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CPAP treatment for obstructive sleep apnoea: manual

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CONVENTION ARRANGEMENTS

WHAT ARE CONVENTION ARRANGEMENTS?

If you suffer from a severe form of sleep apnoea, part of the cost of 
your treatment will be reimbursed by your health insurance fund.
The hospital will deal with the application for reimbursement.

WHICH SERVICES WILL BE FREE OF CHARGE?

On loan from the hospital will be the following:

o

  an appropriate CPAP machine for your treatment

o

  a specially adapted mask

o

  a flexible air hose

o

  a carrier

o

  where necessary a humidifier

The hospital will cover any repairs or replacement in the event of de-
fects. Never attempt to repair your machine or accessories yourself.

You can call us on 016 34 25 20 or visit the Centre for Sleep Dis-
orders in person on any working day between 09.00 and 16.00 if 
you have further questions or require support.

WHAT WILL I HAVE TO PAY FOR? 

Your own contribution (REM patient contribution) will be approxi-
mately 0.25 € per day. You will receive an invoice from the hospital 
every month. If you wish to do so, you can request to pay by direct 
debit via 

[email protected]

.

Please note:

 if you request to pay by direct debit this will then 

be applied not only to the CPAP machine, but to all UZ Leuven 
invoices.

Summary of Contents for CPAP

Page 1: ...CPAP treatment for obstructive sleep apnoea manual P a t i e n t I n f o r m a t i o n ...

Page 2: ...PAP TREATMENT 4 MY CPAP MACHINE 6 MASK WITH HEADBAND 7 FLEXIBLE AIR HOSE 9 HUMIDIFIER WHERE APPLICABLE 10 GENERAL QUESTIONS 12 HOLIDAYS AND TRAVEL 13 IN HOSPITAL 14 CONVENTION ARRANGEMENTS 15 CONNECTED CARE 18 FURTHER INFORMATION 19 ...

Page 3: ...S Obstructive Sleep Apnoea Syndrome obstructive sleep apnoea combined with feeling sleepy during the day Consequences of OSAS o Each time your breathing stops you briefly wake up 3 seconds or longer although you are usually not aware of this o Your sleep pattern will be disrupted and you will not go into a deep sleep WHAT ARE THE POTENTIAL CONSEQUENCES OF OSAS AND HOW DOES THIS AFFECT YOUR DAILY R...

Page 4: ...essure Air flow is introduced into the airways to maintain a continuous pressure i e to keep them open WHY DO I NEED TO USE A CPAP MACHINE Breathing with apnoea breathing in generates negative pressure in the airways which can lead to frequent collapse of the soft tissue in the back of the throat When using a CPAP machine positive pressure is maintained in the airways and the throat is kept free a...

Page 5: ...g the machine the symptoms will return immediately i e o snoring o apnoea o tiredness In some milder cases sleep apnoea can be alleviated e g by losing weight WHEN WILL I START NOTICING THE EFFECT OF THE TREATMENT Most people feel the impact within a week If you need to catch up on a lot of sleep it may take a little longer before you feel the optimum effect Sometimes your body needs to adapt That...

Page 6: ...increase to the treatment pressure The machine will check that you are asleep and then automatically increase the pressure If you re not asleep the machine will increase the pressure automati cally 30 minutes after it has been activated The Ramp setting has been programmed into the CPAP machine You don t need to activate it Remember the Ramp time is not included in the usage hours WHERE DO I POSIT...

Page 7: ...inse in water o Replace the filter in the machine ready for use Never remove the SD card from the machine MASK WITH HEADBAND WHY A MASK Everyone has a differently shaped nose which means that different types of mask are required The nurse will identify the most suitable type of mask for you toge ther with you HOW DO I PUT ON MY MASK Tip mark the position of the bands when the mask is cor rectly ad...

Page 8: ...ear and tear HOW DO I MAINTAIN MY MASK AND HEADBAND Nose piece rinse in water every day and clean with soap and water once a week Headband rinse with soap and water once a week Use lukewarm water and neutral soap never use alcohol disinfec tant detergents etc Use your fingers to wash items never use a scouring pad Pat dry with a clean towel Leave to air dry never in the sun or on a radiator Tip cl...

Page 9: ...nt end pieces for the mask and CPAP machine HOW DO I MAINTAIN THE HEATED AIR HOSE Clean weekly Clean the air hose in warm water with a mild detergent e g neu tral hand soap Rinse the air hose well and leave it to dry away from direct sun light and or heat Once the air hose is dry you can reconnect it Tip clean the air hose in the morning to ensure that it will be dry by night time Tip check for sm...

