What is BiPAP?

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BiPAP stands for Bi-level Positive Airway Pressure. It is a breathing apparatus that helps people get more air into their lungs. Created in the 1990s, it developed out of the C-PAP, which stands for Continuous Positive Airway Pressure. In the 1980s, people used C-PAPs to help combat breathing difficulties such as sleep apnea.

Sleep apnea is a problem in which one's upper airway collapses, causing breathing to cease repeatedly. Apnea sufferers usually wake suddenly with a huge rousing snore. Their quality of sleep is poor and can lead to mental problems such as depression and lack of concentration. The physical health of the sufferer can also deteriorate.

The extra pressure from a C-PAP machine allowed users to sleep by keeping their airways open. The problem with a C-PAP, however, was that the person had to exhale against the extra pressure. This made it unsuitable for certain people, including those suffering from neuromuscular diseases.

With the development of BiPAP, air delivered through a mask can be set at one pressure for inhaling and another for exhaling. This makes BiPAP much easier for users to adapt to and also allows neuromuscular disease sufferers to use the device. Because of these dual settings, BiPAP allows people to get more air in and out of the lungs without the natural muscular effort needed to do so.

BiPAP has been found to be especially useful for patients with congestive heart failure and lung disorders, especially those that result in above normal levels of carbon dioxide. In addition, patients for whom intubation is not possible can benefit from the breathing assistence from BiPAP.

Sufferers of atelectasis will also benefit from a BiPAP. Atelectasis is when all or part of a lung collapses, and results in the loss of the ability of air sacs at the furthest reaches of the lungs to expand.

There are several tests a doctor can perform to find out if a BiPAP would be beneficial if you are a sufferer of atelectasis. One is a respiratory test, which involves breathing into a machine to measure your lung capacity. The Forced Vital Capacity test is another important test; it basically tests how deep a breath you can take. However, these tests will not show if you have sleep apnea, which is usually diagnosed with the help of sleep studies.

A BiPAP machine may cost between 2000 and 3000 US dollars (USD). The BiPAP should be covered by medical insurance. It is also possible to purchase your own machine. If that's not feasible, you also have the option to rent a BiPAP from a respiratory care company through an agreement with which you end up owning the machine. Your doctor or neurologist should be your first point of contact if you think you may benefit from a BiPAP.

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Discuss this Article

my father is on a bpap machine and for some odd reason his lips are turning purple, is that an effect of that machine?
- anon34181
My husband was in the Cleveland clinic last week with severe COPD and other lung problems & extreme difficulty in breathing. A venti-mask and a non-rebreather were both tried and he was struggling so hard to get a breath that they tried a BiPap. Unfortunately he had to be intubated and shortly after put on life support which was terminated 30 hrs later. This website was very helpful to me as I did not understand how a BiPap worked. Thank you
- anon27949
philfrey says: Have used a CPAP for 3 years and I am very satisfied. I won't sleep without it, because if I do I may as well not be sleeping. Never used a bipap, but from what I understand it "sucks" as well as "blows". The CPAP helps with keeping pressure while inhaling, but does not assist with exhaling. I guess the Bipap does. Anyway, good luck and sweet dreams.
- anon25473
arcompton~ just wanted to tell you that the difference in bi-pap and c-pap it that with a bi-pap you have no pressure to exhale against where as with c-pap the pressure is continuous thus the name. This change might allow you to breath easier. Bi-pap is especially helpful for people with COPD. Your Dr. must have some reason for changing this therapy. You should ask him/her to explain.
- anon21078
hi. this saumya shah.i just wanted clarification on use of CPAP & BIPAP.My grandmother is facing sleep Apnea Syndrome and she is troubled by constant CO2 retention in her blood. So kindly guide us which equipment to use?? Which is Effective??? How is that going to help her??? I would be grateful if you all can guide me. Thank you.
- saumyashah
If you are on a bi-pap you should have a heated humidifier.

- anon15639
I am currently under evaluation for a BiPAP. Is there any downside to the use of a BiPAP compared to a CPAP?
- jgolden28
Hi, My daughter was born June 4, 2007 and she is still in the neonatal ICU until now and was diagnosed with a Congenital Central Hypo ventilation Syndrome. They tried using a CPAP but it did not work the doctor told me that they will try a BPAP but they will try to look for one. My questions are:Will a BPAP work in her condition? Was there any cases similar to my daughter that you know BPAP worked? How much will it cost to get one unit for my daughter and where? If it doesn't work what other devices can you recommend? Thank you and hope you can answer my questions and help me. Lawrence (Canada)
- lorriesityar
I've been using a cpap for about 15 years. I recently under went another sleep study due to being lethargic, constantly tired, muddled mind, wear down quickly, etc.

During the sleep test I wore a full face mask (my cpap has a nose only mask) and wore a bipap machine. I didn't particularly care for the bipap and didn't sleep well.

Per the techncian I still maxed out the pressure on the test.

Based on the test and neuroligist evaluation of the sleep study my dr. is recommedning a bipap.

I'm a little confused. I have no real issues with my cpap (maxed out at 20 liters and has been for several years). If both machines were maxed out at 20 liters, what good would a bipap do over a cpap?

While wearing the bipap my mouth was extremely dry several times during the night, yet I continued to snore.

I'm willing to try the bipap but would like to unedrstand why it might be helpful, if it will. It just doesn't seem to be logical to me.

I understand the need for test results, analysis, etc. In simplest terms - If my cpap is pumping 20 liters of air (No problems sleeping, once I'm asleep) and a bipap is pumping air at 20 liters (drying out my mouth due to air pushing through it), is there any value in switching?

- arcompton

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