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CPAP to BIPAP Transition
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Boiler Offline

New Members

Posts: 2
Joined: Apr 2014

Machine: S9 / AirCurve 10
Mask Type: Full face mask
Mask Make & Model: HCL-431
Humidifier: H5i
CPAP Pressure: 18.5 / BiPAP 22-14
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: USA

Post: #1
CPAP to BIPAP Transition
Recently repeated a Sleep Study. Data recommended a upgrade from CPAP to BiPAP 22/14 for 0 AHI @ 94.5% saturation.

Previous CPAP Settings:
ResMed S9
Min Pressure 8 cmH20
Mode: AUTO
AHI ~3.5

BiPAP Settings 1:
ResMed AirCurve 10
EAP 4 cmH20
IAP 25 cmH20
Mode: VAUTO
AHI ~12

BiPAP Settings 2:
ResMed AirCurve 10
EAP 14 cmH20
IAP 25 cmH20
Mode: VAUTO
AHI ~8.5

I'm struggling a bit with the migration to the BiPAP. AHI is definitely higher than when on CPAP and with the higher AHI is additional tiredness throughout the day.

General question is how to best configure the AirCurve 10 to reduce AHI and increase the effectiveness of my treatment.
06-20-2016 02:24 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,317
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: #2
RE: CPAP to BIPAP Transition
You may have been prescribed bilevel because the pressure support can improve tidal volume, which may be related to your less than ideal SpO2 during the study. For the settings you described, you're missing some information. What is the prescribed pressure support (PS) for "BiPAP 1" and "BiPAP 2". What kind of events are making up the increased AHI? What is the average and 90% IPAP pressure being reported? Any chance you can post some data?

Technically, the Aircurve 10 is not a BiPAP, but is a VPAP (proprietory names).

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
(This post was last modified: 06-20-2016 04:21 PM by Sleeprider.)
06-20-2016 04:19 PM
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justMongo Offline

Monitors

Posts: 3,840
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: #3
RE: CPAP to BIPAP Transition
Exactly. If the mode is VAUTO, then PS must be specified.

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06-20-2016 05:57 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: #4
RE: CPAP to BIPAP Transition
Hi Boiler,
WELCOME! to the forum.!
Hang in there for more suggestions and answers to your questions and much success to you as you continue your CPAP therapy.

trish6hundred
06-20-2016 07:40 PM
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Boiler Offline

New Members

Posts: 2
Joined: Apr 2014

Machine: S9 / AirCurve 10
Mask Type: Full face mask
Mask Make & Model: HCL-431
Humidifier: H5i
CPAP Pressure: 18.5 / BiPAP 22-14
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: USA

Post: #5
RE: CPAP to BIPAP Transition
IPAP MAX: 22
EPAP MIN: 14
PS: Not specified in Sleep Study report

PS on machine is 6.2

Respiratory Parameters: 10 Apneas ( 2 oa, 6 ca and 2 mixed) and 180 hypopneas. BiPAP to increase tidal volume.

Data: What data needs to be posted? Sleep Study and / or Machine Data
(This post was last modified: 06-20-2016 07:54 PM by Boiler.)
06-20-2016 07:54 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,317
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: #6
RE: CPAP to BIPAP Transition
Hey Boiler, I was talking about your sleep data from the machine. Here is a tutorial on how to do it. There is so much information there, and it's really hard to guide you without knowing more about your machine settings, and knowing the type of events. https://sleep.tnet.com/reference/tips/imgur

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
06-20-2016 09:58 PM
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