Sleep Apnea

BiPAP machine, auto BiPAP & non-invasive ventilators

BiPAP machines are a category of non-invasive ventilators designed to support breathing without inserting a tube into the airway. The term BiPAP stands for Bilevel Positive Airway Pressure, which refers to the delivery of two distinct pressure levels one during inhalation and a lower one during exhalation. This pressure difference reduces the effort required to breathe, particularly in individuals with compromised lung function or sleep-related breathing disorders.

Many patients find that purchasing high-quality medical equipment online provides a convenient way to access these essential respiratory devices.

An Auto BiPAP machine adds intelligence to this system by automatically adjusting pressure levels in response to the patient’s breathing pattern throughout the night. Because of this adaptability, BiPAP and auto BiPAP machines are widely used in both hospital environments and home respiratory care, bridging the gap between basic CPAP therapy and invasive mechanical ventilation.

For those requiring different therapeutic options, you may also explore a high-performance cpap machine online to help manage obstructive sleep apnea effectively.

What is a BiPAP machine?

BiPAP machine (also referred to as BPAP machine) is a medical breathing device that delivers pressurised air through a mask to assist ventilation. Unlike CPAP, which provides a single constant pressure, a BiPAP machine operates with two pressure settings—higher pressure during inhalation (to support airflow into the lungs) and lower pressure during exhalation (to allow comfortable breathing out).

This bilevel mechanism reduces the work of breathing and improves gas exchange, making BiPAP particularly useful for patients who struggle with exhalation against continuous pressure or who require additional ventilatory support. Because airflow is delivered through a mask rather than an invasive airway tube, BiPAP therapy is classified as non-invasive ventilation (NIV).

What is a BiPAP machine used for?

BiPAP machines are prescribed for a range of conditions where breathing support is needed but invasive ventilation is not required. Common medical indications include:

• Obstructive sleep apnea (OSA) where CPAP is ineffective or poorly tolerated
• Central sleep apnea (CSA) requiring ventilatory assistance
• Chronic obstructive pulmonary disease (COPD) with carbon dioxide retention
• Obesity hypoventilation syndrome (OHS)
• Neuromuscular and neurodegenerative disorders affecting respiratory muscles
• Post-hospital or post-surgical respiratory support
• Chronic hypoventilation conditions requiring nocturnal ventilation

In all these cases, BiPAP helps maintain airway patency, improves oxygenation, and assists carbon dioxide removal.

BiPAP vs CPAP – What’s the difference?

The primary difference between CPAP and BiPAP machines lies in pressure delivery. CPAP provides a single continuous pressure throughout the breathing cycle, whereas BiPAP delivers two distinct pressures for inhalation and exhalation.

CPAP is typically the first-line treatment for uncomplicated obstructive sleep apnea. However, when patients require higher pressures, experience difficulty exhaling, or have conditions like central sleep apnea or COPD, BiPAP becomes the preferred option. BiPAP machines also support advanced modes such as timed breathing or backup respiratory rates, which CPAP devices cannot provide.

Role of BiPAP machines in treating sleep apnea (OSA & CSA)

For obstructive sleep apnea, BiPAP is commonly used when CPAP therapy fails due to discomfort or inadequate pressure control. The reduced exhalation pressure improves tolerance, particularly in severe OSA cases requiring higher airway pressures.

In central sleep apnea, BiPAP plays a more critical role. Because CSA involves disrupted respiratory drive from the brain, BiPAP machines equipped with backup rates or advanced algorithms can deliver assisted breaths during apnea events. This makes BiPAP an essential therapy for central and complex sleep apnea syndromes.

How does a BiPAP machine work?

A BiPAP machine continuously monitors the user’s breathing and alternates between two pressure levels. During inhalation, higher pressure supports lung expansion. During exhalation, pressure decreases to allow comfortable breathing out while maintaining airway stability.

IPAP (Inhalation pressure)

IPAP is the higher pressure delivered during inhalation. It assists airflow into the lungs, reduces respiratory muscle workload, and improves oxygen delivery.

EPAP (Exhalation pressure)

EPAP is the lower pressure maintained during exhalation. It prevents airway collapse while allowing easier breathing out and effective carbon dioxide elimination.

Humidifier function

Integrated humidifiers add moisture and warmth to pressurised air, preventing dryness, nasal irritation, and throat discomfort—especially during long-term or high-pressure therapy.

