Poll: Which do you use?
This poll is closed.
CPAP 27.27% 12 27.27%
APAP 54.55% 24 54.55%
Bi-PAP 4.55% 2 4.55%
VPAP 13.64% 6 13.64%
Total 44 votes 100%
* You voted for this item. [Show Results]

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POLL - CPAP vs. all other PAPs
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SuperSleeper Offline

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Posts: 9,961
Joined: Feb 2012

Machine: PR System One REMstar Auto (DS560)
Mask Type: Nasal pillows
Mask Make & Model: ResMed Mirage Swift II
Humidifier: none
CPAP Pressure: 12.5 - 18.5 cmH20 (auto range)
CPAP Software: SleepyHead

Other Comments: Have diabetes Type II

Sex: Male
Location: Illinois, USA

Post: #11
RE: POLL - CPAP vs. all other PAPs
(06-19-2016 01:39 PM)OMyMyOHellYes Wrote:  I know this statement makes no sense, but maybe we're the odd ones. We started talking about battery backups and the next thing you know, somebody in the group has reverse engineered, peer reviewed and built a dang prototype of a manufacturer's power supply ......

(06-19-2016 02:11 PM)chill Wrote:  The geek quotient on this board is pleasingly high. SHa_biggrin5

Yep, and that thread is an amazing one to follow.

Amazing

SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


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.

06-19-2016 07:55 PM
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OMyMyOHellYes Offline

Advisory Members

Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #12
RE: POLL - CPAP vs. all other PAPs
Poll is complete - looks like:

82% on CPAP/APAP
18% on Bi/VPAP

Poll is no doubt skewed due to a non-=standard population on this list - I would guess that the percentage of Bi/VPAP here is maybe twice the general population of appliance users?
06-30-2016 08:25 PM
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shawn42 Offline

Preferred Members

Posts: 36
Joined: Jun 2016

Machine: Philips DreamStation AutoBiPAP
Mask Type: Nasal mask
Mask Make & Model: Philips DreamWear
Humidifier: detachable-- currently not using this
CPAP Pressure: 4-10 EP/IP, 2-4 PS, 3 BiFlex
CPAP Software: SleepyHead

Other Comments: Using CMS50IW Pulse Oximeter; Diagnosis AHI 60.2 with 74% O2 Desaturation Nadir

Sex: Male
Location: US

Post: #13
RE: POLL - CPAP vs. all other PAPs
[link to commercial DME blog article on Supplier #10's website removed] would have me believe that Auto-BiPAPs are a category of their own. Did you intend for them to be included under VPAP or BPAP or APAP? I'm confused where I fall here.




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To maintain our status as an educational organization, the only commercial links allowed in this forum are to CPAP-related manufacturer websites. This is stated in the Apnea Board Rules with details given in the Commercial Links Policy section.
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07-01-2016 06:55 AM
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OMyMyOHellYes Offline

Advisory Members

Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #14
RE: POLL - CPAP vs. all other PAPs
This question started when Mongo threw into a thread that his S-8 was a 24V system. Well, yes, ResMed had started using 24 for their Bi/VPAP machines back then, but my point was it was a really small portion of the universe and that they didn't really go in for a non-standard 24 V standard until the S-9s.

So, to answer your question, if the machine says BiPAP or ASV or Auto Servo or VPAP anywhere it is in the BiPAP/VPAP group which probably make up 10-15% of the world - auto machines are really considered CPAPs as lumped together by the medical/insurance/government cabal and probably make up 85-90%. You are really talking features, not major functionality differences that would exist between say someone needing to treat central vs. obstructive apneas.

The purpose here was to have an anecdotal, wild assed guess as to what ratio of the two kinds of machines there are in use. It has no realistic statistical validity. I just wanted to be somewhere on the paper when I try to conceptualize the split in the PAP community. 8:1 or 9:1 or somewhere in between I think would be reasonable.

OMMOHY
07-01-2016 08:44 AM
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shawn42 Offline

Preferred Members

Posts: 36
Joined: Jun 2016

Machine: Philips DreamStation AutoBiPAP
Mask Type: Nasal mask
Mask Make & Model: Philips DreamWear
Humidifier: detachable-- currently not using this
CPAP Pressure: 4-10 EP/IP, 2-4 PS, 3 BiFlex
CPAP Software: SleepyHead

Other Comments: Using CMS50IW Pulse Oximeter; Diagnosis AHI 60.2 with 74% O2 Desaturation Nadir

Sex: Male
Location: US

Post: #15
RE: POLL - CPAP vs. all other PAPs
Somehow you've managed to say a lot, but still leave me pretty confused =) I'll blame myself this time.

I think I'm just gonna start saying ABPAP. If one distinguishes an APAP from a CPAP, then I feel it's reasonable to distinguish an ABPAP from a BPAP. I don't know where to draw the line between what's considered a feature vs a function. They sound like the same thing, to me, when it comes to these machines.
07-01-2016 09:08 AM
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OMyMyOHellYes Offline

Advisory Members

Posts: 915
Joined: Mar 2013

Machine: Respironics 560 Auto
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: Respironics System One (no heated hose)
CPAP Pressure: 08.0-15.0 cm/H2O
CPAP Software: EncoreBasic

Other Comments:

Sex: Male
Location: Texas

Post: #16
RE: POLL - CPAP vs. all other PAPs
CPAP/APAP vs. BiPAP/VPAP - They LOOK the same, but do different things. A quick and dirty way to differentiate is to ask "what is the max pressure the machine will go to?" CPAP/APAP go only up to 20 cmH2O. BiPAP/VPAP go higher. Also, inhalation pressure is higher than exhalation pressure. Admittedly, "flex" comfort feature of 1-3 cm reduction found on some units blurs that line, but for biPAP the pressure differential is bigger and can actually assist in breathing.

CPAP/APAP purpose: holds your throat open so you can breathe on your own. They are not respiratory assist devices. They don't "help" you breathe.

BiPAP/VPAP purpose: are respiratory assist devices that actually help you breathe.

A brief explanation of the insurance billing codes (HSPCS) found on a supplier's site (click da pic):

   

E0601 is CPAP/APAP; non-invasive
E0470 is a BiPap (I think); non-invasive
E0471 is an adaptive servo machine (I think); non-invasive
E0472 uses a trach tube; invasive - not what we would normally consider when talking about these kinds of machines.

OMMOHY
(This post was last modified: 07-01-2016 10:00 AM by OMyMyOHellYes.)
07-01-2016 09:21 AM
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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: #17
RE: POLL - CPAP vs. all other PAPs
As for ResMed going to 24 V on their S8 bilevel machine (VPAP), I would suggest that the wider split between IPAP and EPAP requires a more responsive blower motor; and 24 V makes that easier.*

* The blower may have to raise pressure by perhaps 6 cm in 300 msec.

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.
07-01-2016 09:50 AM
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