Inspire sleep
inspire sleep

Inspire sleep

Do you often feel tired and stressed? Are you having trouble sleeping through the night? If so, you’re not alone. Millions of people around the world struggle with sleep issues every day. The good news is that there are things you can do to improve your sleep habits and get the rest you need. In this blog post, we will discuss some tips from sleep experts on how to get a better night’s sleep.

How inspire sleep apnea treatment function?

treat obstructive sleep apnea

The muscles and delicate tissues in the back of the throat may relax while you sleep and obstruct your airway, which is frequently caused by loud snoring and airway blockages. Patients frequently wake up to breathe correctly because these airway blockages occur throughout sleep.

Constant stirring during sleep might cause daytime drowsiness, as well as brain and cardiovascular issues.

The Aurorae is a non-invasive, injectable therapy that reduces sleep apnea by providing mild stimulation to the nerve that controls the tongue, preventing muscles from drooping.

The Inspire system is built to sync with all of the natural breathing in the body to deliver mild stimulation.

The Inspire mechanism activates the hypoglossal nerve, causing the throat and other connected muscles to move and open the airway up again, allowing you to breathe (and sleep) in calmness. The device then monitors your breathing throughout the night and adjusts stimulation as needed to get the best results.

The Inspire machine, which is a CPAP device with remote control and Bluetooth connectivity, maybe the most advanced CPAP treatment available. The implant component consists of three components: two lead wires and a tiny generator that can’t be any smaller than a standard pacemaker.

continuous positive airway pressure

The supplementary implantation is performed under local anesthetic with a general anesthetic in a surgical outpatient procedure.

Normally, you may go home and resume mild daily activities, in addition to your everyday routine of the process, even though retrieval and performance of the device might require overnight tracking from time to time.

To turn on the gadget, hit the remote once before going to bed, and yet another press turns it off when you rise in the morning. When you realize that you’ve been sleeping with it on for a long time (which can happen easily because of its closeness), you may feel a little tingling or slight involuntary movement in your throat or tongue — which is an average side effect of using the gadget and shouldn’t be unpleasant.

Indications for inspire placement

The Inspire is a breath-flow solution over continuous positive air pressure (CPAP). The device works while you sleep. The hypoglossal nerve is activated by the device to tighten the tongue and upper airway muscles during sleep, improving airflow and decreasing sleep apnea. All you have to do now is press the Inspire remote to turn on the machine when you’re ready for bed.

drug induced sleep endoscopy

The Inspire modem is authorized for usage by individuals of all ages.

  • Obstructive sleep apnea with an AHI of more than 15 is defined as moderate to severe.
  • After a trial, non-compliance with CPAP therapy
  • Excluding those with severe obesity, a BMI of less than 32 is considered underweight.

Contraindications

drug induced sleep endoscopy

There are certain relative contraindications to the use of Inspire therapy. Contraindications are signals or circumstances that might make a treatment hazardous. If the blockage causing sleep apnea is located in the nose because to allergies or a deviated nasal septum, Inspire will be ineffective. In addition, some bone structures (such as a tiny or recessed lower jaw) may indicate that the therapy should not be used.

If your tonsils are enlarged, surgery on these issues may be more appropriate. Contraindications to this procedure include neuromuscular disorders that hinder swallowing or cause slurred speech.

If frequent magnetic resonance imaging (MRI) is required for other health issues, the gadget is not advisable. The procedure is also not suitable for kids.

Who qualifies for Inspire treatment?

sleep apnea treatment

CPAP treatment is the first step in addressing sleep apnea. The CPAP system expels air from the space, then promotes strain with the aid of the machine. The equipment next humidifies the air that is blown to either the nose or mouth of a person wearing a hose and a face mask. The Inspire treatment is a CPAP-free therapy for people who can’t tolerate or obtain adequate relief from the machine. Patients must first fail on CPAP before sleep specialists consider them for the Innova. When the person who certified them for CPAP is too old, sleep experts may demand another sleep study.

Following the first two or three months, once the sleep doctor fine-tunes the gadget, a final sleep evaluation will be conducted. Then the user may use Inspire throughout the night every night.

According to the new long-term research findings, the gains observed in the first year were sustained in the next mark.

severe sleep apnea
  • In the pre-bedtime hour, there was a 64% reduction in apnea/hypopnea index (AHI) after two weeks of therapy.
  • The percent of patients who exhibit an 80% drop in oxygen desaturation events.
  • Eighty percent of mattress partners reported no or mild snoring, compared to 17% of bed partners.
  • Endocannabinoid levels improved, as did measures of quality of life, such as daytime drowsiness and productivity.

Questions to ask your sleep surgeon

It’s critical to grasp the function of this therapy in your condition. The initial choice for treating obstructive sleep apnea is continuous positive airway pressure (CPAP). Correct mask fitting and optimal device settings are required for success.

Surgery is generally the best option, although it may be difficult to perform. In some situations, such as weight loss or bilevel therapy, an oral appliance, or positional treatment can be utilized. If you’ve exhausted your physician’s treatment choices and still have trouble sleeping, the Inspire hypoglossal nerve stimulator is a viable alternative. Consider some questions to ask your surgeon before scheduling surgery.

Inspire sleep pros and cons

severe sleep apnea

When deciding whether the Inspire technique is appropriate for you, remember that like any medicinal treatment, there are several benefits and drawbacks to consider before making a final decision.

Pros

  • The Inspire sleep apnea device is non-intrusive. You won’t have to change your diet or stop doing other activities when you wear the Inspire sleep apnea device. If your lifestyle includes a lot of lifting or other intensive training, however, you’ll need further evaluation to see if the implant is the best treatment option. It also takes up far less room in your cabinet or carry-on bag than a typical CPAP machine because it only comes with a handheld remote as “gear.”
  • Low cost of ownership. Physicians typically recommend checkups only once every six weeks, and the implanted generator’s battery life is expected to last around eight decades. There are no washing instructions or ties to be cut every night. Simply leave the remote in an accessible area where children and animals can’t get to it.
  • It’s simple to operate. The Inspire apparatus needs a minimal amount of effort each day to function. For example, press a button at night or in the morning to turn it on or off.
  • This allows you to operate the device from anywhere – at home or while on the road. Unfortunately, this has a significant impact on people with physical or mental impairments since it restricts their ability to operate in larger, more complicated equipment.
  • Demonstrated efficacy. A 78 percent decrease in apnea-related occurrences per hour during the night has been demonstrated in patients using the Inspire implant, as well as a 76 percent reduction in snoring reported by bed spouses.

For those who have received treatment and have benefited, their quality of life appears to be better than those who haven’t.

Cons

treat sleep apnea
  • Invasive. The Inspire sleep apnea treatment is an implant, similar to other sleep apnea treatments, meaning it will require an invasive surgical procedure. Some discomfort was associated with the operation, and like any invasive technique, there’s a tiny danger of infection. On the other hand, the process is only minimally invasive because it only involves three little incisions and a single night in the clinic.
  • Batteries are not rechargeable. While the generator’s battery life is remarkable, the batteries are not rechargeable, implying that if they get low, the generator will have to be replaced.
  • Restricted MRI function. Because of the higher risk of damaging both the device and the tissue surrounding it, earlier versions of this Inspire implant clashed with all magnetic fields of MRI scans. The most recent versions, on the other hand, include conditional MRI tagging that will allow patients to receive safe access to MRI scans.
  • The Inspire Sleep pricing is reasonable. Even though CPAP machines and comparable technologies may cost anywhere from $1500 to $3500, the Inspire Sleep apnea implant costs just $20000, not including the cost of this surgery.

Fortunately, today over 140 private insurance carriers cover implants, and Medicare has also offered a range based on therapeutic need.

