe OSA and intolerance to CPAP.13MASs are specially made dental plates that are worn during sleep. They push your lower jaw forwards so that your throat opens up, reducing the risk that it will vibrate (snore) or obstruct. MASs are not suitable for patients with central sleep apnoea or with no teeth or very poor dental structure.14

A chinstrap may be helpful to keep your mouth closed and thus reduce mouth leakage. It is usually a piece of fabric, often fitted with velcro, that can be secured around your lower jaw and the top of your head. Speak to one of our Sleep Therapy Consultants about which size is best suited for you.17

It is important to clean your mask on a weekly basis. Dirt and oil from your skin can stick to the cushion and weaken the silicon (see “What part of the mask needs to cleaned more frequently?”) . Also, be sure to handle the silicone parts with care.

There are variations in each size and style of mask, but the main differences are concerned with the areas of the face are they cover. A nasal pillows mask rests at the entrance of the nostrils, a nasal mask covers the nose and a full face mask covers the nose and mouth. The mask type that best suits you depends greatly on personal needs and preferences. Some things that you may want to take into consideration when deciding what mask type is right for you is your facial anatomy, degree of facial hair, whether or not you’re claustrophobic, and if you have any sinus or nasal issues. Each mask has its own benefits and we recommend you see your Sleep Therapy Consultant or Sleep Physician if you are unsure.19

If you comfortably breathe through your nose at night, a nasal pillow mask is a good option if you have a beard, as it sits underneath the nose and forms a seal inside the nostrils. Facial hair is unlikely to interfere with the use of this type of mask.

• 
  

  Fisher & Paykel SleepStyle Auto

• 
  

  Fisher & Paykel SleepStyle

• 
  

  Philips DreamStation Go

• 
  

  Philips DreamStation PAP/APAP

• 
  

  ResMed AirMini Bedside Starter Kit

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  RESMED AIRMINI

• 
  

  RESMED AIRSENSE 10 AUTOSET 4G

• 
  

  AirSense 10 Elite

The tubing is waterproof. It’s made up of corrugated plastic that is highly flexible and durable. Most masks consist of hard plastic and soft silicon, all of which are waterproof. The headgear attached to the mask is made up of a soft fabric which is not waterproof.

It is recommended that you wash your mask in clean warm (around 30°C) water with mild liquid detergent, making sure you rinse all components thoroughly before allowing them to dry naturally (i.e. air or drip dry). Make sure you do not soak the mask. If you’re running short of time our mask wipes are a fast and easy cleaning option that can be used on any mask. Simply wipe out the mask and leave to dry naturally. Avoid soap with conditioners or moisturisers. Do not use bleach, alcohol, or cleaning solutions containing alcohol. See our printable cleaning guideline here. For more specific instructions on cleaning your mask, please refer to your mask user guide.

After each use, we recommend that your humidifier chamber is washed out with a mild detergent and warm water. Once a week we recommend your humidifier chamber is soaked in 1 part vinegar and 5 parts warm water for 30 mins to kill any potential bacteria build up. Rinse thoroughly and allow it to dry away from direct sunlight before your next use. Replace the chamber if it is leaking or has become cracked, cloudy or pitted or the humidifier seal is cracked or torn. See our printable cleaning guideline Click Here to view our CPAP cleaning card. Our cleaning recommendation is a general guide only. Always refer the equipment user manuals for detailed cleaning instructions for your specific equipment as humidifier cleaning methods can differ between equipment manufacturers.

Yes, a mild liquid detergent can be used when cleaning your mask. Avoid soap with conditioners or moisturisers. Do not use bleach, alcohol, or cleaning solutions containing alcohol.

No. Do not add anything other than water to your humidifier chamber (preferably distilled water). Your CPAP device delivers humidity to your airway and lungs, adding oil could cause nasal and lung irritation.

