CPAP F.A.Q.

Some CPAP questions...and answers!

Below are questions that we've commonly seen on message boards, from fellow CPAP users and from people new to treatment (maybe a loved one). 

Hopefully they're helpful, but if there is a Q/A that you think we should include that would help others, let us know via the form in About & Contact!

Machine Settings and Setup
Why is distilled water recommended for the CPAP humidifier?

Distilled water is recommended because it prevents mineral buildup inside the humidifier, which can damage the machine and may lead to potential bacterial growth over time. Using tap water can result in extra maintenance, in other words extra hassle.

Does one have to use the built-in humidifier with their CPAP?

No, the humidifier is optional, but it can significantly enhance comfort by preventing dryness in the nose, mouth, and throat, especially in dry environments.

What is the difference between the CPAP tube temperature and the humidifier setting?

The humidifier setting controls the moisture level, while the tube temperature controls the warmth of the air delivered for those users with a heated hose. The combination of both settings helps you maintain optimal comfort and prevent condensation in the tubing.

Why and how does one adjust the humidity level?

Why: Adjust the tube temperature based on the room's temperature and the presence of condensation (rainout). A higher temperature is helpful in cold rooms to avoid condensation, while a lower setting can be used in warmer environments for comfort.

How: CPAP machines have a control panel that allows you to adjust the humidity level manually. You can increase or decrease the settings based on your comfort and needs.

Is it better to use a heated tube with the CPAP?

Generally, a heated tube can improve comfort and reduce condensation, which often enhances adherence to
CPAP therapy.

Research has shown that using a heated tube is associated with improved CPAP
compliance.

When and why should one adjust the tube temperature?

Adjust the tube temperature based on the room's temperature and the presence of condensation
(also know as "rainout").

A higher temperature is helpful in cold rooms to avoid condensation, while a lower setting can
be used in warmer environments for comfort.

How does one adjust the heated tube temperature?

The heated tube temperature can be adjusted via your CPAP machine's control panel, similar to how you
adjust humidity. Increasing the temperature can prevent condensation, while lowering it can prevent
overheating of the air.

Insurance and CPAP Compliance
What is the insurance requirement for CPAP usage to meet compliance criteria?

Most insurers require patients to use their CPAP for at least 4 hours per night, on at least 70% of nights (typically 21 out of 30 consecutive nights within the first 3 months of receiving the CPAP machine). If you want to know the specifics of your plan, reach out to your insurance provider.

Can the compliance requirement vary by insurance policy?

Yes, compliance requirements can vary depending on the policy.

Variations can include:·  
- Timeframe: Some insurers may require compliance over 30 or 90 days.·  
- Usage duration: Certain policies may require more than 4 hours per night.·  
- Medical follow-up: Most insurers require follow-up visits with a sleep physician during the compliance period.·
- Special cases: Extensions or adjustments to CPAP therapy may be allowed if there are issues meeting compliance due to discomfort or technical problems.

How is CPAP compliance tracked?

Typically, CPAP machines track usage data, which is submitted electronically (via the web) to the insurance company to verify compliance.

What to do if you don’t meet your insurance’s CPAP compliance requirement?

Contact your sleep physician. Sometimes, you can appeal the decision or retry the compliance period with more support, like adjusting the CPAP settings or receiving troubleshooting tips to enhance comfort.

CPAP Usage
Do I have to use my CPAP every night?

Yes, to get the most benefit from it, CPAP should be used whenever sleeping, which includes every night and during naps. Consistency ensures better management of sleep apnea and reduces the risk of health complications. Quality sleep also has a cumulatively positive effect.

Should I use my CPAP when I take a nap?

Yes, it's important to use CPAP during naps as well, as untreated sleep apnea can occur anytime you sleep, including during naps.

Can I continue to use my CPAP machine if I'm diagnosed with COVID-19?

Yes, you should continue using your CPAP machine even if diagnosed with COVID-19. Sleep apnea therapy supports your overall health, and a full night’s sleep is vital during illness. Be sure to follow the advice of your healthcare provider.

If you have COVID-19, you may review the American Thoracic Society's tips on daily mask cleaning for additional guidance (link here). You can also refer to your CPAP user guide for specific instructions on cleaning your device and mask.

Do I have to use the CPAP forever?

For most people with obstructive sleep apnea, CPAP therapy is a long-term treatment. However, significant weight loss, surgery, change in sleeping position or other interventions may alter the need for CPAP in the future. Discuss any changes with your sleep physician.

CPAP Cleaning
How often do I have to clean the CPAP, and which parts?

Clean the mask, tubing, and humidifier chamber daily or weekly to prevent bacteria buildup. The air filter should be cleaned or replaced every 1-3 months. Regular cleaning ensures optimal performance and reduces the risk of respiratory infections.

How often do I have to replace CPAP components?

General Replacement Guidelines (though coverage may vary based on insurance policy):-  Mask cushion: Replace every 1-2 months - Mask frame/headgear: Replace every 6 months - Tubing: Replace every 3-6 months - Humidifier chamber: Replace every 6 months - Air filter: Replace every 1-3 months.  

See more information in our post on cleaning and replacing CPAP components here.

Can I travel with my CPAP?

Yes, CPAP machines are designed to be portable. Many models come with travel cases, and some are specifically designed for easy travel. Always check for international plug adapters or consider battery-operated models for convenience.

For more information on traveling with your CPAP, check out our post here.

