How does a CPAP Device work
How Does a CPAP Device Work?
If you’ve been prescribed a CPAP device for sleep apnea, you might be wondering what’s actually going on when you press that power button each night. While the device might look like a simple bedside appliance, it’s actually a smart, carefully engineered system working hard to help you breathe normally during sleep.
Understanding how your CPAP device works can help you use it more confidently and get the most out of your therapy. Whether you’re new to CPAP or looking to refresh your knowledge, this article will walk you through the key parts of a CPAP system, how it generates airflow, how it delivers that air to your airway, and why long-term use is so beneficial.
At Sove CPAP Clinic, we believe that informed users are more successful in therapy. So let’s dive into the inner workings of your CPAP device, and how we can support you every step of the way.
How Airflow Is Generated
At the core of every CPAP device is a compact motor designed to pull in room air, pressurise it, and deliver it to your airway. This internal motor works with a digital pressure control system to ensure the air pressure is exactly what your body needs to prevent airway collapse while you sleep.
This pressure system is calibrated based on your sleep study results. For example, someone with mild obstructive sleep apnea might need only 6 cm H₂O of pressure, while someone with more severe apnea may require 10 or more. Auto-adjusting CPAPs (also known as APAPs), like the ResMed AirSense 10 AutoSet or Philips DreamStation Auto, constantly monitor your breathing and automatically adjust the pressure based on your needs in real-time.
These machines are built with precision – the fan and sensors work together to read resistance in your airway and adjust accordingly, all while operating with whisper-quiet technology so you (and your partner) can sleep peacefully.
Keep your CPAP device on a hard, flat surface for optimal airflow and performance. Avoid placing it on a soft surface like carpet or bedding, as this can block the intake vents. Sove CPAP Clinic can help you configure your setup correctly and offer pressure titration support if your needs change over time.
Ensuring Uninterrupted Flow
Once the CPAP generates pressurised air, it needs to deliver it to you. This is where the CPAP tubing comes into play—a long, flexible hose that connects the machine’s air outlet to your mask.
Standard tubes are usually around 1.8 metres long and are designed to deliver consistent pressure while allowing you the freedom to move in bed. Many users now opt for heated tubing, which helps prevent condensation build-up (often called “rainout”) inside the hose—especially helpful in cooler climates or during winter.
The tube is made of lightweight, medical-grade plastic and is easy to detach and clean. Some advanced machines use integrated tubing systems that communicate with the device to regulate heat and humidity, ensuring that the air stays comfortable as it reaches your airway.
A good tip is to hang your tube up during the day or use a tubing lift to avoid kinks and prolong its lifespan. If you’re waking up to water in your mask, switching to a heated tube might be the solution. Sove CPAP Clinic offers a range of tubing options and accessories to customise your setup.
A Well-Fitted Mask is Important
The CPAP mask is the “face” of the system. It’s what connects you directly to the therapy. Choosing the right mask and ensuring a proper fit are crucial for effective treatment and comfort.
There are three main types of CPAP masks:
- Nasal masks: These cover the nose and are great for people who breathe through their nose at night.
- Nasal pillows: These sit at the nostrils and provide a lightweight, minimal-contact option.
- Full-face masks: These cover both the nose and mouth, ideal for people who mouth-breathe or have nasal congestion.
A proper fit ensures that the pressurised air doesn’t leak out, which could reduce the effectiveness of your therapy. It also prevents discomfort and skin irritation. Leading brands like the ResMed AirFit series and Philips DreamWear masks are designed with comfort and adjustability in mind.
CPAP Therapy Improves Sleep Health
The most important part of CPAP therapy isn’t just knowing how it works—it’s using it consistently. While it can take a few days or weeks to get used to sleeping with a CPAP machine, the long-term benefits are significant and well worth the adjustment.
The key to success is forming a routine. Most users find that after a few nights, they can’t imagine sleeping without their CPAP. For some, the change is immediate; for others, it’s gradual but powerful.
ALWAYS FOLLOW THE DIRECTIONS FOR USE. CPAP is used for Obstructive Sleep Apnoea treatment. When considering whether CPAP is right for you, speak to your doctor.

