At least in my case.
In the 2 months that I've had this machine that is supposed to make it so I don't choke and die in the middle of the night, there have been a recorded 2 nights where I have slept through the night without any difficulties. The rest include the following scenarios:
- Wake up with the mask placed neatly on the side table, disconnected from the hose, and the machine is off
- Wake up and the mask is on my face, but the hose has been disconnected and it is still blowing air, wherever it may have ended up
- Wake up and the mask is on the other side of the room and I'm laying on top of the hose enjoying the warm air it's blowing
- Wake up to find the hose wrapped around my neck, which I find to be the most ironic of the options so far, as it's something that's supposed to help me breathe better doing the opposite of that (mind you, there's no way it can actually strangle me, but it was still a bit scary to wake up to that.)
- And many other alternatives... mostly variations on the same theme of me waking up to find that I've violently removed something good only to feel worse all day.
I can say that the mornings where I've woken up and miraculously the mask was still on with air flowing into my face, I've felt a lot better through the day, more energy, less desire to go to bed at 9pm, no more "sleep attacks" where I can barely keep awake in the middle of the day, so I guess this thing works, despite my body's reluctance to allow it to do so.
The last two nights I've woken up in the middle of the night to find the mask off. I put it back on and, surprise, fell right back to sleep and woke up 4 hours later with it still on ready to get up and take on the day, although I do feel slightly tired.
Some forums for those with the CPAP suggest different ways of helping you keep it on at night. I've tried socks on my hands and sleeping with a pillow between my legs so far which hasn't really ended up being helpful. Others have suggested taking the pillow concept to the extreme and pretending I'm a pregnant woman (of which I am neither, for those who may be curious) and getting a Snoogle. Less dramatic options include taping the mask to my face so it's at least uncomfortable when I try to take it off in my unconscious state or even putting the machine on a level playing field with the bed so I have a bit more hose to work with.
One night at a time, and hopefully it'll lead to better sleep and a better quality of life... at least one aspect of it.