Includes well-known professionals, who together provide decades of sleep medicine experience that enables Talk About Sleep to fulfill its mission of creating access to high- read more
Last updated: September 13, 2022
Talk About Sleep is reader-supported. We may earn a commission through products purchased using links on this page. Learn more about our process here
BiPAP machines are common pieces of equipment among people who suffer from issues like sleep apnea, asthma, and other breathing problems while sleeping. We scoured the market to find the best BiPAP machines available.
Each of the machines on our list was examined based on operating modes, filters, noise levels, their ease of use, warranty, and any added features they come with. Taking these factors into consideration is essential in making sure you’re getting a machine that can keep up with your specific needs.
Along with our suggestions for the best BiPAP machines, we also cover when and why a person may need a BiPAP machine, along with any other questions you might have about how these machines work.
"This machine is considered one of the quietest machines on the market. It only uses 26 dBa and uses a soft start to slowly apply pressurized air."
"The Pro Bi-Flex comes in three different options where you can choose just the machine, machine + humidifier, and machine + heated tube humidifier. It also comes with two different operational modes."
Operating modes: Continuous Positive Airway Pressure (CPAP), Pressure Support Ventilation (PSV), Pressure Control Ventilation (PCV)
Range of pressure: CPAP: 4-20cm H2O, IPAP/EPAP 4 – 40cm H2O/ 2-20 cm H2O
Filter: replaceable and non-replaceable foam
Noise level: less than 30 dBA
The Breas Vivo 40 BiPAP ST offers clinical quality respiratory care in the comfort of your own home. It comes with three different operational modes, a 3-hour internal battery, and uses eSync technology to smoothly sync up with your breathing. On top of that, it also comes with a built-in alarm clock to use as well.
This BiPAP machine is perfect for the person who likes simplicity and ease of use. The buttons on the machine itself are large and easy to read, and it’s also designed to be compatible with any CPAP mask or tubing.
What are our favorite features?
The Vivo 40 made it our Editor's Pick because of how easy it is to operate, as well as its power versatility. The machine can either plug into an external power source or use the internal battery when external power isn't available. Using a BiPAP machine is essential for those with breathing troubles and not having access to a power source means they need to completely rearrange their space in order to use it. Doing so is both cumbersome and impractical, so having a machine with an internal battery is extremely beneficial.
What could be better?
Although this machine has an internal battery, it only lasts three hours. The average person needs roughly eight hours of sleep, so if the machine dies in the middle of the night, you may experience breathing trouble as the BiPAP isn’t helping keep your airways open anymore. On top of that, this particular model is no longer being manufactured in the U.S., so you won't be able to order a new one or any replacement parts after a certain amount of time.
Filter: disposable standard and (optional) hypoallergenic
Noise level: 26.6 dBA
The ResMed AirCurve 10 VAuto comes with ClimateLifeAir heated tubing and a built-in humidifier too. The machine itself is sleekly designed while still delivering powerful airflow for those who suffer from obstructive apnea. It also uses several different trademarked technologies to maximize breathability for those who use it.
This particular BiPAP machine is useful for users who want to customize air output multiple times. With the technology used and the way the machine is set up, those who use it can adjust the settings in a variety of different ways as frequently as they want. The AirCurve 10 is also great for people who want a portable BiPAP machine as it comes with a travel bag made specifically for its size and shape.
What makes it stand out?
The AirCurve 10 is our premium pick because of its customizability and portability too. While you may suffer from sleep apnea or another breathing issue, that doesn’t mean your symptoms are going to be the same every night. With an easily customizable experience, you don’t have to worry about getting too much or too little intervention during the night. You can also decide whether you want constant or intermittent flow depending on your general need. As far as portability goes, it’s always helpful to have a special bag that can hold your BiPAP machine. This makes general packing easier, and you don't have to worry about your machine getting damaged while traveling.
Which disadvantages must you keep in mind?
Although this portable BiPAP machine comes with a plethora of pros, there are a few things we believe could be improved upon. For starters, when syncing the machine up with your electronics for data upload, you may need to sign in each time you want to check your stats. While this isn’t a serious issue, it can prove to be cumbersome after the first few logins. On top of that, customers have claimed their machines make a whirring sound after around one year of using the machine.
