Air Pressure Treatment

Continuous positive air pressure (CPAP) uses gentle air pressure to hold the airway open. CPAP is often the most effective treatment for sleep apnea and severe snoring. It works very well for many people. But keep in mind that it can take several adjustments before the setup is right for you.

A mask over the nose gently directs air into the throat to keep the airway open. How CPAP works a small portable pump beside the bed sends air through a hose, which is held over your nose by a mask. Air is gently pushed through your airway. The air pressure nudges sagging tissues aside. This widens the airway so you can breathe better. CPAP may be combined with other kinds of therapy for sleep apnea. Types of Air Pressure Treatments

There are different types of CPAP. Basic CPAP keeps the pressure constant all night long. A bi-level device gives more pressure when you breathe in and less when you breathe out. An auto CPAP device automatically adjusts pressure throughout the night in response to changes such as body position, sleep stage, and snoring. Your doctor or CPAP technician will help you decide which type is best for you.

Getting Used to CPAP

CPAP takes some getting used to. If there’s anything about CPAP you don’t like, chances are there’s a solution. Below are a few examples of common problems and possible solutions.

If this happens...	Try this.
Air pressure is uncomfortable	Try the device’s ramp feature, which starts at low pressure and slowly raises pressure to your prescribed level. Try a bi level or auto CPAP device.
Discomfort in your nose	Try a saline nasal spray. Ask your healthcare provider about trying an antihistamine, decongestant, or prescription nasal spray. Ask for a prescription warm-air humidifier for your device. Adjust the humidification if you already use it. Try a mask that sends air through the mouth instead of the nose. Keep in mind that even if you do nothing, nasal stuffiness may go away within a month.
Discomfort in your mouth	Try a chin strap to keep the mouth closed while you sleep. Try a mask that covers both nose and mouth. Connect a prescription warm-air humidifier to your device. Adjust the humidification.
Discomfort in your eyes, or CPAP works less well than before	Adjust your headgear to stop air leaks from around the mask. Replace your mask with one that fits better, is a different size, or fits inside your nostrils.
Mask is uncomfortable	Adjust fit and tightness of mask and headgear. Put cushions at pressure points. Try a mask of a different style or size. Ask your provider about nasal pillows. If the mask irritates your skin, try a mask of a different material.
Air pump is too loud	Use longer hose so the device can go on the floor or under the bed. Ask the device supplier for specific advice. Try a different CPAP device. Keep in mind that any device’s sound is quieter and easier to tune out than snoring.

Get the Adjustments You Need.

Any CPAP setup must be tailored to meet your needs and preferences. So expect several adjustments before the setup suits you. Don’t get discouraged—give it some time. Talk about your needs and wants with your healthcare provider or your CPAP technician.

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