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Little help needed
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superdot5 Offline

Members

Posts: 4
Joined: Feb 2015

Machine: Respironics
Mask Type: Nasal pillows
Mask Make & Model: Nuance
Humidifier: DS6TFLG
CPAP Pressure: unsure
CPAP Software: Not using software Other Software

Other Comments:

Sex: Male
Location:

Post: #1
Little help needed
I am a new user and need some help. I have had three sleep studies done in the last 2 months. I have severe sleep apnea and need a BiPap Auto SV unit. The sleep lab I am working with is terrible. They never return your calls and I have no idea what my pressures are supposed to be. They are quick to set-up the study and horrible about the results. I have never seen the doctor but she recommended a Respironics BiPap AutoSv and they are willing to sell it to me for 6K. My insurance will cover it but my Co-Pay came out at about $1600. Since I could not afford either option at this time I am borrowing a unit from a friend. The Lab will visit with me in 2 weeks to discuss my results and give me the setting or so they say. But I need sleep now! My question for you experts . . . Do I have to have the recommended settings to get started? I thought the purpose of the Respironics BiPap AutoSv was that it adjusted itself using an algorithm. Any help would be appreciated.
02-21-2015 05:54 PM
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justMongo Offline

Monitors

Posts: 3,849
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: #2
RE: Little help needed
Where are you that you have such a slack-behind sleep lab?
They may be miff'ed that you're not buying their overpriced machine.
(Not that it isn't worth it -- just that their profit margin is so high as to be: unjust enrichment.

Before I forget, insist on copies of the sleep study report.

I think it necessary to have sleep study results to setup and ASV.

There are 3 pressures for an ASV. One could perhaps set the min-EPAP and max-IPAP to an open range. But, then there's the third pressure which is the overpressure to force air in to ventilate you during a central apnea event. That should come from the study.

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.
02-21-2015 06:08 PM
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superdot5 Offline

Members

Posts: 4
Joined: Feb 2015

Machine: Respironics
Mask Type: Nasal pillows
Mask Make & Model: Nuance
Humidifier: DS6TFLG
CPAP Pressure: unsure
CPAP Software: Not using software Other Software

Other Comments:

Sex: Male
Location:

Post: #3
RE: Little help needed
I am in Houston. They do not know that I am not buying their machine -yet. There is a doctor on the company website - but I have never seen or heard anything from her.

Thank you for the help. I am totally new to this.
02-21-2015 06:56 PM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,345
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: #4
RE: Little help needed
Superdot5, you are entitled to the sleep study results and prescription. The list price for that machine is $3500 and discounts are available, and through the "lightly used" market It should come in considerably less than your cost with insurance. Unfortunately you're being jerked around by your DME provider.

Let's get down to it. You asked if your setting are correct. We have nothing to work with here. Obviously you should start with your prescription settings. By law you are entitled to copy of that prescription. If you don't have it, get it. We can help you setup the machine, review the machine data and help you judge the efficacy and make adjustments.

What machine model did you borrow? 3 digit number on the bottom like 960P, or 950P.
Get the Sleepyhead software and extract the files to your computer hard drive. http://sleepfiles.com/SH/index.html?TestingVersions

Learn how to post therapy details, and post them to the forum. https://sleep.tnet.com/reference/tips/imgur

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
02-21-2015 07:13 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #5
RE: Little help needed
Actually, this is the better SleepyHead link: (the other is for testing builds and a new user may not want to get involved in that)
http://www.sleepfiles.com/SH/

And this is how to do attachments to this forum: (the link provided above is a little overkill for what this forum can do)
http://www.apneaboard.com/forums/Thread-How-to-Attachments

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
02-21-2015 09:23 PM
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trish6hundred Offline

Advisory Members

Posts: 6,436
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: Little help needed
Hi superdot5,
WELCOME! to the forum.!
I'm sorry you're having such bad treatment from your sleep lab.
In spite of that, I wish you much success with your CPAP therapy.

trish6hundred
(This post was last modified: 02-21-2015 09:50 PM by trish6hundred.)
02-21-2015 09:43 PM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,345
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: #7
RE: Little help needed
(02-21-2015 09:23 PM)PaulaO2 Wrote:  Actually, this is the better SleepyHead link: (the other is for testing builds and a new user may not want to get involved in that)
http://www.sleepfiles.com/SH/

And this is how to do attachments to this forum: (the link provided above is a little overkill for what this forum can do)
http://www.apneaboard.com/forums/Thread-How-to-Attachments

I respectfully disagree. JediMark is very conservative in his warnings about the beta version, but it is the only one that works with current Resmet Airsense machines and some others. In all the time using it, there have been no critical bugs, but some weird labels. It fixes a lot of problems of the so called stable version. I would only use the non testing version if this one failed to run. I am aware of many more problems with the old version.

