Our 3 Top-Rated CPAP Machines Reviewed for 2020

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Do you suffer from sleep apnea that results in pauses in breathing during the night? Has your doctor recommended a continuous positive air pressure machine (CPAP)?

Navigating the world of CPAP devices can be a little bit overwhelming with so many styles and features to choose from.

Our goal is to make your decision a little easier by helping you to find the highest-rated CPAP machine based on your lifestyle. Looking for something portable, lightweight, and affordable?

Keep reading for our 3 top-rated options, or skip ahead for the full scoop on CPAP therapy.

3 Top-Rated CPAP Machine Reviews

ResMed AirSense – Editor's Choice

HIGHLIGHTS:

  • Automatic adjusting
  • Delayed pressure increase
  • Built-in wireless communications
  • Integrated humidifier
  • Climate control
  • LCD color screen

The ResMed AirSense 10 is a premium automatic-adjusting CPAP machine that is designed to fit your specific needs. It starts with a lower pressure setting to help you fall asleep and increasing once sleep is detected. You can stay comfortable and connected with built-in wireless communications and an integrated humidifier with climate-control.

The quiet, easy-breathe motor is designed to isolate and minimize noise, for a peaceful sleep environment for you and your sleep partner. Navigating the color LCD screen shouldn’t be too difficult thanks to the user-friendly controls and forward-facing design. This device also features expiratory pressure relief, a customizable setting that helps to decrease pressure during exhalation on a breath-by-breath basis.

When it comes to a more satisfying sleep, the ResMed AirSense may help. The AutoSet feature continually monitors airflow, delivering the lowest air pressure possible to keep you comfortable and covered during apneic events.

Philips Respironics DreamStation – Great Design

HIGHLIGHTS:

  • Automatic functions
  • Small, lightweight design
  • Integrated Bluetooth
  • DreamMapper mobile app
  • Whisper Quiet technology
  • Ambient light sensor

The Philips Respironics DreamStation is an Auto CPAP machine that features a sleek, modular design based on the latest clinical technology coupled with feedback from users. This new and innovative device is also smaller and lighter than most other models, so it takes up less space in your bedroom and is compact enough for easy travel.

The integrated Bluetooth and DreamMapper mobile app offer advanced connectivity and provide daily progress feedback to help you reach your therapeutic goals. Whisper Quiet technology makes the DreamStation one of the quietest devices available, which is a huge plus for users and sleep partners. Automatic pressure adjusts levels to fit your changing needs, so you always receive the lowest pressure possible.

The ambient light sensor mimics the brightness of your room, so you should never have to worry about a bright screen interrupting sleep. The 2-year manufacturer's warranty offers a hassle-free experience so you can easily exchange your machine should any problems arise.

Transcend – Best Travel CPAP

HIGHLIGHTS:

  • Compact and lightweight
  • Automatic altitude adjustment
  • Multi Night battery
  • Back up power
  • Quiet and vibration free
  • Stores up to 13 months of data

The Transcend Auto Travel CPAP is a compact and lightweight machine.The P4 Overnight Battery and the P8 Multinight Battery Transcend battery system come equipped with a mobile power converter that can recharge the battery. This innovative technology offers a full night’s sleep anywhere and provides worry-free power back-up during storms or outages.

EZEX technology offers a quiet and vibration-free experience with a unique air-bearing blower. This unit is designed to automatically adjust for altitudes up to 8,000 feet, making it a great option for adventurous users.

Transcend is compatible with all masks and features automatic pressure adjustments. TranSync offers a convenient and free way to monitor your progress, storing up to 13 months of therapy data that you can easily share with physicians or other healthcare providers.

Functions of CPAP Apparatus

CPAP machines are designed to provide continuous airway pressure and support for treating obstructive sleep apnea (OSA). This condition happens when the airway is partially or completely blocked, leading to shallow breathing and episodes of temporary loss of breath. These episodes can occur up to 100 times a night and usually last between 20-40 seconds in length.

The temporary lapses in breathing may result in oxygen deprivation and microarousals from sleep. Over time, OSA can lead to some serious side effects and health conditions, so it is important to seek treatment if you or a loved one shows any signs or symptoms. Snoring, pauses in breathing during sleep, and waking up still feeling tired despite a full night’s rest are just some of the main symptoms.

