7 Reasons Why I like CPAP

This is a continuation of my love/hate series on treatment options for obstructive sleep apnea.
For those of you with severe obstructive sleep apnea, it can be a potentially deadly disease. Your chances of heart attack, stroke, cancer, car accidents and sudden death are significantly higher compared to those of you with mild to no sleep apnea. Before the 1980s, there was no way of treating this condition unless you opted for a tracheotomy (placing a tube through a hole in your neck). 
Continuous positive airway pressure (CPAP) is now the most common recommendation for most people with obstructive sleep apnea. Without a doubt, CPAP has definitely saved millions of lives so far. However, there are many more millions who would love to be able to use CPAP but find that they just can’t use it no matter how much they try. 
Here are the 7 reasons why I like CPAP, and will recommend it as first-line therapy for most people with moderate to severe obstructive sleep apnea:
1. CPAP has the most evidence
Since being developed by Dr. Colin Sullivan 35 years ago, most of the research and data on the benefits of treatment has been using CPAP. It’s now commonly accepted that CPAP can significantly lower blood pressure, sugar levels, death rates, car accidents, and various other medical conditions.
2. It’s readily available
Because it’s been around so long, it’s the most widely available. Sleep physicians are most knowledgeable and comfortable prescribing CPAP. Our health care system is set up to prescribe CPAP once you’re diagnosed with sleep apnea through your local medical equipment company. Insurance companies approve CPAP with minimal hassles.
3. It can report helpful information
Most of the modern CPAP machines can report important information every night, including the total number of hours used, any significant leaks in the system, and the average apnea-hypopnea index (AHI). In essence, it’s like doing a basic sleep study every night. This data can be used to track progress and do any necessary troubleshooting.
4. Studies have shown that CPAP is consistently better than dental devices or surgery
This is true, but only if you’re able to use CPAP regularly. 
5. It’s possible to get immediate benefit without waiting months or years
In an ideal world, it’s possible to get your sleep test within 1-2 weeks and be set up with a CPAP machine within 2-3 weeks total. Dental devices can take longer, and surgery is usually recommended only after you’re not able to use or benefit from CPAP.
6. It’s now much more convenient
CPAP sizes are shrinking, much quieter, and much more user friendly. They also have portable battery packs and for the adventurous, portable solar panels for the battery. Airport security personnels are much more knowledgeable about these devices as well.
7. It saves lives, especially for severe OSA.
Despite all the positive features of CPAP, it’s only as good as the degree it’s used. Many others are able to use it religiously but don’t find that it helps them feel better at all. I will address more these issues in my future posts.
If you’ve had success in using CPAP, tell us your story below.

Please note: I reserve the right to delete comments that are offensive or off-topic.

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4 thoughts on “7 Reasons Why I like CPAP

  1. I love the way you give a balanced report on all the pros and cons of each treatment method. I am now in my second year of cpap treatment. Having failed with an oral device due to TMJ I did nothing about my SA until age 72 when the episodes turned really ugly and I thought I was dying. I went for 15 years without treatment after I threw my MAD in the trash. CPAP has taken some getting used to but has probably saved my life. A cardiologist evaluating my holter monitor test declared that I had a cardiac pattern consistent with sleep apnea. I was very reluctant to go for a third sleep study. My GP finally convinced me after my tachycardia got worse and my nightly panic episodes nearly had me in a state of despair. Now after much fine tuning and education, I have hit my sweet spot and sleep like a baby from 6-8 hours a night with few interruptions. My memory has improved and while I still get tired easily and need meds for heart issues my quality of life is much better. Even my thyroid medicine has been lowered twice.

  2. In reading these comments I can only think that we are ignoring some of the most important benefits of this treatment. Prior to the CPAP machine, I needed all sorts of pills and liquids to fall asleep. It’s difficult to assess the risk I was taking by doing this night after night, whereas the CPAP machine requires that I take no medicine of any kind to sleep. It’s not that I don’t wake up at night because there’s a jet of air buffetting my eyeball or there’s a major leak because I torqued the mask, but I sleep almost all night every night. I faithfully use my CPAP despite the leaks and discomfort and the noise because it’s so much better than being up in the middle of the night watching television knowing that I have to be at work the next day and then do the scary head bob when I take the long drive home at 5 p.m. I also don’t wake up with my wife in the other room because of my snoring. CPAP is perhaps the single most significant Improvement I have made in my life in the last 20 years. Because I have slept, I feel much more with it during the day and my memory has improved.

  3. I hate my cpap machine. It was my wife who insisted I get a sleep study. I never had problems sleeping or being tired during the day. I rarely took naps, the cpap machine interfers more with my sleep. After it wakes me up several times at night, I take it off and rarely get the pescribed 4 hours of use at night. Who monitors this? I feel I sleep much better after I take the mask off.