Opinion|Videos|October 13, 2025

The Benefits of Auto-CPAP and Other Technology Advancements

Experts discuss how automatic positive airway pressure (APAP) therapy provides a personalized, accessible alternative to traditional continuous positive airway pressure (CPAP), especially amid staffing shortages in sleep medicine, with advances in connected devices and artificial intelligence (AI)–driven tools helping clinicians optimize treatment and patient support despite limited resources.

Automatic positive airway pressure (APAP)APAP therapy offers an alternative to traditional continuous positive airway pressure (CPAP)CPAP, especially for patients who may not have access to laboratory testing due to insurance restrictions. Modern APAP machines are highly sophisticated, capable of detecting snoring, airflow limitations, and airway openness through advanced pressure analysis. These devices automatically adjust pressure throughout the night based on the patient’s needs, providing a more personalized treatment experience. APAP often works well for about 80% of patients, although some with more complex breathing issues may require bi-level therapy or other specialized interventions, typically determined through in-lab sleep studies.

The field of sleep medicine faces significant challenges with staffing shortages across all roles, leading to long wait times, especially for patients needing comprehensive in-lab polysomnography and specialized care. Despite these difficulties, technological advancements are helping to bridge the gap. Connected devices now allow remote monitoring of therapy adherence, mask fit, and residual symptoms, enabling clinicians to provide more timely and targeted support. Automation and artificial intelligenceAI are also increasingly integrated into clinical workflows, enhancing the efficiency of sleep study scoring and data analysis. These innovations help make the best use of limited technician and clinician resources while improving patient care.

Adapting to these challenges requires a team-based approach, with ongoing efforts to expand the workforce and leverage technology to optimize treatment delivery. Automated tools and digital communication methods, including patient outreach bots, improve engagement and adherence. Although staffing shortages are projected to persist, the use of sophisticated devices and AI-driven analytics allows sleep medicine specialists to better manage growing patient demand and maintain high standards of care despite resource constraints.

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