CPAP devices work by delivering pressure-based airflow through a ventilation system, usually attached to a humidifier that creates a more comfortable experience for users. Machines may deliver airflow at a steady, continuous pressure (CPAP) or a variable rate dependent on the user’s breathing patterns (BiPAP).

woman wearing CPAP mask with elbow hoses

Parts Used To Operate This Apparatus

Connective Hose

The connective hose links the CPAP mask and the machine together. The standard size is 6 feet long, but tubing is available in 6, 8, and 10-foot lengths that may be lighter and more flexible than what usually comes with most devices. Most tubing is universal and will fit on any model.

Some hoses feature copper coils that are designed to heat the tubing and maintain a constant temperature. This also helps to prevent water from collecting inside the hose. It’s important to dry hoses out daily or mold and bacteria can develop and lead to health problems.

Airflow Generator

The generator is what makes the CPAP machine work and is usually housed in a small box with a motorized fan inside. The fan pulls in air from the room, pressurizes it, and then delivers it through a mask or nasal cannula. Generators require a power source and must be plugged into an electrical outlet, although some do have backup battery generators for outages or easy travel.

Most devices have a built-in feature that allows certain settings to be customized depending on each individual’s needs. Some even have automatic pressure adjustment that will deliver the lowest levels possible to keep you comfortable while still providing optimal therapy.

Filter

CPAP machines require a filter to eliminate allergens and impurities in the air like smoke and dust. Similar to air filters in your home or car, these are designed to improve the quality of the air being used in CPAP therapy and keep harmful contaminants out. Filters may be reusable, disposable, or designed for eliminating bacteria.

Disposable filters should be replaced every 4 weeks or when they start to show discoloration. Reusable filters are designed to be cleaned and reused for longer periods, extending up to six months before being replaced.

Humidifier

The humidification chamber is another key part of the device and is usually built into the box, although some models feature humidifiers that can be removed. The humidifier warms the pressurized air before delivering it through a small hose.

Air that is warm and moist helps to soothe the upper airway and nasal passages, preventing any swelling that may occur. Humidification is usually optional but can be especially helpful for those who live in dry climates. Using a humidifier can also alleviate discomfort for users who wake up with a dry mouth, nasal passages, or throat.

illustration of CPAP kit

Buying Guide: Factors to Consider

Price

CPAP machines range in price, but most models are between $200 and $800 depending on the features that are included. BiPAP machines are more expensive and may be over $1,000. Some models come with everything you need, and others require the purchase of a mask separately.

Warranty

Warranties are usually offered through the manufacturer and typically range from 2 to 5 years. The warranty covers any defects due to faulty materials or workmanship, and most companies will either repair or replace the broken parts.

Type of Sleep Apnea

CPAP therapy is usually most effective for obstructive sleep apnea, delivering continuous pressure to maintain an open airway. Central sleep apnea is when the brain fails to send the proper signals to the muscles that control breathing. BiPAP devices deliver positive air pressure that varies according to the user’s breathing.

Type of Mask

Masks are sold separately from the machine and come in various shapes and sizes to accommodate the user’s preference. The four main categories of masks include:

illustration of CPAP mask types

Nasal

Nasal masks are the ideal choice for nose breathers and those looking for a more comfortable experience. These masks are smaller than full face masks and are designed to fit snugly over just the nose, from the bridge to the upper lip. The concentrated airflow through the nasal passages allows for a greater amount of pressure for individuals who require higher settings.

Nasal masks can be a good middle-of-the-road option between full face masks and nasal pillows. They are also ideal for those who move around a lot in their sleep and prefer a more natural airflow.

Nasal Cradle

These masks sit underneath the nose, eliminating contact with the bridge of the nose. They deliver airflow through both nostrils, allowing for greater pressure. Nasal cradles are suitable for users who breathe through their nose and who prefer the freedom to move around in their sleep.

This design was one of the first types of CPAP masks and is still a popular option. Many models have chin straps that are used to keep the mouth and jaw closed during therapy.