Frequently Asked Questions
What Are the Main Components of a CPAP Machine and How Do They Function Together?
A CPAP machine includes several key components that work together as a system:
- Motor and pressure control: Generates a continuous stream of pressurised air.
- Air filter: Cleans incoming air before it’s pressurised.
- Humidifier (optional): Adds moisture to prevent nasal and throat dryness.
- Tubing: Carries the air from the device to your mask.
- Mask: Interfaces directly with your airway to deliver therapy.
Each part is essential. A disruption in one component—like a leaking mask or dirty filter—can affect the machine’s performance. Regular cleaning, proper setup, and personalised fittings (which Sove CPAP Clinic offers) help ensure every part of the system works harmoniously.
How Do Different Types of CPAP Masks Affect the Delivery of Pressure?
Different mask styles affect how pressure is delivered and how it feels:
- Nasal masks offer a balanced delivery for nose-breathers and usually work well at moderate pressure settings.
- Nasal pillows provide direct airflow into the nostrils, making them great for lower pressures and minimal contact.
- Full-face masks are ideal for mouth-breathers or higher pressures, though they can be more prone to leaks if not fitted correctly.
The right mask ensures a secure seal and even pressure delivery. Ill-fitting or incorrect masks can cause leaks, discomfort, or reduced therapy effectiveness. Sove CPAP Clinic offers in-person mask trials to help find your ideal fit.
How Does the Humidifier in a CPAP Machine Improve Patient Comfort and Therapy Effectiveness?
The humidifier plays a major role in comfort. Pressurised air can dry out the nasal passages and throat, especially in cooler or dry environments. A CPAP humidifier adds moisture to the air, preventing these side effects and allowing for smoother breathing.
Heated humidifiers warm the water before it’s added to the airstream, creating a more natural-feeling airflow. This can also help reduce congestion, nosebleeds, or morning sore throat—common issues for new users.
To keep it safe and effective, use distilled water and clean the humidifier chamber regularly. Need help setting humidity levels? The Sove team can guide you based on your climate, pressure settings, and personal needs.
Do CPAP Machines Filter and Purify the Air Before Delivery?
Yes. CPAP machines are equipped with air intake filters to remove dust, pollen, and airborne particles. These filters protect both you and the machine’s motor, ensuring only clean air is pressurised and delivered.
Some models have standard foam filters, while others include an ultra-fine filter option for users with allergies or sensitivities. Filters should be checked weekly and replaced every 1–3 months depending on the type and your environment.
Sove CPAP Clinic stocks replacement filters and can show you how to maintain your machine’s hygiene for optimal airflow and long-term performance.
How Is the Pressure Level in CPAP Devices Regulated and Adjusted?
Pressure levels are typically prescribed by a sleep specialist based on a sleep study. In fixed-pressure CPAP machines, the pressure remains consistent throughout the night. In auto-adjusting (APAP) devices, sensors track your breathing and adjust pressure in real time.
Machines like the ResMed AirSense 10 AutoSet allow for a pressure range (e.g., 6–12 cm H₂O), offering flexibility and comfort without compromising treatment.
Changes in weight, alcohol intake, or sleep position can affect your pressure needs over time. If symptoms return or your machine data shows a rising apnoea index, consult Sove CPAP Clinic. We can download your therapy data and advise on pressure adjustments if needed.
What Are the Differences Between CPAP and Bilevel Machines in Terms of Airflow and Pressure Delivery?
While CPAP machines provide a single, constant pressure, bilevel (BiPAP or BPAP) machines offer two levels of pressure:
- A higher pressure when you inhale (IPAP)
- A lower pressure when you exhale (EPAP)
Bilevel therapy is often used for people with higher pressure needs, respiratory conditions like COPD, or those who find exhaling against a fixed pressure difficult. It can also be prescribed for users with central sleep apnoea or complex sleep-disordered breathing.
If you struggle with standard CPAP or your therapy isn’t effective, we can evaluate whether a bilevel device might be more appropriate.