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BiPAP or CPAP
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I_will_never_sleep_again Offline

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Posts: 96
Joined: Nov 2015

Machine: Resmed airsense 10 elite
Mask Type: Nasal mask
Mask Make & Model: Dreamwear
Humidifier: unsure
CPAP Pressure: 16rx now using 13
CPAP Software: SleepyHead

Other Comments: Was diagnosed after multi A-fib events at night

Sex: Male
Location: indiana USA

Post: #1
BiPAP or CPAP
Thanks to the people on this forum for all their help. I am finally getting used to CPAP. I lowered my pressure from 16 to 14 in order to adjust. I sleep approx. 6 hrs lately. I would like 8, but I am coming along just like you all said I would.
My question is: My Dr. gave me a prescription for a BiPAP machine since I was having so much trouble. Since then I have accepted and I am adapting to the CPAP machine. Should I go ahead and get the BiPap or tell then never mind I will keep what I have.
I am wondering if I should go ahead and get one since it is an option right now.
Any thoughts?
11-24-2015 09:10 AM
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justMongo Offline

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Posts: 3,855
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: BiPAP or CPAP
A Bilevel machine gives more flexibility in lowering pressure on exhale.
In my personal opinion this is a case of: "If it ain't broke, don't fix it."

BTW -- what are they doing about your a-fib? Are they using something like a beta blocker (metoprolol succinate) to control the a-fib?
Are you on a blood thinner?

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.
(This post was last modified: 11-24-2015 11:23 AM by justMongo.)
11-24-2015 09:58 AM
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Sleeprider Online
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Posts: 3,398
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #3
RE: BiPAP or CPAP
A bilevel machine is extremely comfortable to use. By dropping pressure at each exhale and providing needed pressure on inhale, it seems natural and easy. Gone is the feeling of pressure during exhale. For me, a bilevel does not so much lower AHI as compared to CPAP, but it definitely reduced RERA (respirator event related arousals) to an extent that my sleep is now more refreshing.

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11-24-2015 10:08 AM
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surferdude2 Offline

Advisory Members

Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #4
RE: BiPAP or CPAP
I use an APAP now but my next one will be a BPAP. I want to know what I'm missing, if anything. I've gotten used to the APAP but that doesn't mean I'm in love with it.
(This post was last modified: 11-24-2015 11:17 AM by surferdude2.)
11-24-2015 11:16 AM
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DariaVader Offline
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Monitors

Posts: 1,828
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #5
RE: BiPAP or CPAP
bipap machine can function as an apap, but an apap cannot function as a bipap. I would go for the Bipap.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
11-24-2015 11:23 AM
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justMongo Offline

Monitors

Posts: 3,855
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #6
RE: BiPAP or CPAP
The OP is on fixed level CPAP. Likely they would give him a fixed level Bilevel.
No mention of auto of any form in the OP.

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.
11-24-2015 11:26 AM
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DariaVader Offline
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Monitors

Posts: 1,828
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #7
RE: BiPAP or CPAP
hummm - at his pressure i think i would campaign for the auto! If he'd had an auto in the first place there might not be an issue, but bipap is the way to go at that high. My son needs high pressures like that and is getting a bilevel titration in january simply because the level of pressure to keep his airway open maxes out the apap. I may also do a bilevel titration, as my pressures go quite high during rem and the pressure is difficult to tolerate sometimes. I keep my EPR at the max of 3 and easily imagine increasing that for comfort.

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
11-24-2015 11:32 AM
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I_will_never_sleep_again Offline

Preferred Members

Posts: 96
Joined: Nov 2015

Machine: Resmed airsense 10 elite
Mask Type: Nasal mask
Mask Make & Model: Dreamwear
Humidifier: unsure
CPAP Pressure: 16rx now using 13
CPAP Software: SleepyHead

Other Comments: Was diagnosed after multi A-fib events at night

Sex: Male
Location: indiana USA

Post: #8
RE: BiPAP or CPAP
(11-24-2015 09:58 AM)justMongo Wrote:  A Bilevel machine gives more flexibility in lowering pressure on exhale.
In my personal opinion this is a case of: "If it ain't broke, don't fix it."

BTW -- what are they doing about your a-fib? Are they using something like a beta blocker (metoprolol succinate) to control the a-fib?
Are you on a blood thinner?

They haven't done anything about the a-fib. They suggested a beta blocker, but Dr. said he wouldn't like me on blood thinners if I don't have to. I have had about 2 episodes a year for 4 years.
I truly believe the Cpap treatment, and stopping alcohol will cure the A-fib. It always happens in the middle of the night. Probably cause I was starving for oxygen.
11-24-2015 11:36 AM
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I_will_never_sleep_again Offline

Preferred Members

Posts: 96
Joined: Nov 2015

Machine: Resmed airsense 10 elite
Mask Type: Nasal mask
Mask Make & Model: Dreamwear
Humidifier: unsure
CPAP Pressure: 16rx now using 13
CPAP Software: SleepyHead

Other Comments: Was diagnosed after multi A-fib events at night

Sex: Male
Location: indiana USA

Post: #9
RE: BiPAP or CPAP
(11-24-2015 11:32 AM)DariaVader Wrote:  hummm - at his pressure i think i would campaign for the auto! If he'd had an auto in the first place there might not be an issue, but bipap is the way to go at that high. My son needs high pressures like that and is getting a bilevel titration in january simply because the level of pressure to keep his airway open maxes out the apap. I may also do a bilevel titration, as my pressures go quite high during rem and the pressure is difficult to tolerate sometimes. I keep my EPR at the max of 3 and easily imagine increasing that for comfort.

The prescription said pressure 8/16. I haven't heard from supplier yet, my insurance may require more time with first machine.
11-24-2015 11:39 AM
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PaytonA Offline
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Posts: 3,019
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #10
RE: BiPAP or CPAP
If you decide to go for the bilevel (I would), I would definitely push for the bilevel auto. Just like with straight CPAP and auto CPAP there is not much difference in price between the straight bilevel and the auto bilevel.

Best Regards,

PaytonA
11-24-2015 12:43 PM
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