Ive changed my mind on auto-titrating devices

[Sheffey]

I have always advocated an autopap user to TRY straight cpap on occasion

I could set it on 12 pressure and suffer maybe an AHI of 35. I could set it on 20 and get a low AHI but have to bear the unnecessary pressure all night. Or I could set it somewhere in between and suffer a combination of apnea/unnecessary pressure.

No thank you, I'll leave it on auto 12-20 and sleep and breathe well all night.

Your advice is ship.

[Sheriff Buford]

Glad you took my advice.

Sheriff

[Hang Fire]

Glad you took my advice.

Sheriff

Suck it up, Buttercup. You've posted some bad advice in two different threads. Pugsy would straighten your butt out. I'm starting to miss her.

No thank you, I'll leave it on auto 12-20 and sleep and breathe well all night.

Your advice is ship.

Right on both accounts.

[StuUnderPressure]

I think auto titrating devices just complicate things and have begun to see things more the way many sleep specialists see them...a single set pressure is oftentimes the best.

Sleep Doctors, etc love CPAPs (in lieu of APAPs) for exactly that reason - it is easier on them without any regard as to what is best for you.

[MrGrumpy]

There is truth to this. One single set pressure is definitely simpler, easier to keep track of and if something changes suddenly or gradually, the doctor knows it was not your constantly changing APAP pressures. I honestly can see that and quite frankly, I agree with them on it.

If you have concierge quality sleep medicine doctoring, a patient with an APAP is manageable. If you are a sleep specialist with hundreds and hundreds or even a thousand patients a year, having a bunch of them using APAPs with pressures all over the place and having them tweaking their own pressures...I could honestly see how that would make a doctor upset and unhappy. And stressed.

I think auto titrating devices just complicate things and have begun to see things more the way many sleep specialists see them...a single set pressure is oftentimes the best.

Sleep Doctors, etc love CPAPs (in lieu of APAPs) for exactly that reason - it is easier on them without any regard as to what is best for you.

[Chevie]

Oh wow, this thread needs to die. But it won't.

[LSAT]

There is truth to this. One single set pressure is definitely simpler, easier to keep track of and if something changes suddenly or gradually, the doctor knows it was not your constantly changing APAP pressures. I honestly can see that and quite frankly, I agree with them on it.

If you have concierge quality sleep medicine doctoring, a patient with an APAP is manageable. If you are a sleep specialist with hundreds and hundreds or even a thousand patients a year, having a bunch of them using APAPs with pressures all over the place and having them tweaking their own pressures...I could honestly see how that would make a doctor upset and unhappy. And stressed.

I think auto titrating devices just complicate things and have begun to see things more the way many sleep specialists see them...a single set pressure is oftentimes the best.

Sleep Doctors, etc love CPAPs (in lieu of APAPs) for exactly that reason - it is easier on them without any regard as to what is best for you.

You need a soap box

[K5MOW]

I think auto titrating devices just complicate things and have begun to see things more the way many sleep specialists see them...a single set pressure is oftentimes the best.

Sleep Doctors, etc love CPAPs (in lieu of APAPs) for exactly that reason - it is easier on them without any regard as to what is best for you.

I am only speak for myself on this one. I did talk to my doctor about possibly having or using my BiPAP on a regular basis. She stated that in her opinion for me and the data she sees shows I do very very good on a set pressure of 11 cm on regular CPAP. She strongly recommended I stick with a regular CPAP sent to that prescription. She did however tell me if I was persistent and wanted to try BiPAP she would help me with this. At this point with me doing very well on regular CPAP I have no desire to use anything different at this time.

Roger

[palerider]

At this point with me doing very well on regular CPAP I have no desire to use anything different at this time.

I used to feel the same way, until I got my hands on a resmed auto bilevel (vpap auto) machine... I'd rather not go back to a straight pressure. this is personal preference, absolutely, and in no way is it a recommendation to anybody else... but for instance, on a cpap, over 280 days,(woo, old sleepyhead data) my ahi average was 1.23, which is quite good. then it started creeping up for whatever reasons till it was around 4-5, and I wasn't closely monitoring it, and I started feeling like crap. that's when I started looking for an auto.

with the vpap auto, I have a 273 day average ahi of 0.29... true, that's not really a significant difference in sleep quality, but it is a difference.

[ChicagoGranny]

I did talk to my doctor about possibly having or using my BiPAP on a regular basis.

Up until your post, the discussion in this thread had been about the difference between APAP and straight CPAP. BiPAP is a different thought.

At this point with me doing very well on regular CPAP I have no desire to use anything different at this time.

If you ever started using SleepyHead software, you might get some other ideas.

On the other hand, ...



... if you are always in a mood as good as the one in your avatar appears to be, you shouldn't change a thing!

[K5MOW]

I did talk to my doctor about possibly having or using my BiPAP on a regular basis.

Up until your post, the discussion in this thread had been about the difference between APAP and straight CPAP. BiPAP is a different thought.

At this point with me doing very well on regular CPAP I have no desire to use anything different at this time.

If you ever started using SleepyHead software, you might get some other ideas.

On the other hand, ...



... if you are always in a mood as good as the one in your avatar appears to be, you shouldn't change a thing!

Yes sorry for changing the point to this thread. At this point I am very happy with my straight CPAP pressure but you never know what the future holds. I did use the BiPAP a couple of days set to the pressure recommended here. I had a great night both days but sometimes felt I needed pressure even when I was exhaling. I realize that this feeling was probably in my head because of the anxiety of trying something different.

Roger

[ChicagoGranny]

sometimes felt I needed pressure even when I was exhaling. I realize that this feeling was probably in my head because of the anxiety of trying something different.

Not necessarily. Apneas can start on exhale. The EPAP pressure might have been set too low for some sleep stages or body positions.

[Oltremare]

I am a newbie, but I like to look for news from trusted sources!
I believe that perhaps the truth is this:
in 2002 the National Research Council of my country he has written an accurate report on the comparison of CPAP therapy vs Auto-CPAP. Both are ok and has no obvious problems with more preferences Auto-CPAP.
In the final part finally someone wrote the truth!
it's just a question of cost!
for this reason they pretend to us that Auto-CPAP is not good for our therapy!

here is the link:

http://www.cnr.it/istituti/FocusByN_eng ... 4&nfocus=2

[palerider]

I am a newbie, but I like to look for news from trusted sources!
I believe that perhaps the truth is this:
in 2002 the National Research Council of my country

there is one point that should be kept in mind while reading ancient reports like this, and that both the understanding of many medical issues (including sleep apnea) and the technology used to treat them (in this case, autopap machines) has changed, and improved *greatly* in the past 14 years.

[Sheriff Buford]

Sheriff