PT - JOURNAL ARTICLE AU - Colleen G. Lance TI - PAP therapy increases the risk of transmission of COVID-19 AID - 10.3949/ccjm.87a.ccc003 DP - 2020 May 05 TA - Cleveland Clinic Journal of Medicine 4099 - http://www.ccjm.org/content/early/2020/05/04/ccjm.87a.ccc003.short 4100 - http://www.ccjm.org/content/early/2020/05/04/ccjm.87a.ccc003.full AB - Positive airway pressure (PAP) therapy is an open system that can generate contact, droplet, and airborne COVID-19 thereby increasing the risk of transmission of COVID-19 like other procedures such as tracheal intubation, noninvasive ventilation, and cardiopulmonary resuscitation. Medically prudent recommendations have been established for home use of PAP therapy in asymptomatic patients and patients with suspected or confirmed COVID-19. Recommendations for sleep clinics and sleep laboratory activities are also discussed as well as the emergency use of PAP devices as a substitute for ventilation.