Auto mode function (Auto-BiPAP)

Auto BiPAP machines dynamically adjust IPAP and EPAP levels based on airflow, apnea events, and breathing effort, ensuring optimal pressure support with improved comfort.

Types of BiPAP machines

BiPAP machines are not a single, uniform category. They are available in different configurations based on how pressures are delivered, how adaptable the machine is, and the environment in which it is intended to be used. Understanding the different types of BiPAP machines helps clinicians, caregivers, and patients select the most appropriate device for long-term comfort, safety, and therapeutic effectiveness.

Fixed-pressure BiPAP machines

Fixed-pressure BiPAP machines deliver predefined inspiratory (IPAP) and expiratory (EPAP) pressures that remain constant throughout the therapy session. These pressure settings are determined during a sleep study, titration study, or clinical evaluation and are programmed into the device by a healthcare professional.

This type of BiPAP is best suited for patients whose breathing requirements are stable and predictable, such as those with consistent obstructive sleep apnea patterns or chronic respiratory conditions where pressure needs do not fluctuate significantly during the night. Because the machine does not continuously adjust pressure, it offers predictable performance and simpler operation.

Auto BiPAP machines

Auto BiPAP machines (also known as auto-titrating bilevel devices) are designed to automatically adjust IPAP and EPAP levels within a prescribed range based on real-time breathing patterns. Using advanced sensors and algorithms, these machines detect airflow limitations, apneas, hypopneas, snoring, and changes in respiratory effort.

As breathing conditions change during different sleep stages, body positions, or disease progression, the auto BiPAP responds by increasing or decreasing pressure support as needed. This dynamic adjustment helps ensure effective therapy while minimizing unnecessary pressure.

Portable / travel BiPAP machines

Portable or travel BiPAP machines are engineered to provide bilevel ventilation in a compact, lightweight form factor, making them suitable for patients who need respiratory support while traveling or in mobile settings. These devices prioritize portability without compromising essential therapy functions.

BiPAP machine with oxygen compatibility

BiPAP machines with oxygen compatibility are designed to allow supplemental oxygen integration alongside positive airway pressure therapy. These devices include an oxygen inlet or adapter that enables oxygen from a concentrator or cylinder to be safely blended into the airflow delivered to the patient.

BiPAP with humidifier

BiPAP machines with humidifiers include either an integrated or attachable heated humidification system that adds moisture to the pressurised airflow. Humidification plays a critical role in long-term comfort and therapy adherence, especially for patients using higher pressures or wearing masks for extended hours.

BiPAP machine price in India

BiPAP machine price in India varies based on technology, brand, pressure modes, and accessories.

Fixed BiPAP price range

Generally ranges between ₹30,000 – ₹60,000, depending on brand and features.

Auto BiPAP price range

Typically priced between ₹50,000 – ₹90,000+, with advanced modes costing more.

What affects BiPAP cost?

Key factors include:

• Brand reputation
• Pressure modes (fixed vs auto, ST, AVAPS)
• Built-in humidifier
• Sensors and data tracking
• Portability and build quality

Types of BiPAP masks & choosing the right fit

The effectiveness of BiPAP therapy depends not only on the machine and pressure settings, but also heavily on the type of mask used and how well it fits. An ill-fitting or inappropriate mask can lead to air leaks, discomfort, poor sleep quality, and reduced therapy adherence. BiPAP masks are available in different designs to accommodate varying breathing patterns, pressure requirements, and comfort preferences.

Choosing the right mask involves understanding how each type works, who it is best suited for, and ensuring that the size and fit are correct for the individual user.

Full-face masks

Full-face masks cover both the nose and mouth, creating a sealed chamber over the entire lower face. These masks are especially useful for people who breathe through their mouth during sleep, either habitually or due to nasal congestion, sinus issues, or structural nasal blockages.

Nasal masks

Nasal masks cover only the nose, sealing from the bridge of the nose to just above the upper lip. They are one of the most commonly used BiPAP mask types because they strike a balance between comfort and stability.

Nasal pillow masks

Nasal pillow masks are the most minimalist mask option, consisting of small soft inserts that sit directly at the entrance of the nostrils. Instead of covering the nose or face, they deliver air straight into the nasal passages.

