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[Equipment] Bipap
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Sinkiller Offline

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Posts: 23
Joined: Mar 2014

Machine: Resmed S9 Auto
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: H5i
CPAP Pressure: 5.4 to 12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Charleston, SC

Post: #1
Bipap
I have a perscription for a bipap but am concerned about adjusting to the bipaps set breathing pattern. Are there auto bipaps that adjust to ones breathing as it changes during the night? My one trial with a bipap in a sleep study was not great. I kept waking up and found it difficult to get in sync with the machines set breathing pattern. Any suggestions?
03-06-2014 05:48 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: #2
RE: Bipap
Hi Sinkiller,
WELCOME! to the forum.!
Hang in there and someone who knows the ins & outs about Bipap machines will help you, soon.
Best of luck to you.

trish6hundred
03-06-2014 06:01 PM
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Sinkiller Offline

Preferred Members

Posts: 23
Joined: Mar 2014

Machine: Resmed S9 Auto
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: H5i
CPAP Pressure: 5.4 to 12
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Charleston, SC

Post: #3
RE: Bipap
Thanks
I've done a little research on line but really haven't found a machine that specifies that it will adapt to a patients breathing.
03-06-2014 06:07 PM
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JWR Offline

Monitors

Posts: 455
Joined: Sep 2013

Machine: DreamStation DSX700 , PR 760 bipap auto
Mask Type: Nasal mask
Mask Make & Model: Resmed mirage FX
Humidifier: DreamStation DSXH , system one
CPAP Pressure: min EPAP = 17.5max IPAP = 21
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: .

Post: #4
RE: Bipap
(03-06-2014 05:48 PM)Sinkiller Wrote:  I have a perscription for a bipap but am concerned about adjusting to the bipaps set breathing pattern. Are there auto bipaps that adjust to ones breathing as it changes during the night? My one trial with a bipap in a sleep study was not great. I kept waking up and found it difficult to get in sync with the machines set breathing pattern. Any suggestions?




Hi Sinkiller and Welcome . Yes there are Auto Bipaps , Respironics and Resmed both make them . Not sure of Resmed models but the Respironic models are 750 and 760 . I'm total in love with my PR 750 auto . I fall asleep in under 5 min and wake up in the morning and can't tell it's on . I found it was easy to get into sync with it or it with me . Bottom line is that it takes time for your body to adjust to pressure , mask , noise ,leaks ,ect. Eat-popcorn If at a possible insist on a auto machine ! yes I sleep well but there are no two nights that the pressures are the same .

(This post was last modified: 03-06-2014 06:57 PM by JWR.)
03-06-2014 06:43 PM
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JWR Offline

Monitors

Posts: 455
Joined: Sep 2013

Machine: DreamStation DSX700 , PR 760 bipap auto
Mask Type: Nasal mask
Mask Make & Model: Resmed mirage FX
Humidifier: DreamStation DSXH , system one
CPAP Pressure: min EPAP = 17.5max IPAP = 21
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: .

Post: #5
RE: Bipap
(03-06-2014 06:43 PM)JWR Wrote:  [quote='Sinkiller' pid='61433' dateline='1394146119']
I have a perscription for a bipap but am concerned about adjusting to the bipaps set breathing pattern. Are there auto bipaps that adjust to ones breathing as it changes during the night? My one trial with a bipap in a sleep study was not great. I kept waking up and found it difficult to get in sync with the machines set breathing pattern. Any suggestions?







under Respironics info page on the Bipap auto . got this from the suppliers list under bipaps .

Bi-Flex Family Technology

Flex Technology is designed to enhance traditional BiPAP therapy by maintaining effective therapy at comfortable pressures. A user who is new to BiPAP equipment will find that Flex Technology makes adapting to therapy easier than when using a typical BiPAP machines. The natural breath-by-breath patterns enhances traditional therapy and improves compliance.

Bi-Flex makes the breathing cycle feel natural and comfortable. Flex Technology allows the System One 60 Series BiPAP Auto to track each breath and provide pressure relief during three critical points in the breathing cycle. Pressure is reduced by .5 increments during the transition from exhalation to inhalation, inhalation to exhalation and during exhalation.The Bi-Flex setting can be adjusted up to 1.5 H20 for maximum comfort.

