Choosing a CPAP Machine
CPAP therapy is one of the most common and effective treatments for obstructive sleep apnea. Knowing how to choose a CPAP machine and mask and talking with your doctor about minimizing side effects can significantly improve treatment outcomes.
Why Choosing the Right CPAP for You Matters
Choosing the right continuous positive airway pressure machine reduces symptoms and makes it more likely you will continue using the machine to treat sleep apnea. Sleep apnea is a potentially dangerous medical condition that causes a decrease in airway flow and may also cause an individual to stop and start breathing many times while sleeping. A CPAP machine uses positive pressure to deliver steady air flow and pressure to help users breathe. Some of the features of the CPAP machine include a fitted mask and head straps connected to a cylinder to deliver the positive pressurized flow.
Recent research indicates that mask-related side effects have a significant impact on a user’s ability to sleep comfortably and adhere to the treatment. Dealing with mask discomfort is a critical factor when it comes to improving a patient’s CPAP experience and willingness to stick with the therapy.
A mask that has the right fit, is comfortable to wear and has the right features can minimize unpleasant side effects, such as skin irritation and pressure sores. It also helps prevent leaks that can cause a stuffy nose and dry mouth.
It’s important that you talk to your doctor about choosing a CPAP machine and mask that will work for you. But while choosing the right machine and mask can minimize some side effects, other issues can occur resulting in more serious health concerns. For example, the health risks from foam in Philips CPAP masks led the manufacturer to recall its CPAP machines in 2021. This means people receiving treatment for sleep apnea need to look for Philips CPAP alternatives.
Types of CPAP Machines
A CPAP machine is the most common type of positive airway pressure device. Other types of PAP devices include automatic positive airway pressure and bi-level positive airway pressure machines. Many people incorrectly use the word “CPAP” to describe different kinds of PAP machines.
Most CPAP machines allow users to control humidity, ramp and pressure levels. These features can incrementally increase the rate of pressurized air, automatically adjust for minor pressure variations and release moisture to the airflow, limiting side effects.
- Standard CPAP Machines: Deliver a constant and fixed level of air pressure to the lungs through a nasal or face mask. This is the standard treatment for obstructive sleep apnea.
- Travel or Portable CPAP Machines: Perform the same basic function as regular CPAP machines. They’re also smaller and give users the option of powering the device using batteries when a plug-in electricity supply is not available.
All CPAP machines are Class II medical devices and require a prescription from a doctor. People seeking treatment should talk to a medical professional about their symptoms and get a diagnosis. A sleep study is normally prescribed by the provider. The results are then reviewed by a sleep disorder specialist and/or a neurologist or pulmonologist to determine which form of sleep apnea the patient has. After discussing the type of sleep apnea and options to determine the best type of therapy, users will receive a prescription for CPAP therapy equipment and settings. The settings are usually programmed into the CPAP machine by a sleep specialist or respiratory therapist, and a proper mask fit is performed.
Standard vs. Travel CPAP Machines
A travel-sized CPAP machine is smaller and lighter than standard CPAP devices, making it portable and easy to pack. Remember to check that it is Federal Aviation Administration-compliant if you plan to use one on an airplane.
Standard CPAP | Travel CPAP | |
---|---|---|
Portability | Best kept bedside, in one place | Easy to pack and transport |
Size | Bulkier and heavier | Smaller and lighter |
Cost | $500 to $1,000 | Typically more expensive than standard models with equivalent features |
Features |
|
|
Insurance | Covered by most insurance policies | Not covered by most insurance policies |
Power | Must plug into a power outlet | Uses either batteries or a power outlet |
When buying a travel-sized or standard CPAP machine, talk to your doctor about possible CPAP machine side effects. An ongoing U.S. Food and Drug Administration recall and several CPAP lawsuits are underway against manufacturers who may have knowingly sold machines that could malfunction and pose risks to users’ health.
Types of CPAP Masks
There are multiple types of CPAP masks, including full face, oral, nasal and nasal pillow masks. For CPAP treatment to work, users must wear a mask that feels comfortable and fits properly. Mask fit can make a big difference in someone’s overall CPAP experience and is critical to ensure treatment is effective.
- Full Face Masks: Also called oronasal masks, these cover the nose and mouth
- Nasal Masks: Cover the nose and leave the mouth unobstructed
- Nasal Pillow Masks: Seal the nostrils with “pillows” to deliver air pressure through the nostrils
- Oral or Hybrid Masks: Deliver air pressure through the mouth with pillows to create a seal around the base of the nostrils
People sleep differently and have different head shapes. Working with your doctor to get the right mask and fit may mean trying on several different types before finding one that works for you.
It’s important to remember that buying a new mask also requires a prescription from your doctor. Replacement parts such as frames, headgear and cushions do not.
Pros and Cons of Full Face Masks
Full face or oronasal masks are common. However, research suggests they may not be the best option for many users.
- Good for users who suffer from nasal obstruction or congestion
- Good for users who sleep on their backs
- Works well for users who breathe through their mouth
- Require higher CPAP therapeutic pressure
- Can lead to less restful sleep and higher wake times
- Can be harder to fit correctly
- Discomfort may cause users to discontinue treatment
- Greater risk of pressure sores
Doctors don’t recommend full face or oronasal masks as the first choice for all sleep apnea patients. They’re predominantly recommended for patients who are “mouth breathers” or sleep on their backs.
Pros and Cons of Hybrid and Oral Masks
Oral or hybrid masks generate air pressure through the mouth and have “pillows” that keep the nostrils sealed. They’re typically more comfortable than a full face mask because they cover a smaller part of the user’s face.
- Good choice for active sleepers who move around while sleeping
- Less bulky than full face masks
- Work well for users who breathe through their mouth
- Increased risk of pressure ulcers
- May require higher CPAP therapeutic pressure
Research shows that patients generally find oral and hybrid masks comfortable. As a result, these patients are more likely to continue treatment. Though an oral or hybrid mask covers a smaller surface area than a full face mask, side effects are more common than with the nasal mask options.
Pros and Cons of Nasal Masks
Nasal masks cover the area from the bridge of the nose to the upper lip. They’re the most popular CPAP mask option.
- Available in multiple options to accommodate different facial types
- Don’t obstruct the user’s mouth
- Good for people who breathe through their nose
- Work well for active sleepers who move around while sleeping
- Not a good choice for users who breathe through their mouth
- Not a good choice for users who suffer from nasal congestion or obstruction
- Not effective for users who require higher CPAP therapeutic pressure
Even though the nasal mask can exert pressure on the face, studies demonstrate that it causes less soreness and fewer side effects than other options. It’s also a more comfortable alternative for most users.
Pros and Cons of Nasal Pillow Masks
Nasal pillow masks create a seal around the user’s nostrils. The headgear includes minimally invasive inserts that fit into each nostril.
- Good for people with facial hair
- Good for people who breathe through their nose
- Good for people who toss and turn while sleeping
- Reduce the risks of sores and discomfort on the face
- Small size works well for claustrophobic users
- Not a good choice for users who breathe through their mouth
- Not a good choice for users who suffer from nasal congestion or obstruction
- Not effective for users who require a higher CPAP therapeutic pressure
- Should be replaced every 14 days, where a full face mask can be replaced monthly
Nasal pillow masks are a good mask choice for many people because they offer a concise fit. They are also a solution for people who suffer from claustrophobia.
Working with your doctor to find the right mask fit is a critical part of making sure your CPAP treatment for sleep apnea is effective. Spending the time to find and test the most comfortable and suitable mask options is key to treating this common condition with long-term health consequences. It can improve your health and help you get a better night’s rest.
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