CPAP and bilevel fall under the classification of Positive Airway Pressure therapy. PAP therapy can be classified as either CPAP (continuous positive airway pressure) or bilevel (bilevel positive airway pressure). Both of these therapeutic modalities involve pressurized air being blown into a patient’s upper airway, typically the nasopharynx (utilizing a nasal mask). The pressurized air acts as a splint to push the soft palate, uvula, tongue, and other tissues further apart from each other. This increases the overall space within the oral and nasopharynx thus, at therapeutic pressure, eliminating all forms of sleep disordered breathing as well as snoring.

Some patients tolerate PAP therapy fairly well on the initial trial. But many patients fail to use CPAP on a regular basis due to the complaints of utilizing the device. These complaints include: trouble cleaning and maintaining the unit, the amount of time needed to prepare the equipment prior to going to bed, trouble disassembling and reassembling the various parts to maintain proper sanitation levels, and the issues of having to deal with a mask while sleeping where they feel uncomfortable and or unappealing to the bed partner.

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