You have tried CPAP, but it hasn't helped. The Inspire sleep apnea device is aFood and Drug Administration-approved surgical implant that's placed under the skin on your chest. You can try nonsurgical treatments, including lifestyle changes and. But it leaves a hole in your throat where the breathing tube sits. There are three main types of sleep apnea: Inspire is only for treating obstructive sleep apnea; it will not treat central sleep apnea. E. Gregory Thompson MD - Internal Medicine, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Request for confidential communications forms. Surgery can sometimes correct these deformities and improve sleep apnea. But not all people who snore have sleep apnea. Appointments are strongly recommended. You can go back to your usual activities. 3. Please call the phone number on your prescription label or 1-800-464-4000 (TTY 711), option 5, then option 1. Do not use the medicine longer than the label says. Traditional continuous positive airway pressure, or CPAP, machines can be loud, uncomfortable, and have a pesky mask and hose attached to the device. You may be asked to avoid food or drinks with caffeine during the afternoon and evening before your test. Kaiser Permanente health plans around the country: Kaiser Foundation Health Plan, Inc., in Northern and Southern California and Hawaii Kaiser Foundation Health Plan of Colorado Kaiser Foundation Health Plan of Georgia, Inc., Nine Piedmont Center, 3495 Piedmont Road NE, Atlanta, GA 30305, 404-364-7000 Kaiser Foundation Health Plan of the Mid-Atlantic States, Inc., in Maryland, Virginia, and Washington, D.C., 2101 E. Jefferson St., Rockville, MD 20852 Kaiser Foundation Health Plan of the Northwest, 500 NE Multnomah St., Suite 100, Portland, OR 97232 Kaiser Foundation Health Plan of Washington or Kaiser Foundation Health Plan of Washington Options, Inc.,1300 SW 27thSt., Renton, WA 98057, Selecting these linkswill take you away from KP.org. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. This combats sleep apnea by keeping your airways open. The CPAP machine will have one of the following: CPAP is usually the best treatment for obstructive sleep apnea. ", "CPAP is doing wonders for my sleep apnea. Do not drive when you are drowsy. Because sleep apnea disturbs your sleep, it can make you very tired during the day. You start at lowest level and go up every week. Here are some things you can try: Talk to your doctor if you're still having problems. Learn more at. Surgery is 2.5-3.5 hours-outpatient most have a quick recovery got to wait a month to turn the device on. If you have sleep apnea, you may wear a mask that is connected to a continuous positive airway pressure (CPAP) machine. It may help to go back and read "Get the Facts." Smoking can increase your risk for sleep apnea, because the nicotine in tobacco relaxes the muscles that keep the airways open. While you sleep, Inspire opens your airway, allowing you to breathe normally and sleep peacefully. Note: The "printer friendly" document will not contain all the information available in the online document some Information (e.g. Reddit and its partners use cookies and similar technologies to provide you with a better experience. Decision Points focus on key medical care decisions that are important to many health problems. If you're interested in Inspire, it's best to speak to your provider to discuss your options. For a list of covered benefits, please refer to your Evidence of Coverage or Summary Plan Description. Do you have enough support and advice from others to make a choice? Wear compression stockings if your doctor recommends them. You can use it to talk with your doctor or loved ones about your decision. Previously it was connected to two places in your body -- the hypoglossal nerve and your ribs. Sleep apnea increases as people get older. It senses pauses in breathing and adjusts air pressure. It really isn't that much of a bother for me to use. Sign In Go to https://www.healthwise.net/patientEd. Make it harder for people with diabetes to control blood sugar. Be ready to talk about your struggles using CPAP and any sleep-related topics including: Write down any questions you have for the doctor, The airway exam is a very routine and non-surgical exam, Youre given a short-acting medication to put you to sleep. Central sleep apnea is caused by a problem with how the brain signals the breathing muscles. You will probably be asleep during surgery. It's important to treat sleep apnea, because it makes you more likely to have high blood pressure, depression, irregular heart rhythms, heart failure, coronary artery disease, and stroke. You notice that your bed partner stops breathing, gasps, or chokes during sleep. Follow us on these external social media sites that will open in a new browser window. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Nota: Si necesita ayuda para un miembro de Kaiser Permanente que no es usted, seleccione el estado o rea donde reside esa persona. Be sure to make and go to all appointments, and call your doctor if you are having problems. Sorry, you're wrong. This most often occurs because your airways are blocked or partly blocked. Being able to feel the nerve being stimulated. This may happen 5 to 50 times an hour. Do you need treatment even if your sleep apnea doesn't bother you too much? It increases air pressure in your throat to keep your airway open. I can't say exactly how much you'll end up paying -- it depends heavily on your insurance plan and deductible. So if you have sleep apnea, you may: When you stop breathing because of obstructive sleep apnea, the oxygen levels in your blood go down and carbon dioxide levels go up. For recommended treatments, please consult with your health care provider. Your condition is easy to fix, such as very large tonsils. Details. A tracheostomy nearly always cures sleep apnea. Mark Klimek. Raise your risk of having high blood pressure in the lungs (pulmonary hypertension). The Inspire Sleep Apnea Innovation is an upper airway stimulation (UAS) treatment designed to open your airway during sleep. or Oral or nasal breathing devices may also help. Certain things increase your risk for obstructive sleep apnea. 