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New sign-ups open January 1, 2027

SimPAP will be live and open for new users on January 1, 2027, and we can’t wait!

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Clinical PAP Titration Simulator

Build better PAP titration skills through practice.

The realistic, interactive PAP titration simulator built for sleep technologists.

SimPAP puts you in control of a complete simulated PAP titration, from patient history and Lights Out to pressure changes, patient response, and the final titration report. Behind every case is a patent-pending physiological simulation engine that models the patient’s respiratory and cardiovascular systems, allowing the patient to respond dynamically to the decisions you make throughout the night.

Make a decision. See the response. Learn from the result.

Have a demo or access code? Sign in and enter it under “Or try a demo as a guest.”

A full titration night you can run and pause. Click to enlarge.

Who it’s for

Built for the people who perform, teach, and manage PAP titrations.

Sleep technologists

Practice clinical decision-making and build confidence before those decisions involve a real patient.

Lab managers

Give your team a consistent way to practice, develop skills, and identify opportunities for improvement.

Educators

Turn PAP titration concepts into an interactive experience where students can see how their decisions affect the patient.

Experience the whole titration night

From patient setup through Lights On, you’re making the decisions, and the simulated patient responds to them.

Every titration starts with a patient

Each case has demographics, anatomy, medications, and medical history. Those details change obstruction, drive, leak, and how the night unfolds.

The history changes the night

Hover or tap underlined terms for short teaching notes on how CHF, COPD, opioids, and other factors change drive, obstruction, and what to watch during the night.

Make the call. Watch the patient respond.

Advance time, adjust CPAP or bilevel, read leak and therapy tolerance, and follow sleep stage on the hypnogram, including TRT, TST, latency, and WASO.

Get help when you need it

Choose No guidance, Guided Practice, or Full support before each study. All three let you run a full titration and see your scores and titration report.

Turn guidance on when you want suggested next steps, short explanations, and teaching tips. Leave it off for independent practice. Guidance supports learning; it does not replace your lab's protocols.

See how your titration performed

The report lays out how the night actually went, pressure by pressure, so you can see the result of every change you made.

Learn from every titration

Every titration ends with feedback.

See how the study graded, what you did well, and where you could improve. SimPAP evaluates the decisions you made throughout the night and turns them into a clinical-style debrief you can use to make the next titration better.

Train the whole lab

Managers can assign work, review runs, and follow team QA so practice stays consistent across the lab.

Library shelves of textbooks, a placeholder for the SimPAP CEU library

Keep learning beyond the simulator

SimPAP isn’t just for titration practice. The CEU library gives sleep technologists access to recorded courses and continuing education designed specifically for the work they do.

Your first SimPAP titration

1

Meet your patient

Review the history, anatomy, medications, and other factors that may affect the night.

2

Run the titration

Start therapy, advance the night, adjust PAP, and respond as the patient’s sleep and breathing change.

3

See how you did

End the study, review your titration report, and see what went well and what you could do better next time.

Education and training only. SimPAP is a simulation. It is not a medical device, not a real sleep study, and not medical advice. Clinical decisions for actual patients belong with qualified clinicians using real data and your facility’s protocols.

The best time to make a mistake is during practice.

PAP titration requires judgment, and judgment comes from experience. SimPAP gives technologists a place to try, adjust, make mistakes, and learn from the outcome without a real patient depending on the decision.

Practice on your own or train your whole team

Whether you’re a technologist sharpening your skills, an educator training the next generation, or a lab manager developing your team, there’s a SimPAP option built for you.

See plans & pricing