Side Effects
I use a nasal mask and have been waking up with a very dry mouth—why is this happening?

Mouth breathing while using a nasal mask (also known as "oral venting") can cause dryness. Consider using a chin strap to help keep your mouth closed, mouth tape (along with the nasal CPAP mask), or switching to a full-face mask. 

I just started using a CPAP, and I feel very bloated and have a lot of gas—what is going on?

This is known as aerophagia, which occurs when air is swallowed during CPAP therapy. Consult with your physician who may suggest adjusting the pressure settings, using a machine with an auto-adjusting pressure feature, or further adjustments. Over-the-counter sImethicone can be used for symptomatic management.

CPAP F.A.Q.

Some CPAP questions...and answers!

Below are questions that we've commonly seen on message boards, from fellow CPAP users and from people new to treatment (maybe a loved one). 

Hopefully they're helpful, but if there is a Q/A that you think we should include that would help others, let us know via the form in About & Contact!

CPAP Settings and Setup
Why is distilled water recommended for the CPAP humidifier?

Distilled water is recommended because it prevents mineral buildup inside the humidifier, which can damage the machine and may lead to potential bacterial growth over time. Using tap water can result in extra maintenance - i.e. extra hassle.

Does one have to use the built-in humidifier with their CPAP?

No, the humidifier is optional, but it can significantly enhance comfort by preventing dryness in the nose, mouth, and throat, especially in dry environments.

How does one adjust the humidity level?

Most CPAP machines have a control panel that allows you to adjust the humidity level manually. You can increase or decrease the settings based on your comfort and needs.

When and why should one adjust the humidity level on the CPAP?

Adjust the tube temperature based on the room's temperature and the presence of condensation (rainout). A higher temperature is helpful in cold rooms to avoid condensation, while a lower setting can be used in warmer environments for comfort.

What is the difference between the CPAP tube temperature and the humidifier setting?

The humidifier setting controls the moisture level, while the tube temperature controls the warmth of the air delivered. The combination of both settings helps you maintain optimal comfort and prevent condensation in the tubing.

Insurance and CPAP Compliance
What is the insurance requirement for CPAP usage to meet compliance criteria?

Most insurers require patients to use their CPAP for at least 4 hours per night, on at least 70% of nights (typically 21 out of 30 consecutive nights within the first 3 months of receiving the CPAP machine). If you want to know the specifics of your plan, reach out to your insurance provider.

Can the compliance requirement vary by insurance policy?

Yes, compliance requirements can vary depending on the policy.

Variations can include:·  
- Timeframe: Some insurers may require compliance over 30 or 90 days.·  
- Usage duration: Certain policies may require more than 4 hours per night.·  
- Medical follow-up: Most insurers require follow-up visits with a sleep physician during the compliance period.·
- Special cases: Extensions or adjustments to CPAP therapy may be allowed if there are issues meeting compliance due to discomfort or technical problems.

How is CPAP compliance tracked?

Typically, CPAP machines track usage data, which is submitted electronically (via the web) to the insurance company to verify compliance.

What to do if you don’t meet your insurance’s CPAP compliance requirement?

Contact your sleep physician. Sometimes, you can appeal the decision or retry the compliance period with more support, like adjusting the CPAP settings or receiving troubleshooting tips to enhance comfort.

CPAP Usage
Do I have to use my CPAP every night?

Yes, for optimal effectiveness, CPAP should be used whenever sleeping, which includes every night and during naps. Consistency ensures better management of sleep apnea and reduces the risk of health complications. Quality sleep also has a cumulatively positive effect.

Should I use my CPAP when I take a nap?

Yes, it's important to use CPAP during naps as well, as untreated sleep apnea can occur anytime you sleep, including during naps.

Can I travel with my CPAP?

Yes, CPAP machines are designed to be portable. Many models come with travel cases, and some are specifically designed for easy travel. Always check for international plug adapters or consider battery-operated models for convenience.

For more information on traveling with your CPAP, check out our post here.

Do I have to use the CPAP forever?

For most people with obstructive sleep apnea, CPAP therapy is a long-term treatment. However, significant weight loss, surgery, or other interventions may alter the need for CPAP in the future. Discuss any changes with your sleep physician.

CPAP Cleaning
How often do I have to clean the CPAP, and which parts?

Clean the mask, tubing, and humidifier chamber daily or weekly to prevent bacteria buildup. The air filter should be cleaned or replaced every 1-3 months. Regular cleaning ensures optimal performance and reduces the risk of respiratory infections.

How often do I have to replace CPAP components?

General Replacement Guidelines (though coverage may vary based on insurance policy):-  Mask cushion: Replace every 1-2 months - Mask frame/headgear: Replace every 6 months - Tubing: Replace every 3-6 months - Humidifier chamber: Replace every 6 months - Air filter: Replace every 1-3 months

Side Effects
I use a nasal mask and have been waking up with a very dry mouth—why is this happening?

Mouth breathing while using a nasal mask can cause dryness. Consider using a chin strap to help keep your mouth closed, mouth tape (along with the nasal CPAP mask), or switching to a full-face mask. 

I just started using a CPAP, and I feel very bloated and have a lot of gas—what is going on?

This is known as aerophagia, which occurs when air is swallowed during CPAP therapy. Consult with your physician who may suggest adjusting the pressure settings, using a machine with an auto-adjusting pressure feature, or further adjustments. Over-the-counter sImethicone can be used for symptomatic management.

SleepResource.net - 2024