BiPAP Respironics or BiLevel Resmed?

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Holden4th
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BiPAP Respironics or BiLevel Resmed?

Post by Holden4th » Fri Nov 17, 2017 3:45 am

I've been using BiPAP for a while now and really like the exhale relief that you can tune in with pressure support. It's dropped my numbers and while this is a good thing I see things on my SH graphs that suggest that my machine is responding to non-existent events and that might be affecting my sleep.

I'm using a PR760 auto BiPAP which I believe has all the same algorithms of the Dreamstation. I'll now digress....

When I first started therapy I decided to use a loaner and was given the F&P Icon. It was not the machine for me so I got an S9 APAP which worked very well. When I finally bought my own machine (we don't have the insurance advantages of the US here in Aus) I went the cheaper option and got the PR 560. It worked well but I felt it wasn't as good as the S9. I then purchased the 760 and things got better but I still remember my best night being on the S9.

The Resmed algorithm gives a much quicker response to events than the Respironics and maybe this is what I need. I have a few questions.

If you've used both how do they compare (760 vs S9)?

Do their newer incarnations (Dreamstation vs S10 Autocurve) reflect cosmetic changes or do they go a step further?

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Last edited by Holden4th on Sun Nov 19, 2017 2:52 am, edited 1 time in total.

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Pesser
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Re: BiPAP Resmed or BiLevel Respironics

Post by Pesser » Sat Nov 18, 2017 7:47 pm

I have used a resmed s9, PR 560, PR760, and dreamstation auto bipap. The most comfortable is the bipap. If you feel you could be more comfortable....it could be a matter of getting the right preasure. On an APAP my best preasure was 10cmh20. On a bipap my best is E8, I13.

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Holden4th
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Re: BiPAP Resmed or BiLevel Respironics

Post by Holden4th » Sun Nov 19, 2017 2:50 am

Pesser wrote:I have used a resmed s9, PR 560, PR760, and dreamstation auto bipap. The most comfortable is the bipap. If you feel you could be more comfortable....it could be a matter of getting the right preasure. On an APAP my best preasure was 10cmh20. On a bipap my best is E8, I13.
Thanks for replying. I had the S9 APAP as a loner for 6 months and really enjoyed it. Yes, my PR760 BiPAP is certainly more comfortable but I feel it is too slow to respond to events and this is affecting my sleep quality, despite my good numbers. One thing it did do was drop the frequency of RERAs which can only be a good thing.

In the quest for good sleep I am happy to spend a bit of money but before I get an S9 BiLevel I'd like some feedback from somebody who has used both Resmed and Respironics BiLevel machines.

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Re: BiPAP Respironics or BiLevel Resmed?

Post by Pugsy » Sun Nov 19, 2017 9:29 am

I have used both brands in the bilevel department.
S9 VPAP Auto and the PR S1 650, 750 and 760 (which I currently own the 760).

I also currently own and use the AirSense 10 AutoSet for Her......and making us of EPR to create my own little bilevel machine.

Comparing the 2 bilevel brands...the Respironics is a bit slower to respond initially to whatever it is responding to but it also slower to return pre event status. So there's pros and cons to either way of doing things. Usually with the Respironics way of responding we have to maybe increase that minimum pressure upwards just a little from what we might use with the ResMed. Not always of course because a lot will depend on what the machine is responding to. My OSA is primarily OAs..always has been. Not so much hyponeas and of course not central and not really RERA type of stuff either.
So for my own particular needs I have found that I can get by with about 2 cm lower EPAP with ResMed than I need with Respironics to get the approx same results both in the software and in terms of sleep quality...EXCEPT...I sleep better with bilevel pressure support of at least 3 and actually probably prefer 4 cm PS for optimal sleep quality.....
I learned a long time ago that with bilevel (was using the Respironics bilevel at the time) and Pressure support I was sleeping about an hour longer with everything else being the same than I was sleeping with APAP (PR S1 apap at the time).
Back then I hadn't ever tried the ResMed AutoSet and that's one of the reasons I bought the AirSense 10 AutoSet for Her....I wanted to see what real apap with EPR was all about.

