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CPAP or APAP
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shutz1012 Offline

Preferred Members

Posts: 21
Joined: Oct 2015

Machine: Respironics REMstar Auto A-Flex
Mask Type: Nasal mask
Mask Make & Model: Nasal Mask - Wisp
Humidifier: System One Heated Humidifier
CPAP Pressure: 6-11
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Lost RIver, WV

Post: #1
CPAP or APAP
So, had sleep study and I have been diagnosed with mild sleep apnea. I was told I needed titration study, but insurance company says I do not. Dr's office is willing to write script for me to get my machine, so do I get APAP or CPAP? I'm thinking APAP since I have no idea what settings I need.

Any suggestions or advice is greatly appreciated.
10-29-2015 01:27 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

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: CPAP or APAP
I would think APAP, as you've not had a titration study and they have no idea of what optimum pressure might be

As for suggestion, the majority uses either ResMed or PR machines, I've only used ResMed machines
Since you're female, might suggest "AirSense 10 AutoSet for Her"
AirSense 10 AutoSet for Her, does whatever the regular AutoSet do and have an extra mode "AutoSet for Her', designed specially for females as females apnea and pressure requirement different than man

Good luck

[Image: ResMed-AirSense-10.png]
[should say "AutoSet, AutoSet for Her, Elite or CPAP"]

[Image: xAirSense10_AutoSet_for_Her.jpg.CROP.thu...WgSnVC.jpg]
AirSense 10 AutoSet for Her
(This post was last modified: 10-29-2015 01:55 PM by zonk.)
10-29-2015 01:53 PM
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Evpraxia Offline

Advisory Members

Posts: 313
Joined: Aug 2014

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift LT for Her - Nasal Pillows System
Humidifier: ResMed H5i
CPAP Pressure: 7-17
CPAP Software: ResScan SleepyHead

Other Comments: Cat Staff, bibliophile, love Classical & Byzantine music

Sex: Female
Location: Pacific Northwest USA

Post: #3
RE: CPAP or APAP
Greetings and a thumbs up for doing your own research!

Yes, definitely an APAP! A CPAP is a constant pressure, regardless of if you need that amount of pressure all the time or not. Yes, the pressure CAN be changed, but it is changed by a human (you or a technician) not by the machine in response to your breathing and need for a different pressure - which changes during the time you are sleeping.

Also, please be SURE to get a machine that is data capable - it REALLY helps in determining how the pressure and your breathing are doing.

Evpraxia in the Pacific Northwest USA
Diagnosed: 44 AHI when supine, O2 down to 82%
Treated since 20 Sept 2014:: 0.7 AHI, Settings 7-15, EPR on Full Time at Level 3
Better living through CPAP/APAP machines!
10-29-2015 02:27 PM
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eseedhouse Online

Advisory Members

Posts: 882
Joined: Dec 2014

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
Humidifier: ResMed
CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #4
RE: CPAP or APAP
An APAP machine can function as a CPAP machine but a CPAP can't function as APAP. Make sure you get a machine that provides full data that *you* can look at.

I have an APAP machine that is used in CPAP mode. I did that because most of my apneas are central ones, not obstructive. At a steady pressure of 6.6 almost all obstructive episodes are treated and my more common central episodes are treated with supplemental oxygen from a different machine. I suspect actually that I would be fine with just the O2, but I stay on the APAP machine to get full data that can reassure me that treatment is actually working or warn me when it stops working.

But YOU may need the changing pressure in response to events that only an APAP machine can provide. If it turns out you only need CPAP, well, perhaps that might change with time and if it does you'll already have the machine to treat it.

So definitely do your best to get a proper APAP machine that provides FULL data that you can inspect yourself. No matter how good your doctor is he can't give you the attention you can!

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
10-29-2015 05:20 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: #5
RE: CPAP or APAP
My personal opinion now is "buy as much machine as you can easily afford"... Auto BiPAP, then Auto CPAP, then plain CPAP -- even if you only 'need' CPAP. I like the idea of having both 'auto' (etc.) as options for either comfort or just reporting. With 'auto', you'll have the benefit of the machine manufacturer's extensive studies on analysis and reporting on 'optimal pressures'.

Sleep Apnea has given me a terrible memory. Please forgive me if I've repeated myself.
(This post was last modified: 10-29-2015 05:43 PM by WakeUpTime.)
10-29-2015 05:41 PM
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trish6hundred Offline

Advisory Members

Posts: 6,452
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #6
RE: CPAP or APAP
Hi shutz1012,
I would get an APAP for the same reasons others in this thread have mentioned.
Here is a link to help you with which machines to buy or which ones to avoid: http://www.apneaboard.com/wiki/index.php...ne_Choices .
Good luck to you on your machine decision.

trish6hundred
10-29-2015 07:39 PM
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shutz1012 Offline

Preferred Members

Posts: 21
Joined: Oct 2015

Machine: Respironics REMstar Auto A-Flex
Mask Type: Nasal mask
Mask Make & Model: Nasal Mask - Wisp
Humidifier: System One Heated Humidifier
CPAP Pressure: 6-11
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Lost RIver, WV

Post: #7
RE: CPAP or APAP
Thanks everyone! My doc is in the process of completing the necessary paperwork/script to get the ball rolling on the machine. I talked to the DME affiliated with the hospital I work at and they said I will need to meet with a resp. therapist to get fitted for a mask and to educate me on the machine. My doc said there was a 10 day, I believe, "trial" period, then they give you the correct settings. I have no idea, but I did tell her I wanted an APAP.
10-29-2015 08:05 PM
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sonicboom Offline

Advisory Members

Posts: 474
Joined: May 2015

Machine: Airsense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10, Dreamwear
Humidifier: Integrated
CPAP Pressure: 4.6-7.6
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Washington

Post: #8
RE: CPAP or APAP
After selecting a data capable machine make sure you download one of the data tracking softwares offered on this site for free to evaluate your data and make adjustments to your therapy as needed.

Coffee
10-29-2015 08:06 PM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #9
RE: CPAP or APAP
Apap. With no titration study the Doc hasnt a vlue what your pressure should be. And only sn educated guess with a titration study that is usually only in the ball park of what it really needs to be.
10-30-2015 12:33 AM
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