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AVAPS vs iVAPS vs VGPS: Which BiPAP Mode Is Best?
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AVAPS vs iVAPS vs VGPS: Which BiPAP Mode Is Best?

7/10/2025
Dr Ali

AVAPS vs iVAPS vs VGPS: Which BiPAP Mode Is Best for You in Pakistan?

Conditions like COPD, obesity hypoventilation syndrome (OHS), neuromuscular disorders, and severe sleep apnea are common and a concern among the people of Pakistan. Unfortunately, if the condition gets severe, it also leads to complex breathing conditions. To manage and cope well with the breathing problem, the choice of BiPAP mode plays a crucial role as it is considered a game-changer for ensuring therapy effectiveness, comfort, and long-term outcomes. 

Also, users who are new to the BiPAP machine often misunderstand that the best BiPAP mode for breathing problems only depends on brand preference or budget. However, that is not the case, as you must also pay attention to matching the machine’s technology with your medical condition and breathing pattern to treat your condition properly. 

In Pakistan, more patients and caregivers are opting to choose advanced respiratory solutions. As a result, understanding the difference between AVAPS, iVAPS, and VGPS modes has become more important than ever to utilize this effective machine to the best.

When purchasing, you might pay attention to only looking BiPAP machine price in Lahore, Karachi, or Islamabad, or choosing a model according to its brand popularity, but you must consider understanding which BiPAP mode suits your unique breathing patterns and medical condition to make an informed descion that can leads to promoting your health. In simple words, if you want to understand why it is so crucial, then consider these examples patient with consistent shallow breathing might benefit from AVAPS, while someone with neuromuscular weakness might rely on iVAPS. Meanwhile, VGPS offers rapid response and is considered important for those with highly variable breathing needs, especially in fast-changing respiratory conditions.

In this article, we will understand each of these modes, AVAPS vs iVAPS vs VGPS, so you can make a better decision when choosing which BiPAP mode is right for you or your patient. We will also get an insight into the best BiPAP mode for breathing problems, explain the BiPAP machine settings used in Pakistan, compare hospital-grade BiPAP protocols, and discuss where to buy  BiPAP machines with advanced modes like AVAPS in Pakistan. We’ll also explore BiPAP machine settings in Pakistan, price ranges, local availability in cities like Lahore, Karachi, and Islamabad, and how to choose the most suitable option for home or hospital use.

Let us dive into the world of non-invasive ventilation and find out which BiPAP mode is best for your needs in Pakistan by understanding the best BiPAP machine settings in Pakistan.

What Are BiPAP Modes?

BiPAP machine is as effective and versatile as it is capable of managing different conditions. Due to its effectiveness, many individuals opt for this device. Also, another major reason why healthcare specialists and patients prefer this device is that it offers a comfortable therapy experience, which allows users to easily adjust to it. You must be wondering how the BiPAP machine ensures an optimal therapy experience, which most respiratory machines lack. Well, it is possible with its two distinct pressures. However, when using this device, you also need to understand that when respiratory conditions become more serious, standard pressure settings aren’t enough. That’s where advanced modes like AVAPS, iVAPS, and VGPS play a crucial role by offering automatic pressure and volume regulation specially designed to meet each patient’s changing needs.

  • It assists in stabilizing breathing during sleep or rest.
  • It helps in efficiently managing fluctuating respiratory needs.
  • It ensures to enhance comfort, especially useful for long-term use.
  • It supports hospital-grade therapy at home.

Let’s dive deeper into each mode.

1. AVAPS – Average Volume-Assured Pressure Support

Developed by: Philips Respironics
Devices: DreamStation BiPAP AVAPS, Trilogy 100
Available in Pakistan: Yes (contact Respiratory Zone for AVAPS BiPAP machine price in Pakistan)

 What It Does:

AVAPS delivers a targeted average tidal volume (amount of air per breath) that assists in automatically adjusting the pressure support over time. It does this gradually, ensuring the patient receives consistent ventilation without getting impacted due to abrupt changes.