03-06-2014 11:57 PM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,292
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #6
RE: Bipap
Hi Sinkiller. There are several different types of bi-level machine, depending on your particular condition. I have a high percentage of central apneas, so I use an auto-servo ventilation machine, the Resmed S9 VPAP Adapt. Prior to this I had the equivalent Respironics machine on trial. I found the Respironics did indeed try to force me into a particular breathing rhythm. I could never get comfortable with that machine. The Resmed, however, seems to work with me, following my lead rather than trying to enforce a rhythm. I find it much gentler but more effective than the Respironics ASV machine.

There is some information on Resmed's Pacewave technology here: http://www.resmed.com/au/products/s9_vpa...clinicians Hope this helps.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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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.
03-07-2014 09:54 AM
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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: #7
RE: Bipap
In 2004, I had a machine that I could not tolerate. So, I gave up on PAP until 2009.
These later machines are much smarter in their switching algorithms.

My Bilevel machine is not an auto; but, it has timing settings for the switch from IPAP to EPAP; and a trigger sensitivity setting.
A good RT can set a bilevel machine to accommodate most patients.

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.
03-07-2014 10:32 AM
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Dgsr Offline

Preferred Members

Posts: 49
Joined: Jan 2014

Machine: S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro
Humidifier: H5i
CPAP Pressure: I - 18, E - 14
CPAP Software: ResScan SleepyHead

Other Comments: Beard

Sex: Male
Location: Alabama

Post: #8
RE: Bipap
Hi Sinkiller,

When you say "auto", It automatically make me think of an auto bipap, which means it adjusts pressure to match your needs throughout the night.

However, your description of "auto" sounds more like, do you have to follow the machines rhythm of in/out, or does it match itself to your natural pattern.

I use a Resmed S9 VPAP Auto. It senses when you are ready to exhale, and lowers the pressure automatically. It's about the pressure change, not about in/out for a certain time period. I am fairly certain the Resmed S9 VPAP S works the same as the auto, without the ability to automatically adjust pressure.


The Phillips machine they hooked me up to at my sleep study felt very much like I had to follow the rhythm it put in place. I don't know if this was my unfamiliarity with everything, or if it really was configured that way.
(This post was last modified: 03-07-2014 07:09 PM by Dgsr.)
03-07-2014 06:49 PM
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mjbearit Offline

Preferred Members-2

Posts: 605
Joined: May 2012

Machine: REMstar Auto AFlex DS550
Mask Type: Nasal pillows
Mask Make & Model: RESMed Swift FX
Humidifier: Heated humidifier - 2
CPAP Pressure: 12.5-20
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: So Cal

Post: #9
RE: Bipap
Hi Sinkiller!
What you really want to make sure of, no matter which machine you get is that it has the newer technologies for making it easier to breathe. These technologies anticipate your breath through subtle changes in your breathing via a sensor array in the airway. Things that you nor I would even know we do! Different manufacturers have different names for these, but you will hear things like Flex or EPR or whatever. Be sure to discuss this with your DME and don't accept a machine that does not have some form of this.
You probably struggled during the sleep study for the same reason everyone I know struggled during their sleep study, wire somebody up with a bunch of foreign wires to machines, put patches on their bodies, clips on their fingers and a belt across their chest. Finally, strap a weird mask thing on their face and tell the to relax and go to sleep while you turn on a tornado in their face. Yeah, we all feel that way the first time! If I got an hours sleep altogether, I'd be surprised!
To top it off I got an old school machine that blows a constant stream of air. One pressure, all the time. Eventually I failed at treatment. Down the road I tried it again but then I got a machine with the newer technologies that adjust to my breathing (A-Flex is the bomb!) and I've never hated my machine since!
Good luck
Mike

As always, YMMV! You do not have to agree or disagree, I am not a professional so my mental meanderings are simply recollections of things from my own life.

PRS1 - Auto - A-Flex x2 - 12.50 - 20 - Humid x2 - Swift FX
03-08-2014 10:23 AM
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