How to choose the right mask size

Key considerations when choosing the right mask size include:

• Facial measurements as per manufacturer sizing guides
• Ensuring the cushion sits comfortably without digging into the skin
• Achieving a seal without overtightening the headgear
• Testing the mask while lying down with the BiPAP running

Professional mask fitting, when available, is highly recommended—especially for first-time users. A trained technician can assess facial structure, breathing habits, and pressure needs to recommend the most suitable mask and size. For home users, many masks come with fit packs or multiple cushion sizes, allowing trial and adjustment.

When should you use a BiPAP machine?

A BiPAP machine should be used when a person requires assisted ventilation but does not need invasive mechanical ventilation. It is prescribed when breathing is inadequate, laboured, or inefficient—particularly during sleep or periods of rest—and when two-level pressure support provides a clinical advantage over single-pressure therapies like CPAP. The decision to initiate BiPAP therapy is always made under medical supervision, usually after diagnostic tests such as sleep studies, blood gas analysis, or pulmonary function testing.

Sleep apnea

BiPAP therapy is commonly used in sleep apnea when CPAP therapy is ineffective or poorly tolerated. In obstructive sleep apnea, some patients require high airway pressures to keep the airway open. Exhaling against a constant high CPAP pressure can be uncomfortable and may lead to poor adherence. BiPAP addresses this by providing a lower pressure during exhalation, making breathing feel more natural.

COPD

In chronic obstructive pulmonary disease (COPD), BiPAP is used to support ventilation and reduce carbon dioxide (CO₂) retention, especially during sleep when breathing naturally becomes shallower.

Hypoventilation syndromes

Hypoventilation syndromes occur when the body fails to breathe deeply or frequently enough, leading to inadequate ventilation and CO₂ buildup. One of the most common examples is obesity hypoventilation syndrome (OHS).

Post-hospital recovery

BiPAP is often used as a step-down or bridging therapy following hospitalization for acute respiratory illness or surgery.

Home use cases

BiPAP machines are widely used in home care settings for individuals with chronic respiratory conditions who require ongoing ventilatory support.

How to choose the right BiPAP machine

Choosing the right BiPAP machine is not just about selecting a brand or price point. It involves matching the device’s capabilities to the patient’s medical condition, therapy requirements, lifestyle, and long-term usability.

Based on medical condition

The underlying medical condition plays the most important role in determining which BiPAP machine is appropriate.

Based on budget

Budget is a practical consideration, but it should be evaluated after medical requirements are clearly defined.

Based on portability

Portability becomes an important factor for patients who travel frequently or have unreliable power supply.

Based on auto vs fixed pressure

Choosing between an auto-adjusting BiPAP and a fixed-pressure BiPAP depends on how variable the patient’s breathing needs are over time.

Maintenance, cleaning & safety guidelines

Regular maintenance and proper cleaning are essential for safe and effective BiPAP therapy.

Daily mask & tube cleaning

The mask and tubing should be cleaned regularly to remove facial oils, moisture, and respiratory secretions.

Humidifier care

If the BiPAP machine includes a humidifier, distilled water should always be used.

Filter changes

BiPAP machines use filters to clean incoming air and protect both the user and the device.

Safe pressure settings

Pressure settings on a BiPAP machine are prescribed based on medical evaluation and should not be altered without professional guidance.

Why buy a BiPAP machine online at TenTabs?

Buying a BiPAP machine online from TenTabs offers convenience, reliability, and access to medically approved respiratory equipment from a trusted source.

Being India’s No.1 online medical supply store, TenTabs offers a wide range of BiPAP machines from top-selling brands like BMC, VentMed, Philips, Lowenstein, Philips Respironics, ResMed, Resplus and more.

All products are genuine, competitively priced, and come with manufacturer warranty, nationwide delivery, and professional customer support.

FAQs

When should BiPAP be used?

You can use a BiPAP machine to treat medical conditions that affect your breathing at a doctor's discretion.

Does BiPAP give you oxygen?

BiPAP pushes pressurised air into your lungs, expanding their size and making it easier for you to inhale oxygen.

Can the BiPAP machine be used at home?

Yes, modern BiPAP machines can be used at home.

Is BiPAP the same as ventilator?

BiPAP is a type of positive pressure ventilator. It can be described as pressure-controlled ventilation in a system that controls or helps patients breath better.

What is the difference between a CPAP and a BiPAP machine?

The main difference between the two is that CPAP machines deliver air at only one specific pressure. In contrast, BiPAP machines such as the BMC BiPAP machine, deliver two different values of air pressure: one for inhaling and one for exhaling. There is another type of machine as well, known as Auto BiPAP machine which automatically adjusts the air pressure.