PRESSURE INJURY OF THE FACE AFTER AN OVERNIGHT TITRATION STUDY

Document Type

Conference Proceeding

Publication Date

5-1-2024

Publication Title

Sleep

Abstract

Introduction: We present a case of facial pressure injury related to a CPAP mask occurring within 24 hours of an overnight titration study, an uncommon finding. Report of case(s): Patient is a 69-year-old man with prior history of OSA who presented to the Henry Ford Sleep Medicine Clinic for reevaluation. His past medical history included class III obesity, diabetes mellitus, hypertension, coronary artery calcification, dyslipidemia and 88 pack-year history of smoking, he quit in 2010. When he was first diagnosed with OSA, he was treated with PAP therapy for 4 years without any reported skin adverse effects. He stopped using PAP therapy for 5 years prior to presentation to our clinic. A home sleep apnea test showed severe OSA with sleep related hypoxia. He underwent a titration study with the use of F&P Evora full face. CPAP was transitioned to BiPAP during the titration due to persistent hypoxia. He felt as though the plastic edge of the mask had cut into his skin during the study. Within 24 hours he noticed facial puffiness, tenderness, redness and facial wounds with increasing purulent discharge. He was seen in the sleep clinic the following day and was prescribed sulfamethoxazole-trimethoprim for a 7-day course for unstageable pressure injury to the face, which soon resolved. Patient was seen by allergy and an allergic reaction to the mask was ruled out. Further work up of hypoxia showed restrictive lung disease on pulmonary function testing and sniff test showed right diaphragmatic weakness. Conclusion: Pressure injury to the face within 24 hours of using a mask is an uncommon complication of overnight titration studies. To our knowledge, this is the first reported case after using the F&P Evora full face mask which could have been the triggering factor for this type of injury. We suggest proper mask fitting during titration to minimize facial pressure injuries in the sleep lab.

Volume

47

First Page

A517

Find It @ Sladen

Share

COinS