The Phillips Respironics DreamStation machine comes with a compatible app that can track your usage, mask fit, and overall sleep summary each night. The machine connects to the DreamMapper app via Bluetooth and uses EZ-Start technology to ease its user into the appropriate level of respiratory therapy.
The Respironics DreamStation is perfect for users who like to keep track of their sleep and overall usage. With the DreamMapper app, you have the opportunity to self-manage your machine usage and ensure you’re wearing the machine correctly each night. It’s also great for people who want to reduce their carbon footprint as it has a much smaller footprint than its counterparts.
What are its best features?
This BiPAP machine provides the most value out of all of the others on our list because although it's smaller, it still offers incredible features to ensure you get a good night's sleep. In fact, the self-management app makes it well worth the price tag, in our opinion. We also chose to include this one on our list because of how helpful it is for people who need to know their progress. Having an actual visual of your sleep stats is beneficial in finding ways to improve your sleeping ability. It also gives you a handy visual to give to any doctors or sleep consultants you meet with while using the machine.
What could be improved?
Although this BiPAP machine certainly has its perks, it also has one inconvenient drawback. It operates only via an external power source, so you’ll need to make sure you have an available outlet near your sleeping arrangement. You also need a prescription to order this particular BiPAP machine, so you’ll have to make time to speak to your doctor. This can prove cumbersome for those who work a lot or struggle with medical anxiety.
The DeVilbiss IntelliPAP Bilevel S machine uses exclusive flow-rounding technology to help ease the transition between CPAP and EPAP pressure. It also uses a slow start to build up to the prescribed pressure over the course of ten seconds. With the use of just 26 dBa, this BiPAP machine is also considered one of the quietest models on the market.
For sleepers who need quiet in order to fall asleep, this is definitely the one to check out. It also gives you the option to turn off the LED backlighting on the display screen, which is nice for sleepers who prefer as little lighting as possible. To add to that, the machine itself is extremely portable and easy to pack away for trips away from home.
What are its best features?
We chose this BiPAP machine for our list because it’s one of the quietest models available. The IntelliPAP also made our list because of its SmartCode Therapy tracking as well as the included heat humidifier. The humidifier easily docks to the bottom of the machine, and it doesn't require any separate tubes or cords to function. In terms of convenience, this one also hits the mark. It comes equipped with an “Auto on/off” setting that automatically turns the machine on and off when the mask is used or taken off.
What could be improved?
Despite these great benefits, the IntelliPAP does need to have access to an external power source. If your bed or other sleeping arrangement isn’t situated near an available outlet, you’ll need to rearrange your space to accommodate your machine. There also isn’t any solid information about the noise level of this machine. If you really need a quiet machine, you won’t know until you actually make the purchase. This isn’t very practical as it’s a hefty purchase in the first place.
The Philips’ Respironics BiPAP Pro Bi-Flex comes in three different options: the Pro Bi-Flex, Pro Bi-Flex with a humidifier, and the Pro Bi-Flex with a heated tube humidifier. It’s modem and SD Card compatible, comes with optional integrated oximetry, and uses advanced event detection too.
If you struggle with getting comfortable at night, this BiPAP machine is perfect. The Bi-Flex design is made to fit snugly to your head without leaving you with a headache in the morning. The Bilevel design of this machine is optimal for those who don’t respond well to traditional CPAP therapy as it adjusts pressure during inhalation and exhalation.
What stands out?
We chose this one for our list, most notably because of comfort. You shouldn't have to sacrifice comfort just so you can breathe while you’re sleeping. After all, comfort is an integral part of getting a good night’s sleep. On top of that, the LED display screen also has an auto dimmer, so you don’t need to worry about bright lights while you’re trying to sleep. With the added comfort this machine provides, along with its unique technology, this machine is almost perfect.
What cons did we manage to find?
Although comfort certainly makes this machine a contender, there are still a few things that could be improved upon. For starters, the machine is bulkier than other models on our list. This means it's going to take up a considerable amount of space on your nightstand, and you'll need to make sure it isn't cluttered. Along with being bigger than others, it's also heavier too. While most of the other machines we chose to weigh in at two pounds or less, this one comes in at three pounds.
Things to Consider
BiPAP machines are an integral medical invention to help aid in the breathing process during sleep. When the airways are constricted, whether with asthma, sleep apnea, or another breathing inhibitor, your body is unable to let oxygen in or release it out. A BiPAP machine prevents that from happening by inserting pressurized air into your airways to keep them from constricting closed.
