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+--- Thread: Anybody use Bipap ST? (/Thread-Anybody-use-Bipap-ST)
Anybody use Bipap ST? - jrwill228 - 06-29-2017
Being told if APAP doesn't work they are going to try Bipap ST. Anyone got any model/manufacturer names I can look up?
RE: Anybody use Bipap ST? - justMongo - 06-30-2017
The ResMed AirCurve 10 ST is one such machine.
It has a timed backup rate for switching from EPAP to IPAP.
http://www.resmed.com/us/en/consumer/support/devices/aircurve-10-st.html
The thing about "T" mode bilevel machines is they are usually not the best for controlling Central or Mixed Apnea.
Since the "Gold Standard" machine, the ASV, is very expensive, most insurance companies make people try the "T" mode bilevel machines first.
As an FYI: BiPAP is a trademark of Phillips-Respironics for a bilevel machine. The generic term is bilevel.
ResMed calls their bilevel machines AirCurve (for the 10 series) and VPAP for earlier generation machines.
RE: Anybody use Bipap ST? - DeepBreathing - 06-30-2017
http://www.philips.com.au/healthcare/product/HCDS1060S/bipap-s-t-non-invasive-ventilator
http://www.philips.com.au/healthcare/product/HCNOCTN447/dreamstation (Scroll down to "device configuration")
http://www.resmed.com/us/en/consumer/products/devices/aircurve-10-st.html
http://www.devilbisshc.com/products/cpap_therapy/sleepcube_series/sleepcube_bilevel_st1/
RE: Anybody use Bipap ST? - ajack - 06-30-2017
Do you mean just S, if you needed Timed back up, I think they would start you on that?
If you need the ST, see if you can push to the ST-A with VAPS tech. As well as the ST, it has volume assured pressure support. You may not fully need it, but it's nice to have and will get volume and timed breath control.
From what I've been reading, a ST can treat basic centrals with the timed backup. It won't treat periodic breathing, cheyne stokes type things, which is where the ASV shines. The ST-A/VAPS are said to be good for hypoventilation and basic centrals.
RE: Anybody use Bipap ST? - Sleeprider - 06-30-2017
The value of a S/T machine really depends on what problems you are trying to solve. If you have complex apnea with centrals, just save everyone some time and aggravation and ask for the ASV. The S/T models are best for people with restrictive lung conditions and hypoventilation not related to central apnea. What is the issue you are having with APAP?
RE: Anybody use Bipap ST? - Sleeprider - 06-30-2017
To add to my response, please read these references that discuss the appropriate uses of the machine and recommended protocols for pressure titration. Compare the recommended applications for ST to SV or ASV. If the applicability of the machine being prescribed does not match the problem you are trying to solve, you need to have a discussion with your doctor to get a therapy that is BEST for YOUR conditions.
http://incenter.medical.philips.com/doclib/enc/9792335/BiPAPAutoSVAdvanced_Protocol.pdf%3ffunc%3ddoc.Fetch%26nodeid%3d9792335
https://www.resmed.com/us/dam/documents/products/titration/s9-vpap-tx/user-guide/1013904r3_s9-vpap-tx-sleep-lab-titration_user-guide_glo_eng.pdf
RE: Anybody use Bipap ST? - jrwill228 - 06-30-2017
Yep, its centrals with few OSA's.
Spoke to MD but its the insurance thats the PIA....
They say must fail trail on APAP, then go to Bipap s/t, then ASV....
RE: Anybody use Bipap ST? - justMongo - 06-30-2017
Typical of insurance companies.