CPAP / BIPAP Therapy
Treatment
CPAP / BIPAP Therapy
Positive airway pressure therapy — including CPAP and BIPAP — is the most widely used and effective treatment for obstructive sleep apnea and sleep-disordered breathing.
What Is PAP Therapy?
Positive airway pressure (PAP) therapy uses a machine to deliver pressurized air through a mask worn during sleep. The air pressure acts as a pneumatic splint, keeping the upper airway open and preventing the collapse that causes obstructive sleep apnea. PAP therapy is recommended by the American Academy of Sleep Medicine (AASM) as a first-line treatment for OSA.
PAP therapy does not cure sleep apnea — it controls it during use. Consistent nightly use is essential for achieving the full benefits of therapy, which include improved sleep quality, reduced daytime sleepiness, and reduced cardiovascular risk associated with untreated OSA.
CPAP vs. BIPAP
CPAP — Continuous Positive Airway Pressure
CPAP delivers a single, continuous level of air pressure throughout the night. It is the most commonly prescribed PAP therapy for obstructive sleep apnea and is highly effective for most patients. The pressure level is determined by a sleep study or auto-titration.
BIPAP — Bilevel Positive Airway Pressure
BIPAP delivers two pressure levels — a higher pressure during inhalation (IPAP) and a lower pressure during exhalation (EPAP). BIPAP may be prescribed for patients who find CPAP uncomfortable due to the constant pressure, for those requiring higher pressures, or for patients with certain respiratory or neuromuscular conditions.
APAP — Auto-Adjusting PAP
APAP devices automatically adjust pressure throughout the night based on detected breathing events. APAP may be appropriate for certain patients as determined by the prescribing physician.
Masks & Comfort
The mask — or interface — is a critical component of PAP therapy. Proper fit is essential for both comfort and therapy effectiveness. SMIT provides mask fitting support to help patients find the right interface.
Common mask types include nasal masks, full-face masks, and nasal pillow masks. The right choice depends on your breathing pattern, anatomy, and personal preference. Our team can help you find a mask that works for you.
Tips for PAP Therapy Success
- Use your PAP device every night, including naps
- Allow time to adjust — most patients need several weeks to adapt
- Contact our office if you experience persistent discomfort or mask leak
- Keep equipment clean according to manufacturer guidelines
- Attend follow-up appointments to monitor therapy effectiveness
Equipment & Supplies
Sleep Medicine Institute of Texas provides CPAP, BIPAP, and PAP equipment and supplies through our Durable Medical Equipment (DME) service. Our clinical team supports patients with equipment setup, mask fitting, and ongoing supply management.
PAP therapy is prescribed by a physician following a diagnostic sleep study. This page provides general educational information. Consult a qualified sleep medicine physician to determine whether PAP therapy is appropriate for your condition.
Questions About CPAP or BIPAP Therapy?
Sleep Medicine Institute of Texas provides PAP therapy evaluation, equipment, and follow-up care in Tyler, TX. Contact us to schedule a consultation.