Trouble Shooting with Noninvasive Ventilation

  • Vijay Kodadhala
  • Pradeep C. BolluEmail author


With increasing awareness of sleep-related breathing disorders, more people are getting treated for these. Though positive airway pressure (PAP) therapies are an excellent treatment option, some patients won’t be able to tolerate them. In this chapter, we aim to highlight the various important and common obstacles patients may encounter during PAP treatment. We also attempted to address each of these challenges that can help with increased compliance or improved efficacy or both. A better understanding of these challenges will help with improved tolerance and better outcomes.


Positive airway pressure Pressure intolerance Aerophagia Mask leak Claustrophobia Mouth leak Chin strap Nose liners Humidification 


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Copyright information

© Springer International Publishing AG, part of Springer Nature 2018

Authors and Affiliations

  1. 1.Fellow in Pulmonary MedicineHoward University HospitalWashington, DCUSA
  2. 2.Department of NeurologyUniversity of MissouriColumbiaUSA

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