About to order new machine. Need advice on pressure settings
About to order new machine. Need advice on pressure settings
OK.
Finaly with a lot of help from this forum’s gurus I’ve choose my new machine
https://www.cpap.com/productpage-advanced.php?PNum=2018
Thanks to everybody who’s have some input.
Now. In order to place actual order to Apria my doctor needs to specify range of pressures on prescription. Well, I don’t know how to put it gently, but his qualification is much lower than many of yours folks. He is just ordinary pulmanologist, who is trying to expend his field of practice, so he is dealing with CPAP as well. Another words – he will put on that prescription any numbers I will tell him to put. Currently for year and a half I’ve been on straight CPAP with pressure 10. Doing reasonably well, much better than before CPAP. What would be the reasonable numbers to set for me?
Also it is BIPAP machine, so how many pressures suppose to be specified?
Inhale min- max??
Exhale min-max??
Thanks.
Finaly with a lot of help from this forum’s gurus I’ve choose my new machine
https://www.cpap.com/productpage-advanced.php?PNum=2018
Thanks to everybody who’s have some input.
Now. In order to place actual order to Apria my doctor needs to specify range of pressures on prescription. Well, I don’t know how to put it gently, but his qualification is much lower than many of yours folks. He is just ordinary pulmanologist, who is trying to expend his field of practice, so he is dealing with CPAP as well. Another words – he will put on that prescription any numbers I will tell him to put. Currently for year and a half I’ve been on straight CPAP with pressure 10. Doing reasonably well, much better than before CPAP. What would be the reasonable numbers to set for me?
Also it is BIPAP machine, so how many pressures suppose to be specified?
Inhale min- max??
Exhale min-max??
Thanks.
well you want to make sure you are getting the "Auto" version of the Bipap and not the "Pro" version of the Bipap.
If your current CPAP pressure is 10 cm, I would start out at:
Mode=BiFlex Auto
IPAP Max=15 cm
EPAP Min=7 cm
PS=4 cm
BiFlex=2 (Options are 1, 2 or 3)
When you turn on the machine IPAP will be 2 cm higher than EPAP, so it will be at 9cm IPAP and EPAP will start at the Min of 7 cm. Both will move up as needed, IPAP will increase up to 15cm, EPAP can be pulled up to 11 cm or 1 cm higher than current CPAP equal, or if event types dictate EPAP can move up to 13 cm if needed. There will always be a 2 Min gap between IPAP and EPAP on the closest side.
If your current CPAP pressure is 10 cm, I would start out at:
Mode=BiFlex Auto
IPAP Max=15 cm
EPAP Min=7 cm
PS=4 cm
BiFlex=2 (Options are 1, 2 or 3)
When you turn on the machine IPAP will be 2 cm higher than EPAP, so it will be at 9cm IPAP and EPAP will start at the Min of 7 cm. Both will move up as needed, IPAP will increase up to 15cm, EPAP can be pulled up to 11 cm or 1 cm higher than current CPAP equal, or if event types dictate EPAP can move up to 13 cm if needed. There will always be a 2 Min gap between IPAP and EPAP on the closest side.
someday science will catch up to what I'm saying...
- rested gal
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Re: About to order new machine. Need advice on pressure sett
I'm no doctor, but for the Rx, this would make the type of machine, mode of operation, and important settings clear to the person at Apria who will be setting it up initially:Sergey45 wrote:Currently for year and a half I’ve been on straight CPAP with pressure 10. Doing reasonably well, much better than before CPAP. What would be the reasonable numbers to set for me?
Also it is BIPAP machine, so how many pressures suppose to be specified?
Respironics BiPAP Auto with Bi-Flex
(I'd specify the entire name of the machine just like that, when dealing with a bricks and mortar DME like Apria.)
Auto-titrating Bi-level mode
Max IPAP 20
Min EPAP 8
PS (Max Press Sup) 8
Bi-flex 3
No ramp
Sergey, you can always change the settings, if you want to, after you get the machine. Personally, I'd keep the Min EPAP up fairly close to your current prescribed pressure of 10. An EPAP setting of 7, as Snoredog suggested, would be ok. I just think 8 or even 9 for the EPAP would be better.
Setting the max IPAP at 20 doesn't mean the machine will ever even approach anything close to 20 for you.
As Snoredog mentioned, the machine will start out using an IPAP only 2 cm's higher than whatever the EPAP was set at.
Those two pressures will then do what they need to do independently of each other, but will never get closer to each other than 2 cms....or farther apart from each other than 8 cms (if the Max Press Support, or "PS") is set for 8 .
