CPAP, or continuous positive air pressure, is a common treatment for sleep apnea. However, prolonged use of a CPAP machine can lead to skin pressure sores, or pressure ulcers, from the mask and tubing. If not treated, these can become infected, inflamed, and very painful. So, it’s important for those using a CPAP machine to take precautions to minimize the risk of developing skin pressure sores. Dr. Kelley Mingus in Bend, Oregon offers some tips for preventing CPAP pressure sores.
What Are CPAP Pressure Sores?
CPAP pressure sores are caused by continuous pressure on the skin surface from the CPAP mask and tubing. This pressure can cause a breakdown of the skin and the underlying tissue. The common areas of the body affected include the bridge of the nose, the cheeks, the forehead, the chin, and the back of the neck. The risk of developing pressure sores is greater in people with delicate skin or compromised circulation, such as those with diabetes or peripheral artery disease.
How to Prevent CPAP Pressure Sores
Set the Right Pressure Level
The most obvious way to protect your skin from CPAP pressure sores is to make sure the CPAP machine is set to the right pressure level. If the pressure is too high, you will experience excessive discomfort and may develop pressure sores. On the other hand, if the pressure is too low, you may not receive the full benefit of the treatment. To ensure your CPAP machine is set at the right level, your doctor may need to adjust the settings or prescribe a different type of CPAP machine.
Use a Cushioned Mask
One of the most effective ways to prevent CPAP pressure sores is to use a cushioned mask as part of the CPAP machine. These masks are designed to equalize the pressure on the skin and minimize the risk of skin breakdown. There are many different types of cushioned masks available, so ask your doctor which one is best for your needs. It’s also important to regularly clean your mask and tubing to prevent bacteria and fungi from building up and causing an infection.
Look for Signs of CPAP Pressure Sores
Even with the right pressure level and a cushioned mask, it’s still important to monitor your skin for any signs of skin breakdown. If you develop redness, swelling, or bruising at the site of your mask, these are likely warning signs of CPAP pressure sores. If you notice these signs, it’s important to adjust the pressure level, switch to a different mask, or take a break from the CPAP machine to allow the skin to heal.
Other Tips for Preventing CPAP Pressure Sores
Sleep Position
Your sleep position can also affect the risk of developing CPAP pressure sores. Sleeping on your back or side is best, as this helps distribute the pressure more evenly. Avoid sleeping on your stomach, as this can put added pressure on the head, face, and neck.
Moisturize
Keeping the skin moisturized can help prevent CPAP pressure sores. Use a moisturizer with a thick, emollient base to keep the skin soft and supple. It’s also important to drink plenty of water to keep the body hydrated, which can help keep the skin healthy.
Take Breaks
If you find that you are experiencing discomfort from the CPAP machine, it’s important to take a break. Even short breaks can help relieve the pressure and allow the skin to recover. It’s also a good idea to make sure you are getting enough rest at night, as not getting enough sleep can lead to increased sensitivity to pressure.
Conclusion
CPAP machines are a common treatment for sleep apnea, but prolonged use can lead to the development of skin pressure sores. To minimize the risk of developing pressure sores, it’s important to set the CPAP machine to the right pressure level, use a cushioned mask, monitor the skin for signs of skin breakdown, sleep in the proper position, moisturize the skin, and take breaks as needed. Dr. Kelley Mingus in Bend, Oregon has experience treating patients with sleep apnea and can offer additional tips for preventing CPAP pressure sores.