Full Face

Unlike nasal masks, full face masks cover the entire mouth and nose, creating a seal over both airways. These masks are ideal for users who breathe through their mouth or require high-pressure settings. Many claustrophobic individuals prefer full face masks since they only touch the outside of the face.

These types of masks are more prone to leaks, which can irritate the eyes and face. They are also not the best choice for side or stomach sleepers since they can easily become displaced.

Dimensions of Machine

CPAP devices come in a range of shapes and sizes, some being lightweight and compact for travel. If bedroom space is limited, a smaller machine may be preferable. Even the largest machines can usually fit on a bedside table or dresser.

Pressure Range

The optimal pressure range is usually set by a physician depending on each individual’s needs but generally falls between 6 and 14 cmH20. Most of the available models on the market deliver a wide range of pressure with airflow ranging between 4 to 20cmH20.

Humidifier

The humidifier may be built-in or detachable, but both require water to function. Built-in humidifiers will need water to be poured into a chamber in the unit while removable humidifiers can be filled separately. The size of the chamber will also determine how long the machine can operate before requiring more water.

Ramp Time

Once the machine is turned on, it takes a while to reach the prescribed airflow pressure settings. This time, referred to as ramp time, is often between 30-60 minutes. Starting at a lower setting may make it easier to fall asleep for some users.

Hose Length

The connective tubing between the mask and the CPAP device will determine how much space an individual has to move around. Most standard hoses are 6 feet in length, but longer hoses are available and can be used with any machine.

Volume

The sound a CPAP makes is measured in a-weight decibels, or dbAs, which describe the relative volume of air-based noises. Most machines are around 30 dbAs, compared to snoring which is anywhere from 60-90 dbAs. The sound may take some time to get used to, but most people find it quickly becomes background noise.

Operating Altitude

Unless you plan on climbing Mount Everest or live high up on a mountain, altitude probably won’t be an issue. Most machines are designed to function at normal altitudes and may not work properly outside of this range. If you require a device that can withstand higher altitudes, check the settings and look for travel CPAPs that often have this added feature.

Living with CPAP animation

Power Source

Most machines are electric and can be easily plugged into an outlet. Models will usually function on a voltage range between 100 to 240V AC. If you plan on traveling with your unit, be sure to check voltage compatibility or look for a device that can function on batteries just in case.

Alerts

Most models feature built-in monitoring that will alert users if there is a problem such as a power failure, an air pressure leak, or if the seal is broken on the mask. Alerts may be audible similar to an alarm or may be seen on a built-in LCD screen.

Controls

Every machine will have controls that allow users to turn the machine on/off and adjust the various settings. Some also feature automatic controls that adjust the amount of pressure based on the user’s breathing and whether they are asleep or awake.

Sleep Data

Most machines now offer advanced features with data monitoring and recording that can be viewed on the machine and sent electronically to a computer or smart device. This allows users to track their progress and send this data to a healthcare provider as well.

Basic Instructions for Using a New Machine

Before using a new machine for the first time, read over the instructions or watch the instructional videos that many companies offer. It is important to familiarize yourself with all of the functions and features your device offers. While every model will be slightly different, here are some basic step-by-step instructions that should apply to most machines:

  1. Choose a level surface for the machine that is close to your bed and where there is little risk for falling.

  2. Plug the machine into an electrical outlet or insert the required battery.

  3. Ensure the humidifier chamber is filled with distilled water.

  4. Connect the appropriate tubing between the machine, humidifier, and mask.

  5. Adjust the mask to find a comfortable, secure fit without any leaks.

  6. Turn the machine on and adjust the settings.

  7. Monitor progress and data over time.

Benefits Of Use

Effective

Currently, there is no cure for sleep apnea, although this condition may be temporary for some. While some lifestyle measures like losing weight and changing sleeping position could help, CPAP therapy is considered the gold standard and the most effective treatment available for sleep apnea.

Like most other types of therapy, the effectiveness will be determined by each user’s compliance. Using CPAP therapy as prescribed every night is the best way to address this condition. Many people report feeling more energetic, refreshed, and alert when they continue with treatment.

illustration of a woman using earplugs for blocking husbands snoring

Range of Prices and Features

CPAP devices are available in a wide range of prices to suit every budget. Some may be covered through insurance as long as there is a demonstrated need and prescription. The price will largely depend on the type of features each model offers.

