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APAP Discussion
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pdeli Offline

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Posts: 71
Joined: Mar 2013

Machine: Philips Respironics, BiPAP Auto, Bi-Flex, 760P
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: System One
CPAP Pressure: 6.0 - 9.5 cmH2O
CPAP Software: SleepyHead

Other Comments: Type II Diabeties

Sex: Male
Location: West Sacramento, CA

Post: #51
Money RE: [split] APAP Discussion
robysue,

This is a response to your post #32.

Am I correct in thinking that C-PAP = A-PAP?

So now how about Bi-Flex vs A-Pap?

Next, are the PS numbers settings in the setup process?

That's it for now - one step at a time. .... (We're again bouncing along in the car trying to get out a msg before the wrong screen touch wipes everything out - again!!!)

Phil
12-18-2013 05:21 PM
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pdeli Offline

Preferred Members

Posts: 71
Joined: Mar 2013

Machine: Philips Respironics, BiPAP Auto, Bi-Flex, 760P
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: System One
CPAP Pressure: 6.0 - 9.5 cmH2O
CPAP Software: SleepyHead

Other Comments: Type II Diabeties

Sex: Male
Location: West Sacramento, CA

Post: #52
RE: [split] APAP Discussion
Robysue,

One more question re your post #32.

I don't quite understand the "<=" in "EPAP: 6 <= EPAP <= 14 since max EPAP = max IPAP - min PS."

Phil

robysue,

This is a response to your post #32.

Am I correct in thinking that C-PAP = A-PAP?

So now how about Bi-Flex vs A-Pap?

Next, are the PS numbers settings in the setup process?

That's it for now - one step at a time. .... (We're again bouncing along in the car trying to get out a msg before the wrong screen touch wipes everything out - again!!!)

Phil
[/quote]
12-18-2013 05:30 PM
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Sleepster Offline
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Posts: 4,988
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #53
RE: [split] APAP Discussion
pdeli, here is our Apnea Board Acronyms Wiki:

http://www.apneaboard.com/wiki/index.php?title=Acronyms

Lots of good info there.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
12-18-2013 06:22 PM
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pdeli Offline

Preferred Members

Posts: 71
Joined: Mar 2013

Machine: Philips Respironics, BiPAP Auto, Bi-Flex, 760P
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: System One
CPAP Pressure: 6.0 - 9.5 cmH2O
CPAP Software: SleepyHead

Other Comments: Type II Diabeties

Sex: Male
Location: West Sacramento, CA

Post: #54
RE: [split] APAP Discussion
Well that will certainly keep me busy.

Phil
12-18-2013 08:32 PM
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robysue Online
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Posts: 1,222
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #55
RE: [split] APAP Discussion
(12-18-2013 05:21 PM)pdeli Wrote:  robysue,

This is a response to your post #32.

Am I correct in thinking that C-PAP = A-PAP?
CPAP is usually used to denote a machine that blows a fixed pressure. It doesn't automatically adjust the pressures through the night

APAP is an auto adjusting PAP machine. The confusion comes from the fact that some companies call their APAPs by the formal name of "Auto CPAP" or "CPAP Auto". The full formal name of the most up to date APAP from Philips Respironics is the: PR System One REMStar 60 Series Auto CPAP Machine for example.

For prescription and insurance purposes, both APAPs and CPAPs come under the same billing code. Hence a prescription that reads CPAP at n cmH2O and a cooperative DME is all it takes to get an APAP instead of a CPAP. But Bi-levels require their own prescription because they come under a different billing code.

To muddy the waters even further, many people use CPAP as kind of a generic label for all PAP machines when they are talking about "PAP" therapy in general. And they use CPAP, APAP, or BiPAP when are

Quote:So now how about Bi-Flex vs A-Pap?
A BiPAP machine is not the same as an APAP machine. A BiPAP is a particular brand of a bi-level PAP machine. Bi-level PAPs change the pressure between every inhalation and every exhalation, but an APAP cannot change the pressure between inhalation and exhalations.

Bi-Flex is the name of the exhalation relief system found on PR BiPAPs. It provides an additional bit of decrease in pressure at the start of the exhalation beyond just the drop from IPAP to EPAP. Bi-Flex is very similar to A-Flex on the PR Auto CPAP and C-Flex+ on the PR Pro CPAP.

