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What is a BiPAP ?

Machines that provide bilevel positive airway pressure (BiPAP) are constructed with separate air pressure settings for inhalation (IPAP) and exhalation (EPAP). Users benefit from a more comfortable breathing experience with EPAP because it is often set lower than IPAP, so they don’t feel like they are fighting the machine when exhaling. For BiPAP machines, the normal pressure range is between 4 and 30 cm H2O.Different modes are available on BiPAP machines for switching between IPAP and EPAP.

Spontaneous Mode

This automated feature senses the user's natural breathing rhythm and alternates between the IPAP and EPAP pressure levels as necessary. The majority of BiPAP devices operate in this mode, which is also their default option.

Timing Mode

With this mode, users can set the length of each IPAP and EPAP phase. This option helps users maintain a particular number of breaths per minute and, in some circumstances, can act similarly to a ventilator.

Spontaneous/Timed Mode

This mode mostly reacts spontaneously, following the user's regular breathing patterns. However, timed switching activates to offer additional support when the device notices that the user's breaths slow to a set rate.

Additionally, BiPAP machines can be divided into two groups:

Fixed BiPAP

A fixed BiPAP machine does not automatically modify the IPAP and EPAP settings throughout the course of the night.

Auto-adjusting BiPAP

An auto-adjusting BiPAP machine has an assortment of IPAP and EPAP adjustment options. Due to its adaptability, the device can provide individualized and prompt therapy throughout the course of the night based on the user's breathing patterns. These variations in BiPAP functionality meet a variety of user needs, ensuring that people with sleep-related breathing disorders get comfortable, effective care that is suited to their individual needs.

Advantages of BiPAP :

Benefits of BiPAP therapy include helping people who find it difficult to adjust to traditional CPAP therapy. It might help with problems like claustrophobia and aerophagia (sucking air). Furthermore, bi-level positive airway pressure (BiPAP) therapy is advantageous when greater pressure levels are required for improved comfort, particularly when the prescription positive airway pressure (PAP) surpasses 15 centimeters (cm) of water pressure.

What is CPAP Therapy?

A crucial medical tool called a CPAP (Continuous Positive Airway Pressure) machine is used to treat obstructive sleep apnea, a condition marked by the relaxation of neck muscles while sleeping, which results in a partial or complete obstruction of the airway. This obstruction causes the brain to notice a decline in oxygen levels, which forces the person to briefly awaken or have their sleep patterns disturbed.

Purpose of CPAP Machine :

A CPAP machine’s main purpose is to deliver a steady stream of pressured air that will keep the airway open all night long. This continuous airflow functions as a pneumatic splint to keep the airway open and maintain a consistent flow of oxygen to the person’s lungs.

What a CPAP Consist Of?

According to the user’s preferences and demands, CPAP machines often come with a mask that can cover either the mouth or the nose or both. These masks are made to provide an airtight seal, guaranteeing that pressurized air is adequately delivered and that the airway is kept clear.

Advantages of CPAP Machine :

CPAP therapy helps people with sleep apnea get more undisturbed and restful sleep by keeping the airway open and preventing apnea episodes. Addressing the negative impacts of untreated sleep apnea, such as cardiovascular issues and excessive daytime sleepiness, helps to lessen daytime weariness and improve general health.Undoubtedly, the following benefits of CPAP therapy are listed below in more detail:


Obstructive sleep apnea treatment

Obstructive sleep apnea (OSA), the most prevalent kind of sleep apnea, is usually treated at the beginning with either CPAP or AutoCPAP. The symptoms of OSA can be effectively managed with these techniques.

Central Sleep Apnea

On the other hand, central sleep apnea is more frequently treated with BiPAP therapy, also known as bilevel positive airway pressure. The hallmark of central sleep apnea is breathing pauses during sleep that don't involve any actual airway obstruction.The results of a sleep study are frequently what determine whether to use CPAP or BiPAP therapy. The particular kind and degree of sleep apnea are determined with the aid of this thorough evaluation. People who have had a stroke, had heart failure, or who depend on long-term narcotic painkiller use are more likely to have central sleep apnea. It can occasionally be brought on by using CPAP therapy, however this usually goes away after the first several months of use.

Function of BiPAP in the Treatment of Central Sleep Apnea :

By providing an extra breath when necessary, BiPAP devices can be adjusted to make up for the breathing pauses present in central sleep apnea. These gadgets can be extremely sophisticated, changing airflow to take into account breathing difficulties caused by respiratory and neuromuscular conditions. BiPAP therapy may be helpful for people with diseases including amyotrophic lateral sclerosis (ALS), chronic obstructive pulmonary disease (COPD), and other similar ailments.

In conclusion, the kind and severity of sleep apnea detected after a sleep study determines whether CPAP or BiPAP therapy should be used. While CPAP is routinely used to treat obstructive sleep apnea, central sleep apnea and other respiratory problems are more usually treated using BiPAP. Individuals with specific sleep-related difficulties are given the best possible relief and support through the use of individualized treatment regimens.


Side Effects of BiPAP:

Price of CPAP and BiPAP machines in Pakistan :

BiPAP machines

Due to their sophisticated features and numerous settings, which provide more complex therapy possibilities, they typically cost between 50 thousand to lac.

CPAP Machines

Less expensive, price ranges for CPAP machines in Pakistan range from 30,000 to 150,000.

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