Depending on the CPAP device you are using, we recommend changing your filter every 1 – 6 months depending on usage and the environment the device operates in.12

Patient education on device maintenance is important in reducing the risk of infection. Proper upkeep of your CPAP device can help ensure the device functions properly and proper equipment hygiene is maintained for your safety.5 For example, humidifiers are a potential source of Legionnaires’ disease and other equipment may build up harmful bacteria and mould if not cleaned regularly.6

We offer a mask/hose soap and wipes that are specifically designed for this purpose.

Click Here to view our range of CPAP cleaning products.

We don’t currently have this automation set up but it’s something we may consider looking at in the future.

Click Here to view our cleaning card

Avoid using soaps containing conditioners or moisturisers. We offer a mask & hose soap that is spefically designed for this purpose.

Click Here to view our range of CPAP cleaning products

We encourage you to have your CPAP, APAP or bilevel sleep apnea device pressure tested to ensure you are still receiving the correct pressure. Utilising a pressure manometer, we test the device to ensure it reaches and maintains the pressure that is set. Depending on the results of the general servicing, we may have to send it to the manufacturer for further assessment.

The safety and quality of your water supply may be the key consideration in deciding whether to use distilled water in the humidifier. Boiling water will kill microbes, but it will not remove minerals or chemical contaminants. These minerals that make water “hard” include calcium, magnesium, iron, and others. If they are present in the water put in the humidifier’s water chamber, over time scale will develop that discolors the container and could damage the device. Filtered water may remove some of the minerals but may not remove living organisms or other chemicals. Bottled water that has been distilled may be an alternative option to regular tap water. The use of distilled water will maximize the life of the water tub by reducing the buildup of mineral deposits. Distilled water is available to buy at many grocery stores9

It is not advisable to clean your equipment in a dishwasher or washing device as it could become damaged. CPAP masks are not dishwasher safe because they cannot withstand the high temperatures and dramatic temperature changes of a dishwasher cycle.11

This can cause the plastic to wear down and break. It is better to clean the mask and the tubing by hand in warm, soapy water. Always refer the equipment user manuals for recommended cleaning instructions for your specific equipment.12

This is most likely a build up of calcium deposits as a result of using regular tap water in your humidifier chamber. Follow our cleaning guide to remove the build up of calcium. We recommend using fresh distilled water in your humidifier before starting your therapy. Distilled water prevents mineralisation in the humidifier and helps extend its operating life.

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  Daily

  • Wipe Cushion with CPAP MASK WIPES (warm soapy water can also be used)
  • Air dry during the day (Avoid direct sunlight)
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  Weekly

  • Hand wash all parts with Mask & Hose Soap (warm soapy water can also be used)
  • Air dry during the day (Avoid direct sunlight)

• 

  Weekly

  • Hand wash all parts with Mask & Hose Soap (warm soapy water can also be used)
  • Air dry during the day (Avoid direct sunlight)
• 

   

  Monthly

  • Check for holes and damage

Yes, some manufacturers supply batteries made specifically for their devices. These batteries are sealed Lithium ion batteries and are certified for use on planes. Speak to your Sleep Therapy Consultant to find out which battery is suitable for your CPAP device.

Medical devices normally do not count towards your carry-on luggage limit, but it’s best to check with your airline for confirmation.

Note:

Clicking on the link below will transfer you to a third party website. The information on that website is not controlled by Air Liquide Healthcare.

https://www.resmed.com.au/knowledge-hub/will-my-CPAP-device-count-towards-my-carry-on-luggage-limit

No, only external batteries are available.

Yes. You’ll need to know what voltage you will be getting while on board. Consult with the airline or shipping line you are going with to find this out. Then talk with your ALH Clinic Representative or CPAP supplier to make sure that the CPAP will work at this voltage. As a rule, the airline will need a medical certificate from your doctor. They may also only let you use specific CPAP devices on board the flight. Getting all this ready can take some time. This means it is best to start planning well before your departure date.

