The preferred treatment for moderate to severe obstructive
sleep apnea is a device called a
continuous positive airway pressure (CPAP) machine.
The CPAP machine helps you breathe at night. A drawback to CPAP machines is
that they may use one level of air pressure for the entire night. Air pressure
that is set too high can cause air to leak around the mask and may also be
uncomfortable. This may cause you to use the machine less.
Similar machines adjust air pressure automatically or use different
air pressures when you are breathing in than when you are breathing out.
Bilevel positive airway pressure machines
Bilevel positive airway pressure machines (such as BiPAP) have two
air pressure levels, one for breathing in and one for breathing out. Air
pressure for breathing in is usually set higher than air pressure for breathing
out. You will have to spend the night at a sleep laboratory to find the air
pressure levels that work best for you.
You may find BiPAP more comfortable than CPAP because you can
breathe out against a lower air pressure. As a result, you may be more likely
to continue the treatment.
Auto-titrating continuous positive airway pressure (APAP)
An APAP machine can automatically decrease or increase the air
pressure as needed. This may make the machine more comfortable and easier to
use.
Both BiPAP and APAP machines are generally more expensive than CPAP
machines.