Basic units offer treatment at an affordable price, while higher-end models may feature advanced technology, automatic adjustment, and integrated data monitoring. Some brands will offer extra features that can be purchased at any time for greater customization and comfort. These may include heated tubing and reusable filters.

Easily Portable

While most machines weigh in under 5lbs, some are large and may not be as easy to travel with. Compact, lightweight devices are available for those who often travel for work or pleasure. Smaller units are also more convenient for taking up less space in the bedroom.

Some CPAP machines are specifically designed for traveling with and can easily fit into luggage or a carry-on. These travel units may not have the same features as standard models, but many have a battery system that can be used when power outlets are unavailable.

Additional Considerations For Sleep Apnea Sufferers

Adjustable Bed Frame

An adjustable bed is designed to allow sleepers to elevate the head of the bed and sometimes the feet too. Sleeping with the head at an incline may help to minimize snoring. Many adjustable beds come with a preset “anti-snore” setting that places the head at an optimal angle.

woman sleeping in adjustable bed

Sleep Position

Sleeping on the back has been found to be the worst position for those who suffer from sleep apnea. In this position, the esophagus constricts and the tongue falls back into the throat making apnea worse. Sleeping on the side allows the airways to remain open and clear, improving symptoms like snoring.

A Woman Flipping from Her Back to Her Side Over-and-Over Animated Illustration

Choosing the Right Pillow

Similar to sleeping position and using an adjustable bed frame, the right pillow can also help to minimize symptoms. The height of the pillow is referred to as the “pillow loft.” For back sleepers, having a thicker pillow loft may improve breathing by elevating the head and keeping the airway open.

Side sleepers will be most comfortable with a pillow that best supports the head and maintains a neutral spine. If a pillow is too low or too high, the neck will be hyper-extended which could impair breathing.

Frequently Asked Questions

Will I be able to stop using CPAP?

Some of the risk factors for obstructive sleep apnea are lifestyle-related and can be improved by making healthy changes. Losing weight, smoking cessation, reducing alcohol consumption, exercising, and changing sleep position may all help to reduce OSA.

While aging can minimize muscle tone and compromise airflow during sleep, exercise may help to slow or reverse this process. Talk to your doctor about what lifestyle changes you could be making. In some cases, adopting a healthier lifestyle may improve symptoms to the point that CPAP therapy is no longer necessary.

Will the machine help me lose weight?

CPAP isn’t a treatment intended to help people lose weight, but according to some new research, it may! Obesity is a risk factor for OSA because excess weight can constrict the airways and make symptoms worse. When sleep restriction is ongoing, it can lead to dysfunction with certain hormones that regulate appetite.

A study published in the European Respiratory Journal found that using CPAP therapy helps to regulate these hormones that influence hunger and satiety. While this is only one small piece of the puzzle, it could bring hope to individuals with OSA who are struggling to lose weight.

illustration of sleeper hiding CPAP mask under a pillow

How long will it take to get used to CPAP?

If you are new to CPAP therapy and are struggling to adjust, don’t give up! It can take time to get used to wearing a mask and the feeling of positive airway pressure. For some people, the noise of the machine is their biggest complaint. Every person is unique, and it will take each individual a different amount of time to get used to CPAP therapy.

For some people, the adjustment period will be only a couple of weeks, for others, it could be months. If you have been using CPAP therapy for some time and are still struggling to adjust, speak to your doctor about options that could make you more comfortable. Changing the pressure settings, switching to a new mask, or using BiPAP for higher pressure may all help.

Conclusion

If you’re in the market for a CPAP machine but have been drowning in a sea of medical jargon and endless reviews, you may be ready to throw in the towel. With so many products to choose from, it can be challenging to know which one is right for you. Finding the right machine could make a world of difference in keeping you comfortable and committed to therapy.

We’ve reviewed some of the best CPAP machines on the market to help make your decision a little easier. Remember, getting used to your device make take some time, but the difference in how you feel the next morning should be worth it!

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Sleep Advisor