Placement surgery to Inspire

inspire sleep therapy

The Inspire Neurostimulation System is placed during a same-day, outpatient procedure. The stimulation wire is inserted via the hypoglossal nerve and encompasses one of its distal branches. A second sensing wire is positioned along the rib cage to monitor breathing so that the tongue muscle and airway can be stimulated as breaths are taken. After this, the stimulator itself is implanted within the right upper chest wall and linked to the sensors. It takes around two hours to do everything in its entirety.

After the operation, patients are usually discharged if there have been no problems. The majority of patients do not require pain medications. Following surgery, doctors often advise patients to avoid strenuous activity for two to three weeks. A healthy diet without any special modifications might be eaten without issue.

Effectiveness

inspire sleep therapy

Inspire airway stimulation is a somewhat successful therapy for moderate to severe obstructive sleep apnea. It was found in studies that at 12 months, it lowers the AHI from 29.3 to 9.0 events per hour, on average, which represents a 68% reduction. It should be mentioned that while the residual AHI is still modest, it nonetheless qualifies as mild sleep apnea. The amount may increase as the therapy progresses and is optimized.

Treatment enhanced excessive daytime sleepiness, and scores on the Epworth sleepiness scale improved from 11 to 6, suggesting a reduction in daytime drowsiness. When the device is switched off, sleep apnea typically reoccurs.

Complications

obstructive sleep

The Inspire implant is simple to put in. Around 25% of patients experienced little discomfort. Tongue irritation or abrasion was mentioned by one-third of individuals. Both problems appear to go away quickly.

An infection or irritation (cellulitis) developed in about 1% of patients following the surgery. To correct the placement of the device, another 1% were required to have additional surgery.

Side effects and risks

obstructive sleep

When more time is spent on the procedure, it’s much easier to identify and correct mobility-limiting factors. Many people find the sensation of electricity passing through their tongues when their treatment is switched on during sleep to be unpleasant. However, in most situations, this isn’t a problem. Other possible side effects include:

  • Dry mouth
  • Nasal congestion
  • Sore throat
  • Hoarseness
  • Stomach discomfort or nausea
  • Body twitching
  • Skin irritation or inflammation
  • Muscle weakness

Follow-up and device use

sleep surgeon

Following surgery, patients return to their doctor for a post-op check within seven to 10 days. The technology is activated at one month. It’s a good idea to get an in-center sleep study done at two months to see how well the gadget works and whether any changes are required.

The Inspire stimulator may be operated on before going to sleep. The stimulation is generally delayed by 30 minutes. If you wake up at night, the device can be stopped. After eight hours, it is usually programmed to turn off automatically.

Conclusion

If you have moderate to severe obstructive sleep apnea and other treatments haven’t worked, Inspire airway stimulation may be an option for you. It’s a minimally invasive procedure with a low complication rate. The majority of patients who use it are satisfied with the results.

If you think this treatment might be right for you, talk to your doctor. They can help you weigh the pros and cons and decide if it’s the best option for you.

Frequently asked questions

Is inspire sleep apnea legit?

Yes, it is a legit treatment.

What are the side effects of Inspire sleep apnea?

The side effects can include dry mouth, nasal congestion, sore throat, hoarseness, stomach discomfort or nausea, body twitching, skin irritation or inflammation and muscle weakness.

Can I have surgery if I'm pregnant?

There haven’t been any studies done on pregnant women so it’s not recommended.

Is Inspire sleep apnea covered by insurance?

It depends on your insurance company and policy. Check with them to see if they cover awake airway stimulation therapy for obstructive sleep apnea.

How does Inspire work?

Inspire works by stimulating the tongue muscle and airway with electrical impulses. This helps keep the airway open and prevents apnea episodes.

Resources

  1. https://pubmed.ncbi.nlm.nih.gov/32957866/
  2. https://pubmed.ncbi.nlm.nih.gov/29678782/
  3. https://pubmed.ncbi.nlm.nih.gov/34210448/
  4. https://pubmed.ncbi.nlm.nih.gov/31584412/
  5. https://pubmed.ncbi.nlm.nih.gov/32645535/

Leave a Reply

Start typing and press Enter to search