Understanding CPAP and BIPAP

          CPAP – BIPAP

 

CPAP is continuous positive airway pressure (single pressure setting)

BIPAP is bilevel positive airway pressure  (2 pressure setting)

With BIPAP the inhalation force is a bit stronger than the exhalation force – so easier to exhale

Inhalation and exhalation usually occurs through the nose only

The purpose of the air pressure is to keep the throat muscles (sleep apnea) from collapsing – this is reducing obstructions- acting like a splint for a tight airway.

The primary medical doctor and the respiratory department use a titration study when prescribing the level of pressure – only a physician can prescribe the pressure amounts

The air pressure is measured in centimeters of water

BIPAP is prescribed with lung or neuromuscular disorders – often the patient will try the CPAP first and if failed attempt the medical doctor will prescribe BIPAP – the prescription usually states BIPAP or Bilevel

Patients usually need 3 to 4 weeks or more to get used to CPAP/ BIPAP try to use with all sleep and naps

Many different machines and masks.  The mask and tubing guide the air stream from the machine to the person this is called delivery.

To care for the mask simply wash daily with gentle soap or baby shampoo and let air dry.

Medicare- Medicaid will usually pay for complete new mask about every 6 months

Humidification – moisture helps reduce complaints of dryness- some use nasal spray before sleep

Nasal irritation some use non-petroleum based cream in nostril

Some use pads between mask and skin but want tight seal to keep airway open

Keep machine up off floor and near area of sleep

Significant weight change can cause your pressure needs to change