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Anybody use Bipap ST?
#1
Anybody use Bipap ST?
Being told if APAP doesn't work they are going to try Bipap ST.  Anyone got any model/manufacturer names I can look up?
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#2
RE: Anybody use Bipap ST?
The ResMed AirCurve 10 ST is one such machine.
It has a timed backup rate for switching from EPAP to IPAP.
http://www.resmed.com/us/en/consumer/sup...10-st.html

The thing about "T" mode bilevel machines is they are usually not the best for controlling Central or Mixed Apnea.
Since the "Gold Standard" machine, the ASV, is very expensive, most insurance companies make people try the "T" mode bilevel machines first.

As an FYI: BiPAP is a trademark of Phillips-Respironics for a bilevel machine. The generic term is bilevel.
ResMed calls their bilevel machines AirCurve (for the 10 series) and VPAP for earlier generation machines.
Admin Note:
JustMongo passed away in August 2017
Click HERE to read his Memorial Thread

~ Rest in Peace ~
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#3
RE: Anybody use Bipap ST?
http://www.philips.com.au/healthcare/pro...ventilator

http://www.philips.com.au/healthcare/pro...eamstation (Scroll down to "device configuration")

http://www.resmed.com/us/en/consumer/pro...10-st.html

http://www.devilbisshc.com/products/cpap...level_st1/
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#4
RE: Anybody use Bipap ST?
Do you mean just S, if you needed Timed back up, I think they would start you on that?

If you need the ST, see if you can push to the ST-A with VAPS tech. As well as the ST, it has volume assured pressure support. You may not fully need it, but it's nice to have and will get volume and timed breath control.

From what I've been reading, a ST can treat basic centrals with the timed backup. It won't treat periodic breathing, cheyne stokes type things, which is where the ASV shines. The ST-A/VAPS are said to be good for hypoventilation and basic centrals.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#5
RE: Anybody use Bipap ST?
The value of a S/T machine really depends on what problems you are trying to solve. If you have complex apnea with centrals, just save everyone some time and aggravation and ask for the ASV. The S/T models are best for people with restrictive lung conditions and hypoventilation not related to central apnea. What is the issue you are having with APAP?
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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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.
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#6
RE: Anybody use Bipap ST?
To add to my response, please read these references that discuss the appropriate uses of the machine and recommended protocols for pressure titration. Compare the recommended applications for ST to SV or ASV. If the applicability of the machine being prescribed does not match the problem you are trying to solve, you need to have a discussion with your doctor to get a therapy that is BEST for YOUR conditions.

http://incenter.medical.philips.com/docl...%3d9792335

https://www.resmed.com/us/dam/documents/...lo_eng.pdf
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
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#7
RE: Anybody use Bipap ST?
Yep, its centrals with few OSA's.

Spoke to MD but its the insurance thats the PIA....

They say must fail trail on APAP, then go to Bipap s/t, then ASV....
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#8
RE: Anybody use Bipap ST?
Typical of insurance companies.
Admin Note:
JustMongo passed away in August 2017
Click HERE to read his Memorial Thread

~ Rest in Peace ~
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