Respironics Bipap Auto First Night Impression

Titrator · Post by **Titrator** » Sat Oct 29, 2005 8:22 pm

Hi Folks,

As you already know, I am recovering from a Gastric Bypass, weightloss surgery.

I received my Bipap Auto yesterday and had a chance to set it and sleep one night. It is an interesting machine. It has 4 modes. Auto bipap, auto biflex, bipap and bipap with biflex.

I have my unit set to Auto Biflex. There is an IPAP Max control that can be set up to 25cm and it has an IPAP Min, which can be set as low as 4cm. I have IPAP Max set to 20cm and the EPAP min set to 10cm. My normal bipap pressure is set to 19.5 IPAP and 14.5 EPAP. There is a Max PS control that allows you to set the Delta range between 3 cm and 8cm. This is to always keep your IPAP and EPAP split a certain amount of cm no less than 3cm, and no more than 8cm. I have this setting set to 6cm.

I have my Biflex setting at 3. The most pressure releif upon exhalation.

This machine is the most comfortable xpap that I have ever used. It followed my breathing perfectly. I slept like a baby and seeing that I am still taking morphine for surgical pain, dreaming wild dreams.

I do not have the software yet, but I hope to be able to download the update from Respironics update center during this next week.

I have already lost 17 lbs since the surger, so I am very curious to see how it tracked me and what my average pressure is.

For any cpap user, going even going out of pocket for this pup may very well be a good thing. From all indications that is the best machine on the market, bar none.

Regards,

Ted

https://www.cpap.com/productpage/bipap- ... ifier.html

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dsm · Post by **dsm** » Sat Oct 29, 2005 9:06 pm

Ted thanks for keeping us posted. Naturally a topic on considerable interest & now fuelled by your glowing account.

I hope the recovery is quick & the nights remain so good.

Tks

DSM

Sleepless on LI · Post by **Sleepless on LI** » Sat Oct 29, 2005 9:10 pm

Ted,

Let's talk about technology here. That sounds like one cutting edge machine you have. And if it keeps up with your breathing the way it did, it works as well as giving you great options. I will be curious to see how your numbers turn out when you get the software. What type of software does it use?

Most important, how do you feel? Hope you are doing well. You seem pretty amazing to me, how fast you got back on this site and started posting again, especially on the heavy-duty painkillers. You either are some he-man or those drugs are working wonders.

Keep up the great progress and hope you continue your speedy recovery.

rested gal · Post by **rested gal** » Sat Oct 29, 2005 10:40 pm

I have my unit set to Auto Biflex.
.....
I have IPAP Max set to 20cm and the EPAP min set to 10cm.

Do the words "IPAP Max" and "EPAP Min" take the place of the words Max and Min (on a regular autopap machine) when setting the Auto pressure range with this new machine?

At first I thought you might have made a typo and meant you had it set to run in BiPAP Auto mode with Biflex, since I'm used to seeing "IPAP" and "EPAP" refer to BiPAP machine settings.

You're doing so great, Ted, for so soon after surgery! Good to see you posting and giving cool info about a cool new machine!

Lori, in case Ted's gone to bed already, this is a Respironics machine, so it uses Encore Pro software. As Ted mentioned, the new version of Encore Pro he'll need will be up on the Respironics software update site sometime next week.

That's at:
Respironics Sofware Updates Center - Encore

wading thru the muck! · Post by **wading thru the muck!** » Sun Oct 30, 2005 6:16 am

rested gal wrote:Do the words "IPAP Max" and "EPAP Min" take the place of the words Max and Min (on a regular autopap machine) when setting the Auto pressure range with this new machine?

IPAP = Inspiritory Positive Air Pressure

EPAP = Exspiritory Positive Air Pressure

The auto BiPAP is like two autos in one... simultainiously adjusting the IPAP pressure range and the EPAP pressure range. You only have to set the Max for one (IPAP) and the Min for the other (EPAP) because, as Ted stated, you set the Max delta (PS) between the two. So, in Ted's case, his IPAP can adjust within a range of 14cm to 20cm and his EPAP can adjust within a range of 10cm to 16cm... always keeping a Max difference of 6cm or less between the two.

Ted, Sounds like all is going well. I'm interested in knowing how much the auto has been able to decrease your average pressure and the time at that pressure.

...and off the topic of cpap, In your mission to find an activity that replaces the satisfaction gained from eating (since your new stomach will no longer allow that), please let us all know what has worked for you... that is, when you find it.

Again...Good Luck... my best wishes are with you.

Sleepless on LI · Post by **Sleepless on LI** » Sun Oct 30, 2005 7:15 am

RG,

Thank you for the clarification that it's Respironics. It's the machine you were speaking of a few months back, then.

Wader,

I would think the activity that I would replace getting satisfaction from instead of eating after a gastric bypass procedure would be weighing myself and watching as I become half the size of what I was . All kidding aside, that was the part about the surgery that my boss had a problem with that took some time. Very astute observation on your part, I must say. You must know someone close to you that has gone through this already.

Guest · Post by **Guest** » Sun Oct 30, 2005 9:07 am

Does anyone happen to know what the "Max PS" acronym stands for? Is it "maximum pressure split"?

rested gal · Post by **rested gal** » Sun Oct 30, 2005 10:03 am

Thanks, Wader. Great explanation of what Ted's settings would do if he were operating his machine in BiPAP Auto mode.

I guess I figured that in the Auto BiFlex mode Ted said he is running, the machine will be operating the same as if he were using a regular autopap with C-Flex. With BiFlex giving him the same kind of pressure reduction at the beginning of exhalation, but not throughout the entire exhalation...essentially the same way C-Flex works.

Ted, in the mode you said you are using (Auto BiFlex) the machine is using only the IPAP Max of 20 and EPAP Min of 10, just as if it were an autopap set for 20 Max - 10 Min, right? And "BiFlex" being turned on just gives you C-Flex style relief when you exhale, right?

If I understand it (gosh, what a lot of setting/mode combos to think about! ) you'd have to switch the mode of operation from Auto BiFlex to BiPAP Auto for it to actually use the additional range of settings you mentioned a little farther along -- IPAP 14cm to 20cm and EPAP 10cm to 16cm...right?

And of course your BiFlex setting of "3" would still give you that initial extra C-Flex-ish drop at the beginning of the reduced EPAP pressure in BiPAP Auto mode.

Sleepless on LI · Post by **Sleepless on LI** » Sun Oct 30, 2005 10:07 am

Just when you think you are starting to understand all the complex talk...

wading thru the muck! · Post by **wading thru the muck!** » Sun Oct 30, 2005 10:28 am

rested gal wrote:Thanks, Wader. Great explanation of what Ted's settings would do if he were operating his machine in BiPAP Auto mode.

I may be wrong but I think that ALL settings are in some BiPAP mode... otherwise the machine would not be a BiPAP. Here is how I see it...

- Auto BiPAP is the auto adjusting BiPAP mode (without BiFlex)

- Auto BiFlex is the auto adjusting BiPAP (with BiFlex)

- BiPAP is the non-auto adjusting BiPAP mode (without BiFlex)

- BiPAP with BiFlex is the non-auto adjusting BiPAP mode (with BiFlex)

neversleeps · Post by **neversleeps** » Sun Oct 30, 2005 10:45 am

So, r.g. and wader, does that mean this new Respironics BiPAP Auto with BiFlex has this many potential settings?

BiPAP
BiPAP with BiFlex
auto
auto with BiFlex
BiPAP with auto
BiPAP with auto with BiFlex

wading thru the muck! · Post by **wading thru the muck!** » Sun Oct 30, 2005 10:51 am

neversleeps wrote:So, r.g. and wader, does that mean this new Respironics BiPAP Auto with BiFlex has this many potential settings?

BiPAP
BiPAP with BiFlex
auto
auto with BiFlex
BiPAP with auto
BiPAP with auto with BiFlex

All but the auto and the auto with BiFlex.

It has a min delta (the difference between IPAP and EPAP) of 3cm, so it MUST always operate as a BiPAP.

neversleeps · Post by **neversleeps** » Sun Oct 30, 2005 11:09 am

Okay, thanks. So then it can't be used in straight cpap mode either, I assume.

rested gal · Post by **rested gal** » Sun Oct 30, 2005 2:45 pm

So, r.g. and wader, does that mean .....

Dunno, neversleeps. What Wader says sounds like as good a guess as any and may be right on the mark. I would have thought there'd be a setting to have it operate as a pure autopap, but Wader says not. I suppose we'll have to wait until Ted, who is actually using the thing, lists all the modes with all their permutations!

I still want one, no matter what it does! Which reminds me....Ted, you did say it does windows, right?

dsm · Post by **dsm** » Sun Oct 30, 2005 3:39 pm

Interesting comments

The question I have is can it run in CPAP mode ? - If so then there are a lot more combos

Reason I pose this question is that being BiLevel doen't mean it only runs BiLevel - the PB330 BiLevel can run straight cpap with ramp as well as BiLevel.

Cheers

DSM