Positive airway pressure treatment


Positive airway pressure (PAP) treatment uses a machine to pump air under pressure into the airway of the lungs. This helps keep the windpipe open during sleep. The forced air delivered by CPAP (continuous positive airway pressure) prevents episodes of airway collapse that block the breathing in people with obstructive sleep apnea and other breathing problems.



PAP can successfully treat most people with obstructive sleep apnea. It is safe and works well for people of all ages, including children. If you only have mild sleep apnea and do not feel very sleepy during the day, you may not need it.

After using PAP regularly, you may notice:

Your health care provider will prescribe the type of PAP machine that targets your problem:

BiPAP is useful for children and adults who have:

PAP or BiPAP may also be used by people who have:


When using a PAP setup:

You may start to use PAP while you are in a sleep center for the night.

If your symptoms don't improve after you're on PAP treatment, the settings on the machine may need to be changed. Your provider may teach you how to adjust the settings at home. Or, you may need to go to the sleep center to have it adjusted.


It can take time to get used to using the PAP setup. The first few nights are often the hardest and you may not sleep well.

If you are having problems, you may be tempted not to use the machine for the whole night. But, you will get used to it more quickly if you use the machine for the entire night.

When using the setup for the first time, you may have:

Many of these problems can be helped or prevented.

Your provider can lower the pressure on the machine and then increase it again at a slow pace. Some new machines can automatically adjust to the right pressure.

Review Date: 1/15/2018
Reviewed By: Allen J. Blaivas, DO, Division of Pulmonary, Critical Care, and Sleep Medicine, VA New Jersey Health Care System, Clinical Assistant Professor, Rutgers New Jersey Medical School, East Orange, NJ. Review provided by VeriMed Healthcare Network. Internal review and update on 04/15/2019 by David Zieve, MD, MHA, Medical Director, Brenda Conaway, Editorial Director, and the A.D.A.M. Editorial team.

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