Nocturnal Nasal-Airway Pressure for Sleep Apnea

Abstract

To the Editor: The paper by Rapoport et al. (Oct. 7 issue) ¹ prompts us to describe our experience with nasal continuous positive airway pressure for treatment of severe obstructive sleep apnea. Following the approach of Sullivan et al.,² we have applied this technique in treating four patients with severe obstructive sleep apnea (Table 1), using the same high volume of airflow delivered through the nasal mask that Rapoport et al. described. The only difference between our methods was the use of a water bottle instead of a special valve to provide 10 to 12 cm of back pressure. All . . .