Note: Clicking on the link below will transfer you to a third party website. The information on that website is not controlled by Air Liquide Healthcare.

https://www.sleephealthfoundation.org.au/travelling-with-CPAP.html

Travel devices are slightly louder but not by much. The most common stationary CPAP devices have a sound power level of around 35 dBA. Travel CPAP devices (like the ResMed AirMini and the Philips DreamStation Go). typically have an increased sound power level of around 2 dBA.

The ResMed AirMini and Philips DreamStation Go are both effective travel devices capable of providing the same therapy you would receive from a stationary CPAP device. If you normally use a humidifier and would like to have the same feature on your portable device, the DreamStation Go has a separate humidifier that can attach to it. This does not mean that other makes and models are not suitable for travel. You should check with your CPAP supplier to verify the suitability of the particular CPAP device you currently have or wish to purchase for travel.

You can search for an Air Liquide Healthcare office or other CPAP provider near you. You will normally be able to be provided with the some level of support and assistance as you would receive in Australia.

Not all airlines require a letter from your doctor but we recommend obtaining one. If you plan to use your device while onboard, some airlines like Qantas require you to complete a clearance form prior to flying but do not require clearance from a medical practictioner.

Note: Clicking on the link below will transfer you to a third party website. The information on that website is not controlled by Air Liquide Healthcare.

https://www.qantas.com/au/en/travel-info/specific-needs/travelling-with-specific-needs/medical-equipment-and-medications-onboard.html

Depending on the type of travel you are doing, you may require a battery, electrical adaptors, voltage converter and/or a DC inverter. Speak to your Sleep Therapy Consultant to find out which equipment is required for your travel.

Yes, CPAP devices are accepted as carry on luggage.

As soon as you stop using CPAP, your breathing during the night will get worse. This means your daytime symptoms will come back. Think back to how things were before you started CPAP. There is a risk of going back to feeling this way. You may suffer from morning headaches and feel tired and moody during the day. Everyone is different and the time is takes for onset of these symptoms will vary, but it is possible that these may come back after the first night with no CPAP. Feeling tired during the day is a potential problem. This will raise your risk of road and other accidents if you are driving on your holiday or travels. If you feel tired, do not drive as you and others will be at risk.

Note: Clicking on the link below will transfer you to a third party website. The information on that website is not controlled by Air Liquide Healthcare.

https://www.sleephealthfoundation.org.au/travelling-with-CPAP.html

Air Liquide Healthcare offer 2 portable travel CPAP devices, the ResMed AirMini and the DreamStation Go.

There are a few variables to factor in when determining how long your CPAP portable battery will last when using your device. The higher the CPAP pressure required, the more more battery power will be used. A large mask leak will also demand more battery power. If you are using a humidifier with water, the battery power will run out much sooner than without a humidifier. As an example, if you use a ResMed AirMini or Philips DreamStation Go with the recommended manufacturer portable battery on a CPAP of 10cmH2O with no humidification, the battery life is estimated at 13 hours. These batteries are sealed Lithium ion batteries and are certified for use on planes. Speak to your Sleep Therapy Consultant to find out which battery is suitable for your CPAP device.

Yes, you can purchase portable CPAP batteries at our clinics.

Most CPAP devices will automatically compensate for changes in altitude. Some older devices might require manual adjustment though. If no adjustment is made to these, it may deliver less effective therapy. Speak to your Sleep Therapy Consultant to find out if your device automatically compensates for changes in altitude. Alternatively, you can refer to the device User Manual where this information may be found.

No, it is not. A MAS may be used and may be an option as an alternative to CPAP therapy depending on the severity of the sleep apnea, a persons tolerance to a CPAP device and many other personal and medical circumstances. According to the Royal Australian College of General Practitioners, people likely to gain the most benefit from MADs include: those with mild-to moderate sleep apnea, young people, people with sleep apnea that improves when sleeping on their side, females, those with a receding jaw, structure (also known as a retrognathic mandible). The following people are less likely to see symptom improvement with MADs: older adults individuals with obesity and those with excess fat tissue around the neck, those with a stiff jaw, which makes advancement difficult, people with dental, conditions, such as gum disease, people with central sleep apnea, which is a neurological condition rather than a mechanical one. Speak to your Sleep Therapy Consultant and Sleep Physician to determine which one is suitable for you.

