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CPAP & BiPAP therapy in Coimbatore — titration, mask fitting and follow-up
Setup visit 30–45 minutes; overnight if lab titration is needed
A sleep study tells us whether you have obstructive sleep apnoea and how severe it is. CPAP or BiPAP therapy is what actually treats it — and the difference between therapy that works and therapy that ends up in a cupboard is almost entirely in the setup and follow-up.
At Lung Care we titrate the pressure to your own airway, fit and re-fit the mask until it is comfortable, set humidification for the Coimbatore climate, and then review your machine's usage and residual-event data at each visit. BiPAP is used where CPAP is not enough — obesity hypoventilation, COPD with carbon-dioxide retention, overlap syndrome and selected neuromuscular disease.
Who is this for?
- Moderate to severe obstructive sleep apnoea confirmed on a sleep study
- Mild sleep apnoea with significant daytime sleepiness or heart disease
- Obesity hypoventilation syndrome or daytime carbon-dioxide retention
- COPD-OSA overlap syndrome, or COPD with nocturnal hypoventilation
- Patients already on CPAP who find it uncomfortable or are not improving
What happens during your visit
- We review your sleep study, oxygen levels and any heart or lung disease before choosing CPAP, auto-CPAP or BiPAP.
- Pressure is titrated — attended overnight in the lab, or by auto-titration data at home.
- Mask type and size are fitted, and leak, humidity and ramp settings adjusted for comfort.
- We review machine data (usage hours, residual AHI, leak) at 1 month, 3 months and then annually.
Why this test is performed
- To hold the upper airway open through the night so breathing pauses, oxygen dips and arousals stop.
- To restore refreshing sleep and reduce daytime sleepiness, morning headache and concentration problems.
- To support blood-pressure control and reduce the cardiovascular load of untreated sleep apnoea.
- To provide ventilatory support where carbon dioxide is retained overnight, using BiPAP rather than CPAP.
How to prepare
- •Bring your sleep study report, and a list of all your medicines.
- •If you already own a machine, bring it along with the mask and the SD card or app data.
- •Tell us about nasal blockage, sinus surgery, reflux or claustrophobia — all of these change the mask choice.
What it feels like
- •Air is delivered through a soft mask; it feels like a steady breeze rather than being pushed to breathe.
- •Most people need a week or two to get used to it. Early nights may be broken; that is normal and improves.
- •Leak around the eyes, a dry mouth or nasal congestion are usually mask-fit or humidity problems we can correct.
Setup visit 30–45 minutes; overnight if lab titration is needed
Safety and limitations
- •Genuine complications are rare — nasal dryness, congestion, skin marks from the mask and mild bloating are the usual issues, and all are adjustable.
- •A machine bought online without titration and follow-up is the commonest reason therapy fails.
Results and reporting
- •We review usage hours, residual AHI and leak from the machine's own data at one month, three months and then annually.
- •Pressure, mask and humidification are adjusted at each review rather than left on the original setting.
When to consult a pulmonologist
- You have been told you have sleep apnoea but never started treatment.
- You use CPAP but still feel sleepy, or you use it for less than four hours a night.
- Your mask hurts, leaks, or you wake with a dry mouth or headache.
- You have COPD, heart failure or obesity with breathlessness and daytime drowsiness.
How Lung Care helps
- •Device choice — CPAP, auto-CPAP or BiPAP — decided from your study and your heart and lung condition, not from a catalogue.
- •Attended or auto-titration to find your own pressure, with mask fitting and re-fitting until it is comfortable.
- •Humidification set for the Coimbatore climate, and structured download-based review at every visit.
Dr. Arun Gangadhar’s expertise
- •Dr. Arun Gangadhar is a sleep physician as well as an interventional pulmonologist, and holds the EDARM (European Diploma in Adult Respiratory Medicine).
- •PAP therapy is set up and reviewed by the same doctor who interprets your sleep study, so the plan stays consistent.
Ready to book?
Reserve a consultation with Dr. Arun Gangadhar at our RS Puram clinic.