Why Do You Need a BIPAP Machine?
If you suffer from sleep apnea, asthma, or you have general breathing issues, a BiPAP machine
Trusted SourceBiPap | Johns Hopkins MedicineSome medical problems can make it hard for you to breathe. In these cases, you might benefit from bilevel positive airway pressure. It is commonly known as “BiPap” or “BPap.” It is a type of ventilator—a device that helps with breathing.
is likely a necessary intervention. The BiPAP machine will push air into your lungs while you wear a specific mask connected to a ventilator via special tubing. The machine sends specialized air into your airway and is referred to as “positive pressure ventilation” as it helps open up your lungs with the pressure.
With that said, people with exceptionally poor breathing may not suffice well with a BiPAP machine. It may also not be ideal if you have reduced consciousness or you have issues with swallowing in general. For those to whom this applies, you’ll likely need a breathing tube inserted via the throat and airway or a tracheostomy.
Trusted SourceTracheostomy - Mayo ClinicTracheostomy (tray-key-OS-tuh-me) is a hole that surgeons make through the front of the neck and into the windpipe (trachea). A tracheostomy tube is placed into the hole to keep it open for breathing. The term for the surgical procedure to create this opening is tracheotomy.
is a hole created by a surgeon in the front of the neck that goes into the windpipe. This hole is made when you have something blocking or obstructing your regular airway.
BiPAP Side Effects
Although the risks of using a BiPAP machine are minor, they’re still worth noting to avoid any reservations about using the machine. People who use a BiPAP machine typically experience the following side effects:
Minor skin damage from the facial area of the mask
Mild stomach bloating
Dry, scratchy mouth
Air leakage from the mask
Sinus issues (pain, leakage, or congestion)
Using Your BiPAP Machine
The specificities of using your BiPAP machine will vary slightly depending on your model’s capabilities. However, the general gist of it is simple. All you need to do is make sure each part is connected, and you have an adequate power source to power your machine. Once you know, it’s set, place the mask over your face and turn the machine on.
Some machines have customizable features that let you adjust the amount of airflow, as well as whether you want a constant flow of air or intermittent spurts to keep your breathing regular. Most machines are also equipped with some type of “smart” timer to automatically adjust to your natural breathing patterns, too, so that’s one less thing to worry about.
BiPAP Vs. CPAP
Although they both look similar to each other, BiPAP and CPAP machines vary in their intentional use. CPAP machines are designed to specifically treat obstructive sleep apnea, while BiPAP is geared more toward central or complex sleep apnea, as well as COPD.
BiPAP machines also tend to be a bit more costly than CPAP machines, but this is mostly because they’re designed to treat more complex health issues than CPAP machines are.
When considering which BiPAP machine to buy, there are several different factors that you need to take into consideration. The number of operating modes is helpful for those who need a more customized experience, and filters are important for people who suffer from specific allergies.
Other factors like noise level, ease of use, and extra features are also helpful to know as you look for a machine that best fits your individual needs. With all of these factors in mind, it’s also important to note a product’s warranty as well.
In order to trigger your respiratory cycle, there are three different routes: spontaneous or assist mode, spontaneous timed, or timed. Each of these cycles
Trusted SourceNoninvasive ventilation bi-pap basic use and modes - MedCrave onlineNon invasive ventilation is a type of mechanical ventilation in which we do not use invasive techniques like passing endotracheal tube. It is of two types C-PAP and Bi-PAP I am only discussing later. In Bi-PAP we give two levels of pressure IPAP and EPAP they are set after assessing patients condition and type of disease. IPAP is basically the positive airway pressure that we give in inspiration and EPAP is expiratory positive airway pressure that prevents our alveoli from collapsing and keep them open.2 BiPAP basic modes are S, St and T.
may also be referred to by the letters S, ST, or T. In spontaneous mode, and the user initiates all inhales and exhales. Spontaneous timed is both machine and user-triggered. If you fail to trigger the machine in time, it will trigger for you. In timed mode, all breaths are machine triggered.
It’s important to know which modes your machine is compatible with so you can ensure you get the right machine for your needs.