Note: Clicking on the link below will transfer you to a third party website. The information on that website is not controlled by Air Liquide Healthcare.

https://www.racgp.org.au/clinical-resources/clinical-guidelines/handi/handi-interventions/device/mandibular-devices-for-obstructive-sleep-apnoea

To date, micro-CPAP devices aren’t included on the Australian Register of Therpeutig Goods (ARTG). We only offer equipment that is included on the ARTG and has been clinically proven to provide effective treatment for OSA.

Is a Mandibular Advancement Splint (MAS) as effective as a CPAP device?What’s that little CPAP pump device all about?
To date, micro-CPAP devices aren’t included on the Australian Register of Therpeutig Goods (ARTG). We only offer equipment that is included on the ARTG and has been clinically proven to provide effective treatment for OSA.

Note: Clicking on the link below will transfer you to a third party website. The information on that website is not controlled by Air Liquide Healthcare.

https://www.healthline.com/health/micro-CPAP#claims

You can compare your symptoms before and after treatment to determine its effectiveness. Alternatively you can do a home based sleep study while using the device. Depending on your situation, you may or may not receive a Medicare rebate for the sleep study.

No, Medicare do not cover MASs. Depending on your private health insurance, a small portion of the cost may be covered. We recommend checking with your private health insurer as part of considering this option together with your health professional.

We offer 2 MAS devices, the Oniris which is a boil and bite MAS and the Oventus which is a custom fitted MAS. Both come with a 12 month warranty (on the device and not the success of the therapy). The longevity of the devices depend on the usage, cleanliness and if the patient grinds their teeth.

Weight loss may decrease the severity of your sleep apnea but we recommend you do a home sleep study to verify wheather your diagnosis for OSA has changed. This shall be done in conjunction with a healthcare professional.

We do not offer sleeping pillows and do not recommend using a pilllow to treat sleep apnea.

CPAP is more effective overall than MASs for treating sleep apnea. For this reason we start all our patients on CPAP therapy first. We recommend consulting with a healthcare professional to determine if an alternatove therpy may be a suitable option for you. ALH respects and follows all health professional prescriptions for OSA.

Note: Clicking on the link below will transfer you to a third party website. The information on that website is not controlled by Air Liquide Healthcare.

https://www.medicalnewstoday.com/articles/mandibular-advancement-device#mad-vs-CPAP

Once a diagnosis of OSA is established, ALH recommends talking with your doctor about the need for treatment and the options available for you. The circumstances often vary from person to person, since the underlying causes may be different. Generally speaking, the options can include one or more of the following:

Weight loss – For anyone who is overweight, losing weight is recommended. While this may not necessarily cure the OSA, it usually improves snoring and OSA symptoms, and can help other treatments work more effectively. It also provides general health benefits.

Reduce alcohol consumption – Alcohol usually worsens snoring and OSA due to the throat muscles relaxing. For some people drinking alcohol makes their OSA worse. If this is the case for you then less or no alcohol may be a useful treatment.

Body position during sleep – Snoring and OSA are usually worse when lying on the back. This is because of the effects of gravity on the tongue. Avoiding sleep in this position can improve OSA. In some people it can completely control the problem. This is best achieved by wearing a device that makes it uncomfortable to sleep on your back. Some such devices can be purchased or it can be as simple as sleeping with a tennis ball sewn into a pocket on the back of your pyjamas.

Managing blocked nose – A blocked nose causes mouth breathing, which can lead to snoring and OSA. The blocked nose can be due to different problems, such as allergies, sinus disease, and a deviated septum. Your doctor can assess and provide treatment, depending on the problem. This may involve the use of nasal sprays to relieve congestion. Sometimes surgery is required to correct anatomical problems.