Quote:Next, are the PS numbers settings in the setup process?
They are in the clinical set up menu not the patient's set up menu.
12-18-2013 10:10 PM
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pdeli Offline

Preferred Members

Posts: 71
Joined: Mar 2013

Machine: Philips Respironics, BiPAP Auto, Bi-Flex, 760P
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: System One
CPAP Pressure: 6.0 - 9.5 cmH2O
CPAP Software: SleepyHead

Other Comments: Type II Diabeties

Sex: Male
Location: West Sacramento, CA

Post: #56
RE: [split] APAP Discussion
Robysue,

Thanks again for your clarity.

Let me see if I have this right: On my PR BiPAP Auto, Bi-Flex, 760P (with a pressure range of 6-16), if I can figure out how to change the internal PS settings to, min PS = 2 and max PS = 8, will that give me a starting (min) IPAP pressure of 8, and starting (min) EPAP of 8?

If not, what settings would work? What I'm trying to accomplish is a starting IPAP of 8-10 and a starting EPAP of 4-6.

Also, here's some good news (if it actually works). The Aprea Health Care respiratory supervisor in my area, has agreed to spend maybe 1/2 hour or so, looking at my sleepyhead data and interpreting it for me. He also knows my Kaiser Sleep Doc, but is apparently willing to spend the time to do this with me. This may only be because I was in tears on the phone, but nonetheless it worked!

If I can figure my situation out with the help of Bob (Aprea), I'm done with trying to get in line to talk to someone at Kaiser for fragmented (guarded?) explanations. Especially if I can get Bob's home phone.

Then all I have to do is thank everyone here again, and then see if I can sell my C-PAP.

I was originally thinking of keeping the C-PAP on our boat for short 2-3 day overnights so I didn't have to lug the Bi-PAP back and forth, but after a one day refresher test a couple of days ago, I found that the C-Pap was the source of a lot of stomach discomfort (air) and additional tiredness.
Also, now that I'm in a hotel working off my laptop vs my Galaxy fly-all-over-the-place screen in the car, I can better focus on what you've said and better construct my own posts and in more detail.

I'm still curious about the usage of the symbol "<==" in your previous msgs.

Phil
12-19-2013 12:42 PM
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robysue Online
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Posts: 1,222
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #57
RE: [split] APAP Discussion
(12-19-2013 12:42 PM)pdeli Wrote:  Robysue,

Thanks again for your clarity.

Let me see if I have this right: On my PR BiPAP Auto, Bi-Flex, 760P (with a pressure range of 6-16), if I can figure out how to change the internal PS settings to, min PS = 2 and max PS = 8, will that give me a starting (min) IPAP pressure of 8, and starting (min) EPAP of 8?
Starting IPAP is correct, but starting EPAP is not correct.

If min EPAP = 6, max IPAP = 16, min PS = 2, and max PS =8, then:

starting EPAP = min EPAP = 6
starting IPAP = min EPAP + min PS = 6 + 2 = 8
max IPAP = 16
max EPAP = max IPAP - min PS = 16 - 2 = 14.

And 2 <= IPAP - EPAP <= 8 on every breath you take.

So if EPAP = 6 and IPAP = 14 = 6 + 8 and IPAP needs to be increased, then both the EPAP and IPAP will be increased by the same amount to keep PS = IPAP - EPAP <= max PS

If not, what settings would work? What I'm trying to accomplish is a starting IPAP of 8-10 and a starting EPAP of 4-6.


Quote:I'm still curious about the usage of the symbol "<==" in your previous msgs.
<= means "less than or equal to". If I typed <== that was a typo.
12-19-2013 05:02 PM
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pdeli Offline

Preferred Members

Posts: 71
Joined: Mar 2013

Machine: Philips Respironics, BiPAP Auto, Bi-Flex, 760P
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: System One
CPAP Pressure: 6.0 - 9.5 cmH2O
CPAP Software: SleepyHead

Other Comments: Type II Diabeties

Sex: Male
Location: West Sacramento, CA

Post: #58
RE: [split] APAP Discussion
Robysue,

I got it all but the last paragraph. (Sorry)

I'm still not clear on what change in settings (if possible) would get me to a starting IPAP of 8-10 and a starting EPAP of 4-6.

[quote='robysue' pid='52865' dateline='1387490556']
[quote='pdeli' pid='52858' dateline='1387474932']
Robysue,.

So if EPAP = 6 and IPAP = 14 = 6 + 8 and IPAP needs to be increased, then both the EPAP and IPAP will be increased by the same amount to keep PS = IPAP - EPAP <= max PS


Phil
12-19-2013 07:42 PM
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