Now I have not tried the DreamStation models....and I haven't tried the AirCurve 10 bilevels with the exception of the ST and that's a totally different animal.
But in general the DreamStation and AirCurve 10 models are cosmetically improved (if you can call it that) improved S9s and PR S1 machines.
The algorithms for how they go about doing their business didn't change...just the packaging and a few other minor changes in settings or reporting.

If you can find a S9 VAuto bilevel at a really good price...worth doing IMHO.
Now I always like the latest and greatest mainly because I want to see if those minor changes are all that much of a big deal or not.
I only do it when I can get killer deals on machines though.

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Re: BiPAP Respironics or BiLevel Resmed?

Post by Matt00926 » Sun Nov 19, 2017 12:44 pm

I love the S9. The flow of air is very quiet with the easybreathe motor technology.
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Re: BiPAP Respironics or BiLevel Resmed?

Post by palerider » Sun Nov 19, 2017 2:29 pm

There are *at least* 13 DIFFERENT "S9" machines.

Asking which is best, "s9 something or other" vs a 760 (specific machine) is kind of meaningless, as well as saying "I love the s9". There are a few crappy S9 machines in the mix.

Comparing a S9 VPAP Auto to a 760 is an apt comparison. The S9 VPAP Auto is more configurable to make it as comfortable as possible to breath with, because it has TIMin, TiMax, Trigger and Cycle adjustments, while the 760 has nothing that even remotely approximates those controls.

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Re: BiPAP Resmed or BiLevel Respironics

Post by Pesser » Sun Nov 19, 2017 3:08 pm

Holden4th wrote:
Pesser wrote:I have used a resmed s9, PR 560, PR760, and dreamstation auto bipap. The most comfortable is the bipap. If you feel you could be more comfortable....it could be a matter of getting the right preasure. On an APAP my best preasure was 10cmh20. On a bipap my best is E8, I13.
Thanks for replying. I had the S9 APAP as a loner for 6 months and really enjoyed it. Yes, my PR760 BiPAP is certainly more comfortable but I feel it is too slow to respond to events and this is affecting my sleep quality, despite my good numbers. One thing it did do was drop the frequency of RERAs which can only be a good thing.

In the quest for good sleep I am happy to spend a bit of money but before I get an S9 BiLevel I'd like some feedback from somebody who has used both Resmed and Respironics BiLevel machines.
I responded to you because I had a feeling that both pros that have responded so far would; if I place you querry back to the top...Good luck. By the way both Pugsy and PR are entirely responsible for my success!

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Holden4th
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Re: BiPAP Respironics or BiLevel Resmed?

Post by Holden4th » Mon Nov 20, 2017 3:55 am

Thank you Pesser, Pugsy and PR for your responses - they have been very helpful.

My first machine was an F&P Icon auto loaner and it was dreadful. My GP was happy to write a script for an APAP and I ended up with a loaner S9 from the DME and it was a sleeping revelation. When I bought my first machine (the PR560) price was a consideration and it was 'on sale'.

After many months of using APAP, research suggested that BiLevel therapy would provide even better results and my purchase of the PR760 BiPAP proved this to be true for me.

Behind all this is my goal to find the very best possible treatment for my OSA. When I had the S9 APAP some of my nights, even though the numbers were not exactly close to zero, left me feeling very good the next morning. I've not quite had that with the Respironics machines even though it has been close at times.

I am prepared to try the Resmed version and you are telling me the S9 BiLevel auto and the S10 Aircurve VPAP auto are essentially the same machine but in different packages so I'll get a third machine. I'm happy to source this from Secondwind as they have the S9 VPAP/BiPAP auto 'gently used' for a very good price. If it works well for me then I can sell one of my three machines to make up some of the cost.

I'm off overseas in three weeks so I'll wait until the new year to purchase.

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