BiPAP filters will vary depending on the machine model you buy. While some come with disposable filters, others may come with one that isn’t even removable. On top of that, there are others that filter pollen and other allergens from the air if you happen to struggle with any of those allergies.
Noise level is important to consider if you like quiet while you sleep or you sleep with a significant other. It’s important to take into consideration those who will be in the bedroom with you as their sleep is just as important as yours. BiPAP machines like the IntelliPAP Bilevel S by DeVilbiss are perfect for those who want a machine that will make as little noise as possible.
Ease of use
Trying to configure your BiPAP machine each night before bed can be cumbersome, but it doesn’t actually have to be. As long as you get a machine with an easy-to-use control panel, nightly configuring should be a breeze.
Many BiPAP machines are being made with compatible apps that help track your machine use and general sleep stats. The Respironics DreamStation BiPAP Pro, for example, uses a self-management app that shows you whether or not you’re using the machine correctly. It also gives you important data that may be beneficial to send to your doctor when asked.
The final thing you should take into consideration when purchasing a BiPAP machine is the warranty the product comes with. Like something you’re going to use every night, it’s important to get one that has a good warranty in case any malfunctions come up. In most cases, you’ll find machines with a 2-year warranty, but there are some that give you more.
BiPAP and CPAP machines both require a doctor’s prescription. These machines are regulated by the FDA, and any medical product regulated by the FDA requires a prescription to use. While the therapy given with these machines is safe, despite possible minor irritation at the mask site, it does require you to speak to your doctor for a formal diagnosis first.
With that said, it’s helpful to speak to your doctor before doing any type of medical treatment. This way, you can get an official diagnosis and rule out any other issues that may be causing your sleep troubles.
BiPAP machines are relatively easy to use as long as you understand the controls on your specific model. Once you have everything hooked up (the adapter, machine, tubing, and mask), you can place the mask over your face and go to sleep.
Take care to consult the user manual for your particular model. Doing this will help you familiarize yourself with the configuration of your machine. The user manual will also give you any information about other added features that come with your BiPAP machine-like humidifiers and smartphone apps.
It’s imperative you take proper care of your BiPAP machine to avoid mold on the inner workings of the machine. For daily maintenance, it’s important that you remove and empty the water chamber and allow it to dry completely before putting it back. You should also wipe the mask and headgear with a damp cloth to get rid of any oils excreted while you were sleeping and let it dry completely afterward.
Once a week, you should do a thorough cleaning of each part, including the water chamber, the tubing, and the pressure valve. You should also check the filter in your machine weekly and replace it once a month. You should also be sure to wash your filters halfway through the month to maximize their use.
Finding the best BiPAP machine for your individual needs relies heavily on the severity of your condition and your general preferences. Low noise levels and smartphone compatibility are among the most commonly sought-after features of BiPAP machines, and we’re confident the choices in this article give you just that.
The Breas Vivo 40 BiPAP ST is our number one because it allows you to use it on battery life or via a wall plugin, making it the most convenient of our top five. The ResMed AirCurve 10 VAuto is great because it has a built-in humidifier for added comfort. Our pick for the best value, the Respironics DreamStation BiPAP Pro, is the right choice for smartphone compatibility. Regardless of which one you decide to go with, we hope our article helped make the process less stressful.
BiPap | Johns Hopkins Medicine
Some medical problems can make it hard for you to breathe. In these cases, you might benefit from bilevel positive airway pressure. It is commonly known as “BiPap” or “BPap.” It is a type of ventilator—a device that helps with breathing.
Tracheostomy (tray-key-OS-tuh-me) is a hole that surgeons make through the front of the neck and into the windpipe (trachea). A tracheostomy tube is placed into the hole to keep it open for breathing. The term for the surgical procedure to create this opening is tracheotomy.
Noninvasive ventilation bi-pap basic use and modes - MedCrave online
Non invasive ventilation is a type of mechanical ventilation in which we do not use invasive techniques like passing endotracheal tube. It is of two types C-PAP and Bi-PAP I am only discussing later. In Bi-PAP we give two levels of pressure IPAP and EPAP they are set after assessing patients condition and type of disease. IPAP is basically the positive airway pressure that we give in inspiration and EPAP is expiratory positive airway pressure that prevents our alveoli from collapsing and keep them open.2 BiPAP basic modes are S, St and T.