Page 10: ...from one of the following o nasal congestion o nasal colds o a runny nose o dry sinuses and throat These problems often manifest themselves at the start of the treat ment but should disappear after a while 4 weeks HOW DO I CONNECT THE HUMIDIFIER The humidifier fits directly onto the CPAP machine To connect the humidifier you first need to remove the side cover on the right hand side of the CPAP ma...

Page 11: ...emperature and humidity level are automatically controlled HOW DO I REFILL THE HUMIDIFIER Remove the reservoir from the machine to refill it Never refill above the maximum indication WHAT DO I USE TO REFILL THE HUMIDIFIER Do not use mains water Use o demineralised water same as for an iron o a Britta filter replace the filter in good time o bottled water is an expensive option only use it in an em...

Page 12: ...e reservoir with clean water In the event of lime scale leave to soak for 30 minutes in a warm water and vinegar solution and then rinse thoroughly GENERAL QUESTIONS WHAT SHOULD I DO IF THE SKIN UNDERNEATH THE MASK BECOMES IRRITATED Make sure your mask isn t too tight Don t apply cosmetics creams lotions underneath the mask Wash and dry your face well before you go to bed WHAT IF I SUFFER FROM SKI...

Page 13: ...ometimes it is enough to open the bedroom door to create the right temperature Sleeping with the window open is therefore only advisable during the warm summer months WHAT SHOULD I DO IN THE EVENT OF AN ACUTE COLD OR BLOCKED NOSE Ask your doctor or pharmacist for a nasal spray for short term use In some cases it may not be possible to use the CPAP machine for a few days HOLIDAYS AND TRAVEL AIR TRA...

Page 14: ...stration of oxygen is NOT a replacement for your CPAP machine Connecting an additional oxygen supply to your mask is always possible with an adapter Tell the physician who is treating you that you have to use a CPAP machine before you are admitted to hospital I NEED AN OPERATION Always tell the surgeon and anaesthetist in advance that you have to use a CPAP machine Take the CPAP machine with you t...

Page 15: ...umidifier The hospital will cover any repairs or replacement in the event of de fects Never attempt to repair your machine or accessories yourself You can call us on 016 34 25 20 or visit the Centre for Sleep Dis orders in person on any working day between 09 00 and 16 00 if you have further questions or require support WHAT WILL I HAVE TO PAY FOR Your own contribution REM patient contribution wil...

Page 16: ...at if the machine is not used regularly or for long enough it will not be effective That is why health insurance funds have decided to no longer reim burse the treatment for people who use the equipment infrequently i e the convention arrangement will cease A single attempt to try again for 3 months will be allowed WHAT IF MY CONVENTION ARRANGEMENT IS STOPPED OR REFUSED In that case you will have ...

Page 17: ... Centre for Sleep Disorders If you fail to do so you will be charged 800 to cover the cost of the material You can if you wish to do so continue the treatment at your own initiative Any equipment and consultations will then be entirely at your own expense WHAT WILL HAPPEN IF MY CPAP MACHINE FAILS DUE TO INCORRECT USE POOR MAINTENANCE OR IT IS NOTED THAT PEOPLE ARE SMOKING IN ROOMS WHERE THE MACHIN...

Page 18: ...roblems PRACTICAL MATTERS The sleep laboratory will activate the modem you don t have to do anything Leave the CPAP permanently plugged in to the mains The hospital will pay any data transmission charges Any relevant data will be automatically transmitted one hour after you have switched off your CPAP machine PRIVACY Only doctors and nursing staff at the Centre for Sleep Disorders will be authoris...

Page 19: ...ning the use of the equipment and treatment related problems on working days from 09 00 to 12 00 and 13 00 to 17 00 hrs Tel 016 34 25 20 To make or change an appointment on working days from 09 00 to 12 00 and 13 00 to 17 00 hrs Tel 016 34 25 22 In the event of problems please call us on 016 34 25 20 ...

Page 20: ... by the Centre for Sleep Disorders in conjunction with the Communications Department This brochure is also available at www uzleuven be en brochure 701262 Comments or suggestions pertaining to this brochure can be submitted via communicatie uzleuven be Editor in chief UZ Leuven Herestraat 49 3000 Leuven tel 016 33 22 11 www uzleuven be mynexuzhealth Consult your medical record via www mynexuzhealt...

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