For the 18 million people living with sleep apnea, under 50% regularly use their CPAP mask while sleeping at night. Common patient complaints are that the masks, which opens the upper airway with pressurized air through a tube, are uncomfortable, awkward, and claustrophobic. Rates of sleep apnea are rising in the US and many people go undiagnosed. The real number of people with the disorder may even be as high as 30 million. In response to growing numbers, CPAP manufacturers (Philips Respironics, a Pittsburgh unit of Philips Electronics NV, and ResMed Inc., of San Diego) are making changes to the masks that will hopefully make them more comfortable. Design changes include softer materials, air pumps that are smaller and quieter, built-in humidifiers that keep air moist, and full face masks for bearded individuals.
Other treatments for sleep apnea include dental appliances that create more air space by drawing the jaw forward and surgery, which is normally reserved for more extreme cases. According to a feature on the challenges of CPAP use in the Wall Street Journal, 60-70% of sleep apnea patients opt for treatment by CPAP mask, which costs between $500 and $4000 but is typically covered by insurance.
The National Sleep Foundation has the following recommendations for those who would like to improve their quality of sleep with a CPAP mask: