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Three Sleep Apnea Treatment Trends We’re Watching, Part Two: APAP versus CPAP?

Three Sleep Apnea Treatment Trends We’re Watching,

Part Two: APAP versus CPAP?


apnea treatment trends

Trends exist in just about every field. Sleep therapy is no different. And the industry has changed dramatically since the birth of the CPAP in 1978. Gone are the days of heavy CPAP units that sounded and looked like small planes with plastic CPAP masks that felt and looked like helmets.

In 2015, things are far more sophisticated for CPAP (a.k.a PAP) use.

Today we will look at a second trend that is developing for 2015 and beyond.

The choice of APAP over CPAP for effective, proven OSA therapy..

This option is raising some interesting questions. Like:

  • Is Autoset out-pacing CPAP for OSA treatment options?
  • And will Autoset become the golden standard for OSA treatment?


What to do

Today we will shed light on answering  these two questions.

When considering APAP over CPAP, the Alaska Sleep Education Center offered this observation recently: They said:

“The problem with that (i,e, a fixed setting from a CPAP) is, normally only 25% of the night is spent in REM, so three-quarters of the night CPAP users may be getting a lot higher pressure than they really need.”

So, said slightly different, they mean to express that CPAP is partially meeting the needs of OSA patients.

That estimation leads to their next quoted observation:

“…an APAP machine is set at a range of pressures, 5-18cm H2O for example.  The machine monitors the breathing and uses specific algorithms, (which) will increase or decrease the pressure as needed throughout the night. Most patients find it more comfortable and are therefore more apt to use PAP therapy, not only to begin with, and  still remain faithful APAP users years down the road.”**

**the above quote was slightly edited to be understood correctly. The resource for this quote is here and references their poor choice of words in the article they wrote.

However, their point is clear. CPAP is potentially working well in achieving only 25% of REM sleep per night.


What the rest of the article does not say is whether 25%of REM sleep improves, decreases or stays the same with APAP therapy.

This suggests that either therapy is still effective, depending on the user’s deep sleep requirements, which is monitored differently from sleep physician to sleep physician.

So where does that leave you or anyone else when considering CPAP over APAP or APAP over CPAP?



It will come down to your close communication with your prescribing physician and trialing CPAP or APAP and examining the results of use before investing into either option.

Call 1.877.430.2727  to discuss your particular situation with us so you can understand what to do next in your quest for great sleep and proper OSA treatment.

If this was helpful, please comment!


Call 1.877.430.2727 for help.

Written and Edited by Bill Bistak B Sc.,SEO/SEM Spc, CRT

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2 thoughts on “Three Sleep Apnea Treatment Trends We’re Watching, Part Two: APAP versus CPAP?”

  1. I now understood regarding APAP over CPAP their differences after reading this. All I want to now is how to get my hands on a apap machine without a prescription.

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