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Bilevel positive airway pressure (or BiPAP) is a method of respiratory ventilation used primarily in the treatment of sleep apnea and various lung diseases. Unlike continuous positive airway pressure (CPAP), BiPAP uses an electronic circuit to monitor the patient's breathing, and provides two different pressures, a higher one during inhalation (IPAP) and a lower pressure during exhalation (EPAP). This system is more expensive, and is sometimes used with patients who have a higher than average CPAP pressure and/or who find breathing out against an increased pressure to be uncomfortable or disruptive to their sleep. EPAP and IPAP settings are determined by the abnormalities requiring correction. In hypoxia, a high EPAP guarantees alveolar ventilation while in hypercapnia, a high IPAP gives more volume for diffusion.
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