CPAP (Continuous Positive Airways Pressure) – This is generally considered to be the most effective way to treat OSA. It involves the use of a special device during sleep, connected to a nose or face mask via tubing. The device gently increases air pressure in your throat holding it open, thus preventing snoring and OSA. See our CPAP link.

Oral Appliances – These are specially made dental plates that are worn during sleep. They push your lower jaw forwards so that your throat opens up, reducing the risk that it will vibrate (snore) or obstruct. The appliances have various names such as Mandibular Advancement Splints (MAS) or Mandibular Advancement Devices (MAD) or Mandibular Repositioning Appliances (MRA). Your suitability for this form of treatment is best discussed with your sleep physician, who will then refer you to a trained dentist. See our Oral Appliances link.

Surgery – Surgery may help in cases of OSA caused by a discrete blockage of some part of the nose or throat. There are many types of operations depending on where in your nose and/or throat the problem lies. The decision about whether surgery is right for you may require the expert input of an ENT surgeon. The risks and benefits need to be weighed up in each case. In adults, surgery is often the last resort, after other treatments have been tried first. Nasal surgery may be useful to help CPAP treatment by allowing nasal masks once the nasal blockage is repaired. In children with OSA, surgery to remove tonsils and adenoids is quite commonly done and is often very helpful.

Note: Clicking on the link below will transfer you to a third party website. The information on that website is not controlled by Air Liquide Healthcare.

https://www.sleephealthfoundation.org.au/treatment-options-for-obstructive-sleep-apnea-osa.html

Each MAS is supplied with a set of advancements straps which attach to the sides of the device. In general, as you get more comfortable, change the advancement strap to the next size up in order to advance your lower jaw forward and relieve the obsruction in your airway. Continue increasing the size of the advancement straps until your snoring is relieved, this may take days or weeks depending on the severity of your sleep apnea. It is recommended you refer to the User Manual supplied with your specific MAS devive for precise instructions on its safe use.

Note: Clicking on the link below will transfer you to a third party website. The information on that website is not controlled by Air Liquide Healthcare.

No, we do not trial MASs for hygienic reasons and the fact that they are customised for you and molded to your teeth.

Surgery may help in cases of OSA caused by a discrete blockage or narrowing of some part of the air passages in the nose or throat. There are many types of operations depending on where in your nose and/or throat the problem lies. The decision about whether surgery is right for you may require the expert input of an ENT surgeon. The risks and benefits need to be weighed up in each case. In adults, surgery is often the last resort, after other treatments have been tried first.

Note: Clicking on the link below will transfer you to a third party website. The information on that website is not controlled by Air Liquide Healthcare.

https://www.sleephealthfoundation.org.au/treatment-options-for-obstructive-sleep-apnea-osa.html

The sleep study is entirely covered by Medicare if the pretest questionnaire requirements are met.

Your sleep study appointment fee can vary. Air Liquide Healthcare clinics charge $49 and this fee is not covered by Medicare. We kindly request 48 hours notice if you need to reschedule your appointment.

A conditional licence may be considered by the driver licensing authority subject to periodic review. Taking into account the nature of the driving task and information provided by the treating doctor as to whether the following criteria are met: the person is compliant with treatment and the response to treatment is satisfactory. Patients should be made aware of the effects of their condition on driving and should be advised of their legal obligation to notify the driver licensing authority where driving is likely to be affected. The health professional may themselves advise the driver licensing authority as the situation requires. The responsibility for issuing, renewing, suspending or cancelling, or reinstating a person’s driver licence (including a conditional licence) lies ultimately with the driver licensing authority.

You may be required to redo the study depending on the quality of data before the lead fell off, and the amount of time that the lead was off.

Your alcohol consumption behaviour should not change. The purpose of the home based sleep study is to collect data as close to normal as possible. Alcohol affects nighttime breathing and it is best for us to be able to measure your sleep in its most vulnerable state to determine how it is disturbed. Be mindful that you should not drink and drive to retrieve the equipment at any of our clinics.

Run the Somfit®App.

