Obstructive Sleep Apnea

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For those with sleep apnea, there are a number of different options for CPAP machines and mask types.  You should want to find the quietest, most comfortable setup that works best for you.

Sleep apnea refers to a medical condition where a person stops breathing several times a night during sleep. A doctor can diagnose sleep apnea with a sleep study, a non-invasive test where your body is monitored during a night of sleep. The prescribed solution for sleep apnea is often for the patient to use a CPAP machine and mask to force a constant flow of oxygen while sleeping.

When you have sleep apnea, your airway becomes so relaxed at night that it can actually close off your airway, causing the flow of oxygen to stop. Your body becomes alerted to the lack of oxygen and you “wake” so that the flow begins again. That oxygen deprivation may be short lived but can happen over and over again throughout the night. A constant series of apnea events over time can have a negative impact to your blood oxygen levels. People who suffer from sleep apnea often feel very tired during the day and can suffer diminished ability to concentrate, among other negative health impacts.

Respironics REMstar Pro M Series CPAP

Respironics REMstar Pro M Series CPAP Machine

CPAP stands for Continuous Positive Airway Pressure.  It works by forcing a constant flow of air to the patient through the use of a mask.  The pressure keeps the airway from closing so that there is no opportunity for the sufferer to stop breathing.

A CPAP setup consists of three major components:

  • CPAP machine – produces and regulates airflow.  The machine uses a fan and blower assembly to produce airflow according to the prescribed pressure settings.  Pressure settings are determined by your doctor based on your obstructive apnea severity.  The machine is usually sound-proofed to some degree to quiet the noise of the fan so that it doesn’t intrude upon your ability to fall asleep.
  • CPAP hose – carries the produced airflow from the machine to the CPAP mask.
  • CPAP mask – delivers the airflow to the nasal passages.

Originally, CPAP machines were bulky and noisy and the masks were large and uncomfortable.  Significant improvements in design have produced machines and masks which are much quieter and even easily portable for those who travel.

Masks options have also improved with three types to choose from:

  • CPAP Full Face Mask – covers the nose and mouth.  Those who have problems keeping their mouth closed while they sleep may need a full face mask to help regulate the air pressure and avoid the pressurized air from escaping through the mouth while they sleep.
  • CPAP Nose Mask – covers just a person’s nose.  Much less bulky than the full face mask, a nose mask usually contains a sort of bubble that seals to the face and covers the nose completely.
  • CPAP Nasal Pillow Mask – uses nasal inserts to deliver air.  Rather than covering the nose completely, nasal pillows are small inserts that fit inside your nasal passages directly.  By far the least bulky of all mask options, however, finding the right size inserts is important to ensure no air leaks while you sleep.
Ultra Mirage Full Face Mask

Ultra Mirage Full Face Mask

Respironics ComfortFusion Nasal Interface Mask

Respironics ComfortFusion Nasal Interface Mask

Respacare Cpap bipap Nasal Pillow Mask

Respacare Cpap bipap Nasal Pillow Mask

Your doctor can help you identify your specific mask options.  If your current mask is uncomfortable, you should mention that to your doctor so you can explore alternatives and find the most comfortable arrangement.

It is also possible to find machines that have additional options such as a humidifier attachment to enrich the air with water so that your mouth, nose, and throat don’t become dry from the change in airflow.

Why You Shouldn’t Use a CPAP Machine without a Prescription:

Sure, getting a constant, quality flow of oxygen is healthy for anyone.  However, a CPAP machine needs to be set at a prescribed pressure setting determined by your specific airflow need – the exact pressure that will keep your airway passages from becoming blocked.  Only your doctor can tell you what that setting might be.

Once you know the setting and the type of CPAP mask options available to you, you may be able to choose your own particular brand.  Some are more comfortable or more quiet than others.  Some travel better than others.  Your medical need combined with your lifestyle need can help you choose the best machine and mask that will work for you.