Poll - Treatment mode. APAP, CPAP, Ramp & Exhale relief

[cosmo]

For your troubles

[TangledHose]

I want my donuts NOW please

[quietmorning]

I voted CPAP no ramp exhale relief, but that might change - sleep study last night - will find out what the changes are by the end of the week.

[khauser]

Dangit Cosmo! Now I gotta go get something sweet!

[StuUnderPressure]

Removed by me.

[quietmorning]

For your troubles

That one on the far right bottom row? The one with the chocolate icing and bovarian cream filling? Yeