How does CPAP work?

CPAP (Continuous Positive Airway Pressure) is a simple machine that keeps the airway open by maintaining continuous air pressure. It prevents the airway from closing by blowing air through the nose and into the upper airways. The pressure is applied continuously throughout the night allowing for a more restful night's sleep.

How long will it take for CPAP to work?

CPAP begins working immediately. Some patients may notice improvement in their daytime activities such as sleepiness right away. Others may find that it takes a while to get used to CPAP and to gain the maximum benefit from it.

How long do I need to use CPAP?

Remember CPAP simply controls the symptoms of sleep apnea by keeping the airway open, it does not cure sleep apnea. If you decide to stop using CPAP, your airway will close and you will experience apnea. Unless your circumstances change, CPAP will need to be used the rest of your life.

Should CPAP be used all night and when taking a nap?

Yes. CPAP is designed to help you in controlling your sleep apnea. It should be used whenever you sleep. If CPAP is not being used, then it is not effective. A few nights without CPAP is not likely to cause a problem, however, you should always remember that all symptoms will return if CPAP is not used.

Is my CPAP equipment able to travel with me?

Yes it is. Always use the CPAP on a daily basis. If you are traveling on an airplane, the Department of Transportation has noted that the limit of one carry-on bag does not apply to medical supplies and/or devices. It is not advised to check it as luggage due to the fact that it may be damaged or lost.

If I need to be hospitalized for any reason, should I take my device with me and use it at night?

Yes. Also, if you are having surgery, it is important to tell the surgeon and the anesthetist that you are using CPAP at home. You should also inform the doctor treating you for sleep apnea that you are going into the hospital.

My hose fills up with water at night.

Condensation builds up because the air in the room may be cooler than the air coming from the machine. To prevent this condensation from forming, try placing the tubing under the covers to warm it. You may also ask your homecare provider for a hose cover made of fleece.

Do I have to take off the mask and headgear if I need to get up at night?

No, just disconnect the hose from the CPAP while leaving the mask on. When you return to bed, simply reconnect.

Why and how often should I replace my mask cushion?

You should replace your mask cushion periodically because as it becomes worn, it becomes less effective. The life of a mask cushion depends on use, the oils from your skin, and cleaning. It is always a good idea to inspect your mask routinely; poor care may adversely affect the fit of the cushion and thus performance. To get the longest life from your mask, be sure to wash your face each night before putting on your mask, and wash your mask after each use. Use only original washing up liquid , nothing with perfumes, moisturizers, antibacterial agents, bleaches, etc, and always dry your mask and cushion out of direct sunlight. Poor performance is often the first clue that your cushion may need replacement. Check for small tears or pinholes, anything that might cause a leak. Cats have been known to damage cushions by playing with them and so have children, so you may want to keep your mask out of reach.

What is the best way to adjust the headgear for a proper fit?

Facial muscles change when we lie down and further relax once we are asleep, so it is always best to fit the mask while you are in your sleeping position. If you sleep in a bed with no pillows, fit your mask like that. If you sleep in a recliner, fit your mask that way.

If the mask is strapped on so tight (to get a seal) that it is painful, does this indicate the wrong size mask?

It probably means you have an incorrectly fit mask. When using a mask, it is important not to over-tighten the mask system. If you can only get a good seal by tightening the headgear, you probably have the wrong size cushion or an incorrectly adjusted forehead support.

Who benefits from wearing a full face mask?

Some people just prefer a full face mask, but those who get a therapeutic advantage are those who mouth breathe or experience mouth leaks. Mouth breathing and mouth leak can lead to less effective therapy.

If I have a nasal mask for my CPAP, can I use a full face mask when I have a cold or nasal congestion/stuffiness?

Yes, however the thing to remember is that every mask has slightly different flow characteristics, so if you're using an Auto device, you'll need to change the mask setting on the user menu when you switch masks.

What if the electricity goes off? Will I still be able to breathe using the full face mask?

Yes, full face masks have a special anti-asphyxia valve that opens if your PAP device loses power. This feature allows you to breathe room air in the event of a power failure.

What does a leaking mask indicate?

This may indicate one of several things: 1. incorrect adjustment 2. incorrect assembly 3. incorrect size

My skin seems irritated, even bruised, or I have marks on my face.

Your mask may be too tight. If your mask has a forehead arm or adjustment feature try readjusting that first. Then, if necessary, readjust the headgear straps.You may have the wrong mask size. Consult your homecare provider for a mask fitting. Nasal pillows or a full face mask may provide a better fit.

Nasal Discomfort:

Nasal stuffiness is a common complaint of patients with CPAP. It may initially occur when you are first introduced to the CPAP and are getting used to the airflow of the CPAP machine. The stuffiness will disappear soon. Often times nasal discomfort is helped by applying a few drops of nasal saline solution in each nostril before bed. Another source of relief for nasal problems is a specially designed humidifier. Many CPAP machines are equipped with both cool and warm air humidifiers that add moisture. A health care professional must prescribe these. A steam vaporizer will also reduce nasal discomfort. You can also try increasing the humidity in the room.

Cold Nose:

Increase temperature of the room air. You may also place a blanket or towel over the tubing to warm the air.

CPAP Machine makes too much noise:

• All CPAP machines will make some noise.
• Do not cover your CPAP machine. This will cause it to malfunction.
• Utilize a longer hose (8-10 ft.)
• Place machine further away or under the bed.
• Never put the CPAP machine above your head while sleeping.

Redness of the face:

• Turn on CPAP before applying mask.
• Mask may be pressed too tightly to your face.
• Make sure mask is fitted properly.
• You can use a skin barrier product (ask your physician).

Feeling Claustrophobic:

Practice with your CPAP machine. Try using it during the day (while watching T.V. or reading). Also try wearing it for only a few minutes and gradually increase your time breathing on it. You may try relaxation exercises but please remember to be patient and DON'T give up.

Allergies:

Irritants drawn in with room air through the machine could cause allergies. Place the CPAP machine where dust and animal hair will stay out. You can consult a respiratory therapist. A fine particulate filter can be added to some units. Also adding a humidifier can help but as always, consult your physician.

What to do if your CPAP maching fails to run:

• Make sure CPAP is plugged into an electrical outlet.
• Make sure the electrical outlet has power.
• Make sure the ON/OFF switch is ON.
• Make sure INLET AIR FILTER is clean and unblocked. Replace as needed.
• Make sure COOLING FAN is unblocked and a free flow of air is available.
• Make sure tubing is not twisted and is securely connected.