Post Reply 
[Pressure] BiLevel titration study
Author Message
justMongo Offline

Monitors

Posts: 3,954
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: #1
BiLevel titration study
This titration was done in a sleep lab with all the bells and whistles.

The time spent at each bilevel pressure combination seems very limited to me.
How would they decide that 14/9 cm-H2O was best based on this data???? (Looks like data after 14/9 was all too short in duration to even consider -- so, they picked 14/9)

And, am I seeing mostly central events?
Why select a VPAP S if CA is a problem. Isn't a timed mode also needed for CA?

[Image: Poly_08AUG2009005_zps9d33ff3b.jpg]

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.
(This post was last modified: 11-03-2013 07:16 PM by justMongo.)
11-03-2013 07:12 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
zonk Offline

Advisory Members

Posts: 7,946
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: BiLevel titration study
Hi justMongo
This titration protocol guide from Phillips Respironcis might help answer your question
http://www.sleepapnea.com/downloads/1002...fGuide.pdf
11-03-2013 07:28 PM
Find all posts by this user Post Reply Quote this message in a reply
justMongo Offline

Monitors

Posts: 3,954
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: BiLevel titration study
(11-03-2013 07:28 PM)zonk Wrote:  Hi justMongo
This titration protocol guide from Phillips Respironcis might help answer your question
http://www.sleepapnea.com/downloads/1002...fGuide.pdf

Excellent.. thank you. I've not seen that.

Can anyone define the term: Tidal Volume?

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.
11-03-2013 08:13 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
SuperSleeper Offline

Administrators

Posts: 10,062
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: #4
RE: BiLevel titration study
(11-03-2013 08:13 PM)justMongo Wrote:  Can anyone define the term: Tidal Volume?

From the Apnea Board Wiki Definitions page (here):

Tidal Volume -
The amount of air that passes in and out of the lungs in an ordinary breath. Usually expressed in liters.




Coffee

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.

11-04-2013 08:13 AM
Find all posts by this user Post Reply Quote this message in a reply
Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #5
RE: BiLevel titration study
(11-04-2013 08:13 AM)SuperSleeper Wrote:  
(11-03-2013 08:13 PM)justMongo Wrote:  Can anyone define the term: Tidal Volume?

From the Apnea Board Wiki Definitions page (here):

Tidal Volume -
The amount of air that passes in and out of the lungs in an ordinary breath. Usually expressed in liters.

The only thing I wish, is besides a 'definition', there would also be more info like - more is better - or, an average person has a VT of XX - or - something to explain how to use this data item - is less better, is more better? Does this make sense?

I've read the entire list, and on many data points I find myself asking these types of questions, so wouldn't more info be a good thing?

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
11-04-2013 11:29 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver Élan
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #6
RE: BiLevel titration study
I agree with PeterC. Having some indication of a target value would make the definitions much more useful to those seeking knowledge.
11-04-2013 03:16 PM
Find all posts by this user Post Reply Quote this message in a reply
SuperSleeper Offline

Administrators

Posts: 10,062
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: #7
RE: BiLevel titration study
We're always looking for new Wiki Editors who can help expand the Wiki articles with info like that.

Read this thread for more info if you're interested:

http://www.apneaboard.com/forums/Thread-News-The-Apnea-Board-Wiki

Coffee

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.

11-04-2013 07:10 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #8
RE: BiLevel titration study
Kind of hard to edit something you do not understand and/or are not knowledgeable about - hence my suggestion Tongue

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
11-04-2013 10:16 PM
Find all posts by this user Post Reply Quote this message in a reply
SuperSleeper Offline

Administrators

Posts: 10,062
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: #9
RE: BiLevel titration study
(11-04-2013 10:16 PM)Peter_C Wrote:  Kind of hard to edit something you do not understand and/or are not knowledgeable about - hence my suggestion Tongue

Agreed. I don't totally understand it myself; perhaps someone here does who might offer a full explanation that can be included in a Wiki article.

Coffee

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.

11-05-2013 07:19 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
SuperSleeper Offline

Administrators

Posts: 10,062
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: #10
RE: BiLevel titration study
(11-04-2013 11:29 AM)Peter_C Wrote:  The only thing I wish, is besides a 'definition', there would also be more info like - more is better - or, an average person has a VT of XX - or - something to explain how to use this data item - is less better, is more better? Does this make sense?

Now that you're a Wiki Editor, Peter.. if you or someone else wants to create an article on Tidal Volume, that might be a good thing. The Definitions & Glossary Wiki Page isn't intended to be a complete article on any one subject - it's only a short definition. So the way to go is probably to create a new Wiki article on Tidal Volume perhaps.

Just a thought. Smile

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.

11-05-2013 08:21 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Just diagnosed but headed back for 2nd study. Advice? Piggles 50 1,303 01-13-2017 04:58 PM
Last Post: shylock31
  Got my home study results....finally jds2001 6 244 01-11-2017 02:58 PM
Last Post: Mosquitobait
  [Diagnosis] Waiting for sleep study results...got Pulse Ox in the meanwhile jds2001 14 684 01-08-2017 10:29 PM
Last Post: jds2001
  Sleep study last night Momajo79 12 446 01-08-2017 07:10 PM
Last Post: kwhenrykerr
  [Equipment] Appt tommorow for study review & new machine oneeyedrifter 20 640 01-06-2017 09:15 PM
Last Post: oneeyedrifter
  Got my diagnostic, MSLT, and CPAP titration results Beej 6 221 12-09-2016 11:41 PM
Last Post: Beej
  Sleep latency -study results Dagmar 1 179 12-06-2016 10:04 PM
Last Post: chill

Forum Jump:

Who's Online (Complete List)