2023 Kaiser Foundation Health Plan, Inc. We are unable to switch you to this area of care. Healthwise, Incorporated disclaims any warranty or liability for your use of this information. This may happen many times during a night. But watchful waiting may not be right if you notice that your sleep partner snores loudly and heavily, is restless during sleep, and is sleepy during the day. After your sleep problem has been identified, you may need a second study if your doctor orders treatment such as CPAP. If you get worse, you and your doctor will decide what to do next. You or your bed partner snores loudly and heavily and feels sleepy during the day. But it leaves a hole in your throat where the breathing tube sits. These include: You can also try oral breathing devices or nasal devices. They may also be used for people with severe sleep apnea who find that continuous positive airway pressure (CPAP) doesn't work for them. Inspire is a popular alternative to the CPAP machine. Most sleep apnea patients who meet eligibility requirements for Inspire have access to insurance coverage. It happens when the brain has trouble controlling breathing. Children who are overweight are encouraged to lose weight. Monday through Friday,7:30 a.m. to 7 p.m.Saturday and Sunday,8 a.m. to 4:30 p.m. Estamos trabajando para restaurar el sitio kp.org/espanol lo antes posible. Medicines to avoid include sleeping pills, opioids, and sedatives. You may still need CPAP after surgery. The Inspire systemis the latest in obstructive sleep apnea treatment. When you stop breathing or have reduced airflow into your lungs during sleep, you don't sleep well and you can be very tired during the day. Lifestyle changes may reduce your snoring. Gregory Thompson MD - Internal MedicineAdam Husney MD - Family MedicineKathleen Romito MD - Family MedicineHasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Medical Review:Anne C. Poinier MD - Internal Medicine & E. Gregory Thompson MD - Internal Medicine & Adam Husney MD - Family Medicine & Kathleen Romito MD - Family Medicine & Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine. How does Inspire work? Delivered on weekdays. This information does not replace the advice of a doctor. Think about what matters most to you in this decision, and show how you feel about the following statements. Successful procedures make breathing easier and decrease OSA-related symptoms. More serious risks associated with Inspire, which are also much more rare, include allergic reaction, nerve trauma or damage, or damage to blood vessels around the site of the implant. While you sleep, Inspire delivers mild stimulation to key airway muscles, allowing the airway to remain open. Not all treatments or services described are covered benefits for Kaiser Permanente members or offered as services by Kaiser Permanente. Either way, this information will help you understand what your choices are so that you can talk to your doctor about them. Apnea episodes and snoring may return over time. Kaiser Permanente is not responsible for the content or policies of external websites. Humana provides health insurance coverage to approximately 16.7 million individuals in the United States. A tracheostomy nearly always cures sleep apnea. or You are unable to use or get consistent benefit from CPAP. How sure do you feel right now about your decision? Bone deformities or enlarged tissues block your airways. You choose not to useor cannot useCPAP to treat your sleep apnea. You may be able to help treat sleep apnea by making some lifestyle changes. For more information, please see our If youve got questions around insurance coverage for Inspire, speak with an Inspire Advisor. around. I talked with my doctor, and we agreed that surgery might be a good option to treat my sleep apnea. This may be the only symptom in some children. Drinking alcohol or taking certain medicines, especially sleeping pills, opioids, or sedatives, before sleep may make symptoms worse. People who are overweight may have extra tissue around their neck, adding to their risk for sleep apnea. Sleep apnea tends to occur more often in women who have been through menopause than in women who have not. The oxygen levels in your blood may go down, and carbon dioxide levels go up. Other forms of surgery are not right for you. It may help to go back and read "Get the Facts." I am willing to have surgery to treat my sleep apnea if it can help. My nose is always dry, and my sleep is not improving. The nicotine in tobacco relaxes the muscles that keep the airways open. Navigation Menu - Opens a Simulated Dialog, Hasmeena Kathuria MD - Pulmonology, Critical Care Medicine, Sleep Medicine, Request for confidential communications forms. Since I travel a lot, CPAP isn't very convenient for me. Show which way you are leaning right now. The Inspire device is placed during a minor surgical procedure, but you can usually go home the same day. You can get many of these devices without a prescription. You're right. For most people, lifestyle changes and/or CPAP work to control sleep apnea symptoms. Problems with nighttime behaviors. Medicare is covering Inspire for those who qualify. Instead, you can remote control it. Your throat muscles and tongue relax during sleep and partially or completely block the airways in your nose, mouth, or throat. These will record things like brain activity, eye movement, oxygen levels, and snoring. ", "Since I have been using CPAP, my sleep apnea symptoms have disappeared. Enlarged tonsils or adenoids are a common cause of sleep apnea in children, so surgery to remove them is usually the first treatment. Health Tools help you make wise health decisions or take action to improve your health. Respiratory insufficiency. According to Inspire's website, it's covered by most insurance providers. A doctor trained on the Inspire procedure can discuss the qualifications with you during an office visit.