Best For:

  • OHS (obesity-hypoventilation syndrome)
  • People with stable yet impaired breathing
  • Patients who require gentle pressure transitions

 Key Benefits:

There are several benefits of AVAPS:

  • Improves comfort during long-term use
  • Reduces the risk of under- or over-ventilation
  • Ideal for BiPAP titration at home

2. IVAPS – Intelligent Volume-Assured Pressure Support

Developed by: ResMed
Devices: ResMed Lumis 150 ST-A
Available in Pakistan: Yes (visit Respiratory Zone for stock)

What It Does:

iVAPS is more advanced and efficient than AVAPS as it can continuously analyze your breathing and adjust both pressure and respiratory rate, backup automatically in real time, offering you the best support for promoting your health. It uses algorithms to calculate your “alveolar ventilation.” In simple words, it determines the air that reaches the lungs and responds instantly to changes.

Best For:

  • Patients with neuromuscular diseases
  • Patient suffering from mild to severe COPD
  • The individual who often struggles with Irregular breathing or central sleep apnea
  • Individuals requiring dynamic, intelligent ventilation due to their condition.

Key Benefits:

  • It is considered as best BiPAP mode for sleep apnea in Pakistan
  • It can efficiently adapt minute-by-minute to changing breathing
  • It acts as a  respiratory rate backup, making it indispensable for unstable conditions

3. VGPS – Volume Guaranteed Pressure Support

Available in brands: BMC, Topson, VentMed, Yuwell
Devices: BMC G3 B30VT, VentMed DS8, Yuwell YH-830
Popular in Pakistan: Yes – contact for BiPAP machine price in Lahore/Karachi/Islamabad

What It Does:

VGPS maintains a guaranteed tidal volume with every breath. It is capable of offering a reliable solution even during sudden changes in breathing patterns. Unlike AVAPS or iVAPS, it reacts rapidly on a per-breath basis to correct ventilation imbalances. Which is why it is preferred for those suffering from a severe respiratory condition.

Best For:

  • Fast, unpredictable breathing patterns
  • Asthma patients in Pakistan
  • Patients with acute respiratory flare-ups
  • Use in emergency or hospital-grade BiPAP settings in Pakistan

 Key Benefits:

  • It offers an Immediate response to breathing effort
  • Best for VGPS vs AVAPS comparison when breath-by-breath control is needed
  • It is included, even in the  Budget-friendly machines, ideal for home use

AVAPS vs iVAPS vs VGPS: Key Differences at a Glance

Feature / Mode AVAPS iVAPS VGPS
Volume Control Gradual Intelligent & Adaptive Per-breath adjustment
Pressure Adjustment Slow Real-time + RR backup Instant (per breath)
Best For COPD, OHS Neuromuscular, irregular apnea Asthma, fast-changing breath
Response Time Minutes Seconds Instant
Comfort Level High Very High Moderate
Popular Brands Philips Respironics ResMed BMC, Yuwell, VentMed
Available in Pakistan Yes Yes Yes

How to Choose Between AVAPS and iVAPS in Pakistan?

Here is how you can choose between AVAPS and IVAPS:

  • If you have neuromuscular conditions or central apnea, then choose iVAPS for its adaptability.
  • If you require consistent volume needs even in stable conditions, choose AVAPS as it offers smoother transitions.
  • If you require rapid, responsive support, especially when dealing with conditions like asthma or post-COVID lung damage, then VGPS will work best for you.

Where to Buy the Best BiPAP Machine with AVAPS/iVAPS in Pakistan?

At Respiratory Zone, we offer a wide range of selection of our advanced  BiPAP machines that come with AVAPS, iVAPS, and VGPS modes. Whether you’re in Lahore, Karachi, Islamabad, or anywhere in Pakistan, we offer:

  • Hospital-grade  BiPAP machines
  • Free consultation on BiPAP ventilator settings
  • Affordable prices and installment plans
  • Nationwide delivery

Conclusion:

Understanding the difference between AVAPS and iVAPS can help you achieve optimal therapy effectiveness. BiPAP settings depend upon individual medical needs, as conditions such as for most COPD patients, AVAPS or iVAPS are ideal. For asthma and lung disease, VGPS may be more suitable. Always consult your pulmonologist or respiratory therapist first before making any change in the setting or choosing a mode.

Need help deciding? Contact  Respiratory Zone for a free consultation and get matched with the best BiPAP machine for COPD in Pakistan or any other respiratory condition.

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