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CPAP vs BiPAP: Key Differences Explained

The document discusses continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP), including their components, settings, modes, and use for patients. CPAP prevents alveoli from collapsing with constant pressure while BiPAP provides inspiratory positive airway pressure and expiratory positive airway pressure to improve gas exchange and oxygenation.

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Aark Ev
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191 views10 pages

CPAP vs BiPAP: Key Differences Explained

The document discusses continuous positive airway pressure (CPAP) and bilevel positive airway pressure (BiPAP), including their components, settings, modes, and use for patients. CPAP prevents alveoli from collapsing with constant pressure while BiPAP provides inspiratory positive airway pressure and expiratory positive airway pressure to improve gas exchange and oxygenation.

Uploaded by

Aark Ev
Copyright
© All Rights Reserved
We take content rights seriously. If you suspect this is your content, claim it here.
Available Formats
Download as PDF, TXT or read online on Scribd

Dr Siddhartha Sharma

Associate Professor,
Department of Anaesthesiology,
SMS Medical College, Jaipur
 Continous Positive Airway Pressure
 Provides a constant pressure throughout the breathing cycle
 Prevents alveoli from collapsing
 CPAP is usually between 5 to 20.
 Bilevel Positive Airway Pressure
 Provides IPAP for assistance during inspiration and
 EPAP for keeping alveoli open.
 IPAP improves the gas exchange while EPAP improves
oxygenation.
1. BiPAP machine
2. BiPAP disposable circuit
3. Low resistance bacterial filter
4. BiPAP Total Face Mask, Full Face Mask or Nasal Mask plus
head strap.
5. Disposable Humidifier
6. Distilled water
7. Duoderm for skin protection
 Flow : 20 – 40 L/min
 Fio2 : Up to 100%
 Claustrophobia
 Pressure sore
 Bipap or Ventilator
▪ S (Spontaneous) – device triggers IPAP when flow sensors detect
spontaneous inspiratory effort and then cycles back to EPAP

▪ T (Timed) – IPAP/EPAP cycling is purely machine triggered, at a set


rate, typically expressed in breaths per minute

▪ S/T (Spontaneous/Timed) – Like spontaneous mode, the device


triggers to IPAP on patient inspiratory effort. But in
spontaneous/timed mode a "backup" rate is also set to ensure that
patients still receive a minimum number of breaths per minute if they
fail to breathe spontaneously.
▪ BPAP is often initiated with
Expiratory PAP (EPAP) of 5 cm H2O and
Inspiratory PAP (IPAP) of 8 to 10 cm H2O.

▪ These pressures can be titrated up depending upon clinical


and physiologic response and patient comfort

▪ Final IPAP pressures of 15 to 22 cm H2O are common


 Explain whole procedure to the patient.
 Assemble and prepare the equipment.
 Arrange adequate oxygen supply.
 Place the patient in position with head end raised.
 Check SpO2.
 Apply NIVmask on patients face tightly and tie all the straps
properly.
 Set IPAP and EPAP in BiPAP mode and only EPAP in CPAP mode
with rotatory dial.
 Explain and train the patient ,how to breath .
 Monitor
 Circuits for any leak.
 Face mask fitting.
 Respiratory response.
 Monitor vitals regularly.
 Monitor for gastric distension and sores on face.
Improvement in:
1. Respiratory rate and heart rate

2. Dyspnea

3. Oxygen requirement

4. Hypercarbia
THANKS

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