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It seems as though Control III has gained considerable popularity as a (cleaning/disinfecting/sterilizing - you pick what you think it does) agent. And certainly, in the privacy of their own home, end users can do (or not) whatever they please.
The professional world, however, is a different matter. CDC says
Between uses on different patients, clean reusable components of the breathing system or patient circuit (e.g., tracheal tube or face mask) inspiratory and expiratory breathing tubing, y-piece, reservoir bag, humidifier, and tubing, and then sterilize or subject them to high-level liquid chemical disinfection or pasteurization in accordance with the device manufacturers' instructions.
Respiratory equipment (including face masks) is classified as semi-critical equipent.
Controll III, however, is a quaternary cleaner, which makes it a low-level disinfectant, basically suitable to clean floors, furniture, and walls:
http://www.cdc.gov/hicpac/Disinfection_Sterilization/2_approach.html
http://www.cdc.gov/hicpac/Disinfection_Sterilization/table_1.html
Tags:
Ty Mollete, I will print and pass this on.
Control III's label reads as follows: "USED FOR: Disinfection of walls, equipment, heat sensitive instruments and tubing in operating rooms, recovery rooms and intensive care rooms."
As such, the product appears to be well suited for disinfection by a CPAP user either on a regular schedule or for occasional use, e.g., after illness.
The above noted, I have been surprised that some don't bother cleaning their equipment daily and seem to do just fine, thank you very much. I'm not one of them (I clean daily), but I don't gainsay their experience.
Me? I bought Control III for both regular and occasional use.
Mike said:
Thought provoking and important post. As a practical matter and translated for the lay person I think what this is saying is that I can catch TB or some other disease by sharing my cpap mask with others, even if it has been "disinfected" in the sleep lab or by a service such as cpap library.
Mike, I know someone who is having financial problems. I'd like to buy him a CPAP and I know he wouldn't mind if it were used.
Could you "friend" me? Maybe we could strike a deal that works for you, works for my friend -- and works for my pocketbook. Thank you!
Mike C (STILL at the Beach!) said:
That was my take. I only bought the BEST of every single thing I could find in the beginning as to allow myself the best chance of success with my APAP. Little did I know I would be removed from this treatment by no less than 5 doctors & surgeons. Even more impossible for me to foresee, was NONE of them giving me any "plan B".
Hopefully I can find a new home for all my gear on Craigslist....Worst case scenario (for me anyway) is I live next to USMC Base Camp Pendleton & I can always donate it to a Military Family in need. THAT would make me feel like at least I was finding a silver lining in some way.
it mentions the potential hydrogen but omits the value
what is the range or number
If you're the only one using the equipment you are fine. Im looking more into it now.
Mike C (STILL at the Beach!) said:
Now can anyone tell me if my using Control III prevents all this? I used it every single DAY even though so many here said it wasn't needed. Just curious even though I found out later my problems had nothing to do with any infections. It was a nightmare finding out I had been treated for infections when in fact I never had any. Eustachian tube nightmares ended up to be my problem but I bought EVERYTHING chasing the cause of my troubles. Being overly hygienic....I couldn't figure out WHY I kept losing my hearing. Drive me nuts (short trip!)....
Mike C (STILL at the Beach!) said:
Now can anyone tell me if my using Control III prevents all this? I used it every single DAY even though so many here said it wasn't needed. Just curious even though I found out later my problems had nothing to do with any infections. It was a nightmare finding out I had been treated for infections when in fact I never had any. Eustachian tube nightmares ended up to be my problem but I bought EVERYTHING chasing the cause of my troubles. Being overly hygienic....I couldn't figure out WHY I kept losing my hearing. Drive me nuts (short trip!)....
Did you get a tympanogram?
Cause once you put the CPAP on:
The Effect of Continuous Positive Airway Pressure on Middle Ear Pressure
Abstract:
Objectives/Hypothesis:
While continuous positive airway pressure (CPAP) is commonly used for obstructive sleep apnea treatment, its effect on middle ear pressure is unknown. The purpose of this study was to measure the effect of CPAP on middle ear pressure and describe the correlation between CPAP levels and middle ear pressures.
Study Design:
Retrospective review of normal tympanometry values and a prospective cohort evaluation of subjects' tympanometric values while using CPAP at distinct pressure levels.
Methods:
A total of 3,066 tympanograms were evaluated to determine the normal range of middle ear pressures. Ten subjects with no known history of eustachian tube dysfunction or obstructive sleep apnea had standard tympanometry measurements while wearing a CPAP device. Measurements were taken at baseline and with CPAP air pressures of 0, 5, 10, and 15 cm H2O.
Results:
The percentage of normal control patients with middle ear pressures above 40 daPa was 0.03%. In the study population, prior to a swallowing maneuver to open the eustachian tube, average middle ear pressures were 21.67 daPa, 22.63 daPa, 20.42, daPa, and 21.58 daPa with CPAP pressures of 0, 5, 10, and 15 cm H20, respectively. After swallowing, average middle ear air pressures were 18.83 daPa, 46.75 daPa, 82.17 daPa, and 129.17 daPa with CPAP pressures of 0, 5, 10, and 15 cm H20, respectively. The postswallow Pearson correlation coefficient correlating CPAP and middle ear pressures was 0.783 (P < 0.001).
Conclusions:
Middle ear air pressure is directly proportional to CPAP air pressure in subjects with normal eustachian tube function. Middle ear pressure reaches supraphysiologic levels at even minimal CPAP levels. Although further investigation is necessary, there may be otologic implications for patients who are chronically CPAP dependent. These findings may also influence the perioperative practice of otologic and skull base surgeons.
http://onlinelibrary.wiley.com/doi/10.1002/lary.22442/abstract;jses...
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