How CPAP machines help people with sleep apnea—including the president

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How CPAP machines help people with sleep apnea—including the president
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President Biden made news for using a CPAP machine. Here's how the little devices work.

aide for someone suffering from obstructive sleep apnea, and offers a relatively simple solution to blocked airways. As the name might imply, CPAP machines provide a continuous flow of air through tubing into a mask worn across the nose and often mouth. Wearing one often feels like leaning your head outside a car window while traveling at a moderate speed—a bit intense at first, but eventually easier to handle. For some, it is even enjoyable..

A CPAP machine’s air flow is generated by the base unit’s internal compressor, and usually passed through a small, replaceable fabric filter before traveling along the tubing connected to a face mask. Importantly, the CPAP machine doesn’t induce or maintain your breathing—users breathe as they normally would with the machine’s sustained pressure keeping their airways from otherwise collapsing.

Similar devices are often used for other related respiratory issues, including automatic positive airflow pressure and bi-level positive airflow pressure machines. APAPs, for example, monitors users’ breathing throughout the evening, and alternates pressure strength to adjust for medications and changes in sleep position. Meanwhile, BiPAPs rely on two separate pressure settings—high for inhalation, and low for exhalation.

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