Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Bought New BiPAP - Settings ideas
#1
As I've stated in replies to some posts I've wanted to buy a back up machine and because of my RERA count I decided on a BiPAP. This morning I pulled the trigger on a 'gently used' Respironics DS760 BiPAP from Supplier #2 for a very good price. According to them my machine should deliver within 10 days though my experience with Aussie customs suggest a lot longer.

I'll be able to attach it to the humidifier that came with the new DS560 I already own and the 760 works with a heated hose.

When it arrives I'll have to set it up and I have some queries regarding doing this process. In trying to lower my RERAs I have raised the minimum pressure over a period of time from 10.0 to 13.0. What I've noticed is that raising the minimum seems to raise the maximum and I felt far more comfortable at a lower minimum. When I was on 10 there were nights where I'd barely reach 12 though I did go past 14. I thought that when I eventually got to 13 that the range would be narrow but this has not proved to be the case. I've had nights where I've gone over 16 and even had an 18. The RERAs have come down but not to a point where they drop below 1.0. I'd like to eliminate them entirely as I feel that they do affect my sleep.

When the BiPAP arrives what settings should I use to start with regarding IPAP, EPAP and pressure support?
Post Reply Post Reply
#2
Have you read the clinical titration manual? it may help some. although a different brand the resmed clinical titration manual is ok too.
http://incenter.medical.philips.com/docl...%3d9792335
Post Reply Post Reply
#3
I agree your settings will come from the principles of BiPAP titration. Your EPAP pressure will be just high enough to prevent obstructive apnea, and pressure support is used for hypopnea, flow limitation and RERA. In your case with the Philips there is an automatic and variable pressure support capability, so I suspect you will start with a range, and observe results. In any event, I would not expect EPAP to be more than 8.0 with a likely pressure support of 4 to 6. That will give a starting pressure of 12/8 and it could increase from there based on what IPAP limits you choose to implement. What CPAP pressure resolved OA?
Post Reply Post Reply


#4
(04-20-2017, 08:02 AM)Sleeprider Wrote: I agree your settings will come from the principles of BiPAP titration. Your EPAP pressure will be just high enough to prevent obstructive apnea, and pressure support is used for hypopnea, flow limitation and RERA. In your case with the Philips there is an automatic and variable pressure support capability, so I suspect you will start with a range, and observe results.  In any event, I would not expect EPAP to be more than 8.0 with a likely pressure support of 4 to 6.  That will give a starting pressure of 12/8 and it could increase from there based on what IPAP limits you choose to implement.   What CPAP pressure resolved OA?

My CPAP titration study suggested that 13 was the CPAP pressure that would resolve OA. However, using APAP this has been lower. When I get the machine I'll start with 12 IPAP and 8 EPAP and see what an automatic PS will do. Have I understood your suggestions correctly?

It's a start in the right direction and I appreciate your valuable input. Your comments about BiPAP possibly resolving my RERA issues prompted me to buy a BiPAP as a back up machine. Regardless of the result I now have a back up that will still do APAP but I'm sure that the BiPAP will significantly improve my therapy.
Post Reply Post Reply
#5
What has your observation been in regards to pressure and OA events. CPAP titration attempts to resolve all events with one pressure, and so it is set at the pressure where hypopnea and other issues seem to be well treated. EPAP pressure on a bilevel can be lower, but should be near the pressure where OA is treated. It isn't going to take long to figure it out once you use it.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Bi-pap help with settings superdot5 6 179 08-17-2017, 05:46 PM
Last Post: robertbuckley
  [Pressure] Help w ResMed Aircurve 10 Vauto Settings BlueJay22 18 313 08-16-2017, 08:21 PM
Last Post: BlueJay22
  AHI numbers down. Am I OK with my settings? mraroid 7 210 08-16-2017, 12:39 PM
Last Post: Sleepster
  Dreamstation Mask Settings. JohnnyRotten 6 176 08-15-2017, 09:00 AM
Last Post: tomkatt
  [CPAP] Respironics M-Series BiPap Auto Question Dawnstar 6 145 08-13-2017, 09:15 PM
Last Post: Sleeprider
  [Equipment] Respironics BiPap A40 petnew 2 100 08-10-2017, 10:12 PM
Last Post: Sleeprider
  Follow-Up Appt. with Doctor & Changing Own Settings rooy1960 10 663 08-09-2017, 08:13 AM
Last Post: SarcasticDave94

Forum Jump:

New Posts   Today's Posts




About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.

For any more information, please use our contact form.