CPAP vs BiPAP vs NIV vs home ventilator: a clinical decision tree

CPAP vs BiPAP vs NIV vs home ventilator: a clinical decision tree

The vocabulary around non-invasive positive-pressure therapy is cluttered. CPAP, APAP, BiPAP, BiPAP-S, BiPAP-ST, AVAPS, iVAPS, ASV, home NIV, home ventilator — these labels refer to overlapping categories that a physician chooses between based on the specific clinical picture in front of them. For a patient or family trying to understand which mode is appropriate, the

CPAP and PAP therapy in heart failure: what to use and what to avoid

CPAP and PAP therapy in heart failure: what to use and what to avoid

Roughly half of HFrEF patients, screened by polysomnography, have clinically significant sleep-disordered breathing. The phenotype is usually mixed: Heart failure and sleep-disordered breathing share a bidirectional relationship with meaningful prescribing consequences. A patient with heart failure with reduced ejection fraction (HFrEF, LVEF ≤ 45%) is likely to CPAP therapy for heart failure exhibit some combination