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BiPAP or CPAP
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DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,819
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: #11
RE: BiPAP or CPAP
(11-24-2015 11:39 AM)I_will_never_sleep_again Wrote:  The prescription said pressure 8/16. I haven't heard from supplier yet, my insurance may require more time with first machine.

Then you were given the wrong machine. That is an Rx for an AutoPap

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 01:09 PM
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PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #12
RE: BiPAP or CPAP
I changed to a biPAP and love it. My Doc had to tell the insurance company (BCBS) that CPAP/APAP did not work for me to justify the BiPAP machine. Once this was done I had to change. YMMV.
Pretty sure you can set a BiPAP to standard CPAP, for the Resmed at least.
If you do get one, get ready for a few more settings to adjust. It can be customized to fit what you need better.
11-24-2015 01:14 PM
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justMongo Offline

Monitors

Posts: 3,839
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: #13
RE: BiPAP or CPAP
(11-24-2015 11:36 AM)I_will_never_sleep_again Wrote:  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.

CPAP and stopping alcohol will certainly improve your outlook. A-fib is the out of sequence firing of the upper chambers of the heart. Sleep Apnea wreaks havoc on the heart.

Alcohol use depends upon amount and duration. Heavy, long term use can alter the structure of the heart muscle. (cardiomyopathy) More reasonable use of alcohol can interfere with sleep and increase apnea.

As long as you are not having long runs of a-fib, I can understand a doctor not wanting to use a blood thinner as they come with their own risks. Long runs of a-fib can cause blood to become stagnate in the atria and form clots. Those clots can shoot through the heart and can cause an embolic stroke or kidney infarct. Beta blockers can control a-fib; and are sometimes used -- that's your doctor's call.

(11-24-2015 11:39 AM)I_will_never_sleep_again Wrote:  The prescription said pressure 8/16. I haven't heard from supplier yet, my insurance may require more time with first machine.

That's a fixed bilevel Rx. 16 IPAP, 8 EPAP.

If you do get a VPAP auto, the RX will specify 3 pressures: IPAPmax, EPAPmin and PS.

One advantage of a bilevel auto such as the one PaytonA and I use is its ability to be set up to 25 on pressure. Most machines max out at 20.

*** Disclaimer *** I am not a doctor or a member of the healthcare field.

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 01:31 PM by justMongo.)
11-24-2015 01:25 PM
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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: #14
RE: BiPAP or CPAP
(11-24-2015 01:09 PM)DariaVader Wrote:  
(11-24-2015 11:39 AM)I_will_never_sleep_again Wrote:  The prescription said pressure 8/16. I haven't heard from supplier yet, my insurance may require more time with first machine.

Then you were given the wrong machine. That is an Rx for an AutoPap
This is all new to me, I figured the 16 was inhale pressure and 8 was exhale pressure, but I have no idea really.
11-24-2015 01:28 PM
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DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,819
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: #15
RE: BiPAP or CPAP
(11-24-2015 01:28 PM)I_will_never_sleep_again Wrote:  This is all new to me, I figured the 16 was inhale pressure and 8 was exhale pressure, but I have no idea really.

That may be the case. in either case, an rx of 8/16 is *not* for a fixed pressure CPAP which is what you have in your profile. I mistook it for min and max pressure on an auto... which would then be close to how I have mine set (8/15)

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 01:35 PM
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justMongo Offline

Monitors

Posts: 3,839
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: #16
RE: BiPAP or CPAP
(11-24-2015 01:28 PM)I_will_never_sleep_again Wrote:  
(11-24-2015 01:09 PM)DariaVader Wrote:  
(11-24-2015 11:39 AM)I_will_never_sleep_again Wrote:  The prescription said pressure 8/16. I haven't heard from supplier yet, my insurance may require more time with first machine.

Then you were given the wrong machine. That is an Rx for an AutoPap
This is all new to me, I figured the 16 was inhale pressure and 8 was exhale pressure, but I have no idea really.
I believe it is; and that Daria was respectfully mistaken.

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 01:37 PM
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DariaVader Offline
Apnea Board Facebook Editor
Monitors

Posts: 1,819
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: #17
RE: BiPAP or CPAP
(11-24-2015 01:37 PM)justMongo Wrote:  I believe it is; and that Daria was respectfully mistaken.

There's a first time for everything Big Grin Big Grin Big Grin sorry - had to say that!


IMO, you need to be on an auto machine because you clearly have trouble tolerating the pressure you need to maintain an open airway, and you probably only need that high a pressure for a portion of the night. Even in Canada where they won't allow an APAP for most, they will do so if pressure requirement to maintain airway has a variance > 4 due to positional changes or REM vs non-REM.

Because the pressure is high, it is also my opinion that the auto machine should be a bilevel. I am not the one around here who is an expert on bilevel, though. I currently use a simple APAP.

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
(This post was last modified: 11-24-2015 01:48 PM by DariaVader.)
11-24-2015 01:45 PM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,005
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: #18
RE: BiPAP or CPAP
I love my VPAP Auto. It is as smooth as polished teflon. My PS is only 4. Might not quite seem quite as smoooooth if the PS needed to be higher. With an IPAP of 20 and a PS of 4, I have no problem exhaling. It even seems effortless.
11-24-2015 06:58 PM
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Sleepster Offline
Wiki Editor
Moderators

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: #19
RE: BiPAP or CPAP
(11-24-2015 09:10 AM)I_will_never_sleep_again Wrote:  I am wondering if I should go ahead and get one since it is an option right now.
Any thoughts?

I would look into getting one because it gives you the option of getting rid of what you have now, which is a perfectly good machine except for the fact that it's not auto-adjusting.

See if you can get a ResMed A10 or S9 VPAP Auto. It will allow you to spend more time at the lower more comfortable pressures.

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.
11-24-2015 07:23 PM
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WakeUpTime Offline

Advisory Members

Posts: 156
Joined: Jan 2014

Machine: PR System One BiPAP S60 Auto 760
Mask Type: Nasal pillows
Mask Make & Model: P10 pillows
Humidifier: PR S1 w Heated Tube+Hose
CPAP Pressure: Auto / Inhale 11-12.5 / Exh 9
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location:

Post: #20
RE: BiPAP or CPAP
Jump into the most machine you can get... a BiPAP Auto is wonderful for it's abilities.

I use the PR Sys One 760, and the versatility of the machine is great.
I'm on Auto with inhale pressure of 11-12.5 and exhale at 9.

Making the spread too high works against me.
I tried straight CPAP and got a bloated painful stomach. BiPAP made a big difference. And Auto, wow, that's adding another powerful ability.

With an Auto machine, it's great to look graphically at the numbers to see where you're at, over time.

Sleep Apnea has given me a terrible memory. Please forgive me if I've repeated myself.
(This post was last modified: 11-24-2015 08:21 PM by WakeUpTime.)
11-24-2015 08:19 PM
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