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BIPAP Titration Results in
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me50 Offline

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Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

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Sex: Undisclosed
Location: USA

Post: #1
BIPAP Titration Results in
Hi and Happy New Year to everyone

I got my titration results emailed to me and I am wondering what I should post to see what your thoughts are on the results. I can't remember the criteria for switching to a BIPAP and I thought I had it in my favorites but I can't find it.

Thanks.

[attachment=642]
(This post was last modified: 01-02-2014 05:59 PM by me50.)
01-02-2014 01:32 PM
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zonk Offline

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Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #2
RE: BIPAP Titration Results in
(01-02-2014 01:32 PM)me50 Wrote:  I can't remember the criteria for switching to a BIPAP and I thought I had it in my favorites but I can't find it.

Thanks.
http://www.healthcare.philips.com/pwc_hc..._Hints.pdf

Whats EPAP, IPAP, pressure support recommendation

Edit: Titration protocol reference guide
http://www.sleepapnea.com/downloads/1002...fGuide.pdf
(This post was last modified: 01-02-2014 04:36 PM by zonk.)
01-02-2014 04:30 PM
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robysue Offline
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Posts: 1,240
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: #3
RE: BIPAP Titration Results in
The usual criteria for being switched to BiPAP include one or more of the following:
  1. A treated AHI > 5 and good compliance data
  2. A pressure setting of 15 or above combined with problems tolerating the pressure
  3. Severe adjustment problems with good compliance or a real effort to meet compliance. Ongoing problems with aerophagia is one example. The inability to get to sleep or stay asleep while using them achine is another. Typically insurance companies will want the doc to certify that fixes such as a change of mask style, changing the humidifier setting, changing the exhale relief setting, a pressure adjustment, and/or a change from CPAP to APAP (or APAP to CPAP) have been tried, but has failed to fix the adjustment problems.
  4. No relief from daytime symptoms in spite of a treated AHI < 5, particularly combined with #2 or #3. Typically insurance companies will want the doc to certify that fixes such as "a change of mask style" and "a pressure adjustment" and "a change from CPAP to APAP (or APAP to CPAP)" has been tried, but has failed to fix the adjustment problems.
01-02-2014 04:38 PM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #4
RE: BIPAP Titration Results in
(01-02-2014 04:30 PM)zonk Wrote:  
(01-02-2014 01:32 PM)me50 Wrote:  I can't remember the criteria for switching to a BIPAP and I thought I had it in my favorites but I can't find it.

Thanks.
http://www.healthcare.philips.com/pwc_hc..._Hints.pdf

Whats EPAP, IPAP, pressure support recommendation

Edit: Titration protocol reference guide
http://www.sleepapnea.com/downloads/1002...fGuide.pdf

I don't know the pressure recommendation but I know what was used in the titration. Since I have only used CPAP and APAP, I don't know how to read all of this titration study and understand it. Most I understand but it is a lot different than my other studies and some of it I don't understand.

The pressure they used was 15/9 but without posting the interpretation, I can't tell you more than that off the top of my head.
01-02-2014 05:16 PM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #5
RE: BIPAP Titration Results in
(01-02-2014 04:30 PM)zonk Wrote:  
(01-02-2014 01:32 PM)me50 Wrote:  I can't remember the criteria for switching to a BIPAP and I thought I had it in my favorites but I can't find it.

Thanks.
http://www.healthcare.philips.com/pwc_hc..._Hints.pdf

Whats EPAP, IPAP, pressure support recommendation

Edit: Titration protocol reference guide
http://www.sleepapnea.com/downloads/1002...fGuide.pdf

Thanks. I am not too sure of what exactly this titration study shows as it is different than my previous ones (the interpretation and charts).

If I am going to be switched to BIPAP, I definitely want the auto Guess I will find out soon enough. I don't even think I will go back to the doc for an explanation of my titration but will just have them order the machine and be done with it all and at the same time, save $40 not going to the doc's office. Last year, we didn't have to pay to go to the doc but this year we do.
01-02-2014 09:45 PM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #6
RE: BIPAP Titration Results in
[attachment=643]

I remember waking up but I went right back to sleep and I also remember sleeping more during this titration than any other titration and/or sleep study. I don't remember waking up 27 times and I don't remember the limb movements.

Is limb movements part of OSA or is it possibly caused by something else. I don't remember reading about others talking about limb movements as a general occurrence. Thanks.
(This post was last modified: 01-02-2014 09:58 PM by me50.)
01-02-2014 09:55 PM
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Tez62 Offline

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Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed
CPAP Pressure: 5-15
CPAP Software: SleepyHead

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Sex: Male
Location: Melbourne, Australia

Post: #7
RE: BIPAP Titration Results in
Me, it's called PLMD, periodic limb movement disorder, it is another sleep disorder like RLS, I have it as well as sleep apnea. Mine is helped with my CPAP, my sleep specialist recommended medication but I didn't take it and hoped CPAP would treat it. At my follow up sleep study my movements had dropped dramatically, I have leg and arm movements and my body would jerk and sometimes jump up in the air. A number of times I would kick my wife in my sleep that's one of the reasons I fireplace in a different room.
01-02-2014 10:58 PM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #8
RE: BIPAP Titration Results in
Are these 2 charts I posted enough for anyone to help me understand what this is telling me or do I need to post the whole interpretation?

Thanks.
01-03-2014 05:35 AM
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bwexler Offline

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Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver √Član
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #9
RE: BIPAP Titration Results in
You will need to post the entire report.
01-03-2014 04:16 PM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #10
RE: BIPAP Titration Results in
(01-03-2014 04:16 PM)bwexler Wrote:  You will need to post the entire report.

[attachment=644]

[attachment=645]

[attachment=646]

the only thing I didn't post is my personal information and the 02 analysis as there wasn't anything to report on the 02 saturation. My lowest HR was 65.2.
01-03-2014 08:23 PM
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