From the Somfit App Home screen, press the ‘Start Study’ button to start a new study.

After Somfit completes pre-checks, the recording screen will appear.

Do not open other Apps and avoid using your phone after you start the study.

You can lock the phone screen, but do not put the phone in aeroplane mode.

Ensure phone is charging on your bedside table.

When you wake simply, press the ‘END STUDY’ button.

Confirm you wish to the end study by clicking ‘Yes’.

Data upload will automatically occur.

No. The sleep study device is silent.

Yes, you can sleep on your left, right, front and back. Our goal is to collect the best data we can about you while you sleep. To do this, we will want to see you sleep in your usual positions.

Cleaning is a crucial step in preparing the skin site for the electrode pad. If the skin site is not prepared well, the signal may be weak or not seen at all and result in an incomplete study. The sleep study will have to be redone if our sleep study team cannot accurately measure the signals coming from all parts of your body.

Home sleep studies are very accurate because the sleep study device measures various biometric data points which are then sent to our team of independant Sleep Physicians to analyse. Even if you sleep for only a few hours we will be able to gather a sufficient amount of information. It only takes a few hours of sleep for a breathing disturbance such as apnea to be detected, even with less restful sleep.

As of 1 Nov 2018, any patient wishing to have a home sleep study done will need to complete a series of questionnaires with their physician. The scores of those questionnaires will determine if Medicare will fund the study or not. If the study is not Medicare funded the patient can choose to pay for the sleep study privately.

A single green light blinking every 10 seconds means your device is ready to record.

It is normal for the indicator light on both the Somfit® and Respifit® to be turned off during recording.

SNo you don’t. Your General Practitioner can refer you for a sleep study. You can complete our online referral form here then take it to your GP.

Click Here to download our Referral

Once set up for the study, a minimum of 9 hours wearing time is recommended. This is to obtain as much data as possible and to fullfill Medicare requirements. You do not need to be asleep for the 9 hours, but you do need to be wearing the device with everything attached to your body for this period of time.

No, a full night’s sleep isn’t required to obtain accurate sleep study results. It only takes a few hours of sleep for a breathing disturbance such as apnea to be detected, even with less restful sleep.

You can call our Customer Contact Centre on 1300 36 02 02 to speak to one of Customer Service Representatives during operating hours Mon – Fri 9:00am – 5:00pm (AEST). Alternatively, you can utilise the instructional videos on our website, or call the clinic that you collected the home based sleep study kit from for assistance.

Click Here for Videos

According to Medicare Item 12203, in order to complete a sleep study in a lab, you must be assessed by a qualified sleep medicine practitioner or consultant respiratory physician to determine why a lab study is required over a home sleep study.3

Our home sleep study measures; total sleep time, sleep latency, sleep stages, arousals, snoring, body position, heart rate, blood oxygen saturation, apnea hypopnea index and breathing patterns. These results will give us an indication of how many times per hour your airway is restricted throughout the night, and a measure of how severe these events were when they occur.

You are only required to use wear the sleep study device for 1 night and return it the following morning. Please note that if you are doing the study over a weekend you must wear the device for the night that you have been instructed to do so. The device has been programmed to record for one night only, and if you wear it on a different night from that instructed, the study will fail.

If you intend on taking a shower on the night of your sleep study, make sure you do so at least one hour before you apply the equipment so your skin has enough time to dry thoroughly. Do not apply lotion or oils to the skin where the electrodes are to be attached. Make sure the location where you apply the electrode is cleaned well with the alcohol wipe and prep pad provided.

You should receive your sleep study report about 3 – 4 weeks after returning your device. In some instances this may be longer due to unforseen circumstances but we will communicate if a different timeline may be expected.

Our independant Sleep Physicians will provide a non biased sleep report which includes a diagnosis and recommendation. A consultation with a Sleep Physician may be included in the report as a recommendation. Even if this is not a recommendation in your sleep report, you are welcome to seek further advice from your General Practicitioner or Sleep Physician.