How to Prevent CPAP Hose Tangles

How to keep your CPAP hose from tangling

CPAP machines can offer effective treatment for obstructive sleep apnea (OSA), allowing you to wake up rested. That is unless you wake up during the night tangled up inside your bulky CPAP hose. If you’re one of the 25 million Americans suffering from OSA and trying to acclimate to therapy with a CPAP machine, there’s a good chance you can relate.

If you find yourself having issues with your hose, don’t worry! There are several hose management tactics and CPAP alternatives that may be able to save the day. Read on to learn how to solve your CPAP hose problems.


Common CPAP Hose Problems: Tangling & Breaking 

CPAP hoses can often become tangled, wrapped around your body, or even trapped underneath you while you sleep. This can be quite startling as you can be torn from a deep sleep.

Wrestling with your CPAP hose can tug and break the seal of your mask causing noisy leaks that abruptly awaken you or your bed partner. The hard ribbing of the large CPAP hoses can kink and get caught on your covers causing you to knock over your machine, or anything else on your bed stand during the night. A good night’s sleep ultimately determines your health and happiness.

Related tip: If you are experiencing problems beyond just your CPAP hose, scroll down to learn about the Somnera® System. This alternative helps with claustrophobic effects that arise from CPAP’s continuous airflow model. Somnera uses a patented technology designed to be an alternative to CPAP.

So, in order to give you the best chance for success, proper management of your CPAP hose could be the difference in a good night’s sleep.


How to Prevent CPAP Hose Tangles 

Many CPAP users try to concoct something themselves to prevent CPAP hose tangles. Some use plant hangers, tape, bungee cords, hair bands, rubber bands, or yarn – all of which are things we would not recommend. And while some users have been successful with homemade remedies, it typically increases the clutter and the chances of tangles and fighting the hose.

But good news – the following alternative solutions are more convenient and may give you the relief you need! 


CPAP Hose Holders

CPAP hose holders sit on a stand and act as a “lift” to hold your CPAP hose up, in place, and out of your way so you don’t need to worry about it tangling around you while you sleep. 

CPAP hose holders work best for back and side sleepers.


CPAP Hose Clips

You can secure a CPAP hose clip around your tubing and clip it in place to keep your CPAP tubing from moving around during sleep. There are a few different ways to clip your tubing in place.

  • Move the tubing away from your mask and clip it to your pajamas or blanket.
  • Raise the tubing above your head and clip it to the top of the bed.
  • Place the tubing along the side of your face and clip it to your pillow.

To use a CPAP hose clip, find the position that works best for you. CPAP hose clips work best for people who don’t change positions often throughout the night.


CPAP Pillows

CPAP pillows are designed for CPAP users (and no, we aren’t talking about CPAP nasal pillows). These pillows are specifically designed to accommodate CPAP users with special contours that help reduce pressure on your face from the mask.

Manufacturers offer different designs, so it’s essential to compare each pillow’s features with your needs. Some pillows include cut-out edges for your CPAP hose, which works best for side sleepers. Back sleepers often find that CPAP pillows with a crescent shape work best for them.


Consider a Different System

If you’re an active sleeper and you move around frequently during the night, you might want to consider trying a new type of hose. Advances in technology now offer new options for CPAP hose management. 

Here are some options to consider.


Top-of-the-head mask

Most CPAP systems connect the tubing directly to the mask, which sits on your face. For many people, this connection point can create problems. With the hose coming from your face, it’s in your way any time you change sleep positions. 

However, there are new CPAP systems designed to connect the CPAP tubing to your mask at the top of your head. This connection point keeps the tubing out of your way, so it won’t get tangled around you or caught underneath you while you’re sleeping.


Somnera® System

The Somnera® System offers a simple yet effective alternative to CPAP machines and a solution to preventing CPAP hose tangles.

At just 9 millimeters in diameter (compared to 23mm for traditional CPAP), the hose on the Somnera system is the smallest hose on the market.

Traditional CPAP hose size comparison to Somnera Sleep System alternative.


In addition to being the most lightweight hose on the market, it also provides a patented tangle-free design, allowing the hose to stretch to prevent tugging.  Many patients using Somnera report that they don’t feel attached to anything during sleep.

The Somnera Sleep System includes a patented tangle-free design, allowing more stretch and less tugging on the hose.

Is the Somnera Sleep System right for you?

As mentioned, the Somnera system is an alternative for CPAP. This system is optimized for comfort whether you are still or if you are an active sleeper because its connectors rotate, allowing you the freedom to move and not feel connected. The Somnera Sleep System is not designed for patients satisfied with their CPAP machines since Somnera offers a different breathing experience.


How is Somnera’s breathing experience different? 

Somnera is the first sleep apnea treatment that provides positive airway pressure without the continuous high airflow of CPAP. The reduced airflow has additional benefits: less drying so no humidifier is needed, and the hose is the smallest, lightest available. 

The Somnera System provides a great option to patients suffering from OSA who don’t want CPAP or who feel claustrophobic and overwhelmed by the continuous rushing airflow required to deliver therapy from traditional CPAP devices. Somnera uses SmartValve™ technology and proprietary software algorithms to deliver positive airway pressure therapy. 


How does Somnera’s SmartValve Technology work?

The valve is placed in the mask right next to the airway and it controls airflow to provide EPAP (expiratory positive airway pressure). With Somnera’s SmartValve, a patient’s expiratory effort generates airflow against the valve that creates the prescribed positive airway pressure at the end of each breath. With CPAP, the positive airway pressure to keep the airway open is generated with rushing continuous airflow forced into the airway at all times. 

When a patient exhales on Somnera, there is no airflow from the Airbox and the SmartValve vents 100% of the exhale out into the room (no intentional leak is needed with Somnera). On inspiration, the patient draws air from the room through the valve supplemented by airflow from the Airbox, compared to CPAP where all airflow comes from the flow generator. 

In summary, with Somnera there is no airflow from the Airbox on exhale and low airflow from the Airbox on inhale because air is also drawn from the room through the valve. However, if the Airbox detects an obstruction then, just like CPAP the Airbox will deliver the airflow necessary to reach the prescribed pressure and open up the airway. 

You can think of Somnera as “CPAP on-demand” when disordered breathing is detected. 

With CPAP, there is constant airflow during inhale, exhale and to vent CO2 from a user’s exhale so it does not go down the hose. The way back-pressure is generated and the airflow profiles between Somnera & CPAP are very different, but the pressure generated at the end of each breath is the same.

So, if you’re tired of getting tangled in your CPAP hose and are ready to try a CPAP alternative with the lightest, most flexible hose there is, Somnera may be right for you.