Positive Airway Pressure - Care and Maintenance

Care and Maintenance

As with all durable medical equipment, proper maintenance is essential for proper functioning, long unit life and patient comfort. The care and maintenance required for PAP machines varies with the type and conditions of use, and are typically spelled out in a detailed instruction manual specific to the make and model.

Most manufacturers recommend that the end user perform daily and weekly maintenance. Units must be checked regularly for wear and tear and kept clean. Poorly connected, worn or frayed electrical connections may present a shock or fire hazard; worn hoses and masks may reduce the effectiveness of the unit. Most units employ some type of filtration, and the filters must be cleaned or replaced on a regular schedule. Sometimes HEPA filters may be purchased or modified for asthma or other allergy clients. Hoses and masks accumulate exfoliated skin, particulate matter, and can even develop mold. Humidification units must be kept free of mold and algae. Because units use substantial electrical power, housings must be cleaned without immersion. For humidification units, cleaning of the water container is imperative for several reasons. First, the container may build up minerals from the local water supply which eventually may be become part of the air breathed. Second, the container may eventually show signs of "sluge" coming from dust and other particles which make their way through the air filter which must also be changed as it accumulates dirt. To help clean the unit, some patients have used a very small amount of hydrogen peroxide mixed with the water in the container. They would then let it stand for a few minutes before emptying and rinsing. If this procedure is used, it is imperative to rinse the unit with soap and water before reinstalling onto the machine and breathing. Anti-bacterial soap is not recommended by sellers. To reduce the risk of contamination, distilled water is a good alternative to tap water. If traveling in areas where the mineral content or purity of the water is unknown or suspect, an alternative is to use a water "purifier" such as Brita. In cold climates, humidified air may require insulated and/or heated air hoses. These may be bought ready-made, or modified from commonly available materials.

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