A gap of "8" is as much independence as the machine can give for EPAP and IPAP to do their thing as needed and not be dragging each other up or down unnecessarily.
It's unlikely that the IPAP and EPAP would actually have occasion to move as far as 8 cm's apart from each other. But imho, setting the PS at 3 or 4 cm's (as if a person were using a traditional bipap's EPAP/IPAP of 3, 4, or 5 cms difference) is not taking full advantage of the unique way the BiPAP Auto works...as a combo bipap/auto-titrating machine.
For more about my take on what the Max Press Sup setting does (it's called "PS" in the older non-M series BiPAP Auto):
viewtopic.php?t=15666
Dec 08, 2006 subject: Question for BiPap users - UPDATED 12/14/2006
Good luck, Sergey! You've decided on a very good machine!
ResMed S9 VPAP Auto (ASV)
Humidifier: Integrated + Climate Control hose
Mask: Aeiomed Headrest (deconstructed, with homemade straps
3M painters tape over mouth
ALL LINKS by rested gal:
viewtopic.php?t=17435
Humidifier: Integrated + Climate Control hose
Mask: Aeiomed Headrest (deconstructed, with homemade straps
3M painters tape over mouth
ALL LINKS by rested gal:
viewtopic.php?t=17435
Re: About to order new machine. Need advice on pressure sett
Thank you very much.
Oh Dear!
Sometimes it is seems to me I am trying to pilot a jumbo jet without even knowing how to pilot a singe engine airplane. Hopefully I will learn it eventually.
Thanks again.
Oh Dear!
Sometimes it is seems to me I am trying to pilot a jumbo jet without even knowing how to pilot a singe engine airplane. Hopefully I will learn it eventually.
Thanks again.
Re: About to order new machine. Need advice on pressure sett
Does this mean I can do it myself later on fairly easily?rested gal wrote:
Sergey, you can always change the settings, if you want to, after you get the machine.
Congratulations Sergey,
IMHO you are getting a great machine. In making your choice, was the A-Flex a close second? If so, what were the deciding factors?
Thanks,
Rooster
IMHO you are getting a great machine. In making your choice, was the A-Flex a close second? If so, what were the deciding factors?
Thanks,
Rooster
_________________
Mask: Hybrid Full Face CPAP Mask with Nasal Pillows and Headgear |
Additional Comments: M Series Integrated Humidifier |
Well, there was not deciding factor in particular. Just my intuition I think. It seems like this machine has more “electronic brain capacity” to match my natural breath pattern rather then to keep me inflating from inside like a party balloon.rooster wrote:Congratulations Sergey,
IMHO you are getting a great machine. In making your choice, was the A-Flex a close second? If so, what were the deciding factors?
Thanks,
Rooster
I guess when you are having that kind of problem, it is best to go with your gut feeling when choosing a machine.Sergey45 wrote:Well, there was not deciding factor in particular. Just my intuition I think. It seems like this machine has more “electronic brain capacity” to match my natural breath pattern rather then to keep me inflating from inside like a party balloon.rooster wrote:Congratulations Sergey,
IMHO you are getting a great machine. In making your choice, was the A-Flex a close second? If so, what were the deciding factors?
Thanks,
Rooster
_________________
Mask: Hybrid Full Face CPAP Mask with Nasal Pillows and Headgear |
Additional Comments: M Series Integrated Humidifier |
Rooster
I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related
I have a vision that we will figure out an easy way to ensure that children develop wide, deep, healthy and attractive jaws and then obstructive sleep apnea becomes an obscure bit of history.https://www.youtube.com/watch?v=0ycw4uaX ... re=related
- rested gal
- Posts: 12883
- Joined: Thu Sep 09, 2004 10:14 pm
- Location: Tennessee
Re: About to order new machine. Need advice on pressure sett
Yes, if you know how to access the clinical "setup" menu on the machine itself. And you will know how to access that...I assure you.Sergey45 wrote:Does this mean I can do it myself later on fairly easily?rested gal wrote:
Sergey, you can always change the settings, if you want to, after you get the machine.
ResMed S9 VPAP Auto (ASV)
Humidifier: Integrated + Climate Control hose
Mask: Aeiomed Headrest (deconstructed, with homemade straps
3M painters tape over mouth
ALL LINKS by rested gal:
viewtopic.php?t=17435
Humidifier: Integrated + Climate Control hose
Mask: Aeiomed Headrest (deconstructed, with homemade straps
3M painters tape over mouth
ALL LINKS by rested gal:
viewtopic.php?t=17435