I'll also disagree that posting data as an attachment is a good idea. The resolution is very limited and can make the file unreadable. While there are advantages to hosting images on the forum, the limitations make this approach better. https://sleep.tnet.com/reference/tips/imgur

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
(This post was last modified: 02-21-2015 10:28 PM by Sleeprider.)
02-21-2015 10:25 PM
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archangle Offline
Wiki Editor
Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #8
RE: Little help needed
(02-21-2015 10:25 PM)Sleeprider Wrote:  
(02-21-2015 09:23 PM)PaulaO2 Wrote:  Actually, this is the better SleepyHead link: (the other is for testing builds and a new user may not want to get involved in that)
http://www.sleepfiles.com/SH/

And this is how to do attachments to this forum: (the link provided above is a little overkill for what this forum can do)
http://www.apneaboard.com/forums/Thread-How-to-Attachments

I respectfully disagree. JediMark is very conservative in his warnings about the beta version, but it is the only one that works with current Resmet Airsense machines and some others. In all the time using it, there have been no critical bugs, but some weird labels. It fixes a lot of problems of the so called stable version. I would only use the non testing version if this one failed to run. I am aware of many more problems with the old version.

I'll also disagree that posting data as an attachment is a good idea. The resolution is very limited and can make the file unreadable. While there are advantages to hosting images on the forum, the limitations make this approach better. https://sleep.tnet.com/reference/tips/imgur

I agree. The Testing Version 0.9.8-1 works better and is adequately tested at this point in time.

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
02-21-2015 10:34 PM
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superdot5 Offline

Members

Posts: 4
Joined: Feb 2015

Machine: Respironics
Mask Type: Nasal pillows
Mask Make & Model: Nuance
Humidifier: DS6TFLG
CPAP Pressure: unsure
CPAP Software: Not using software Other Software

Other Comments:

Sex: Male
Location:

Post: #9
RE: Little help needed
Well . . . I have the prescription but not exactly sure what all of this means. The unit I am borrowing is a older Respironics BiPap AutoSV model (1038917). This unit may not have all of the setting per my prescription. Will this unit work?
The unit shows:
IPAP Max
IPAP Min
EPAP

The prescription reads: Max EPAP 15 Min EPAP 4 Max PS 20 Min PS 0 Max pressure 29 Timed Insp 1.5 Rate 8

Yep. . . This is greek to me. Any help would be appreciated. Thank you for your help.
02-23-2015 10:50 PM
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justMongo Offline

Monitors

Posts: 3,849
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: #10
RE: Little help needed
(02-23-2015 10:50 PM)superdot5 Wrote:  Well . . . I have the prescription but not exactly sure what all of this means. The unit I am borrowing is a older Respironics BiPap AutoSV model (1038917). This unit may not have all of the setting per my prescription. Will this unit work?
The unit shows:
IPAP Max
IPAP Min
EPAP

The prescription reads: Max EPAP 15 Min EPAP 4 Max PS 20 Min PS 0 Max pressure 29 Timed Insp 1.5 Rate 8

Yep. . . This is greek to me. Any help would be appreciated. Thank you for your help.

That's typical of how an ASV machine Rx is written. The phrase: "Max pressure 29 Timed Insp 1.5 Rate 8" is the auto ventilation setting. It pulses a pressure of 29 cm-H2O.

I'm no expert on on Phillips-Respironics Machines. Your borrowed machine is: "Respironics BiPap AutoSV" sounds like it should work.
The mode setting might not be set right to permit the machine to accept the Rx parameters.

See the link at the top to ask for the clinician's manual. Typically there is a flow chart style listing of settings.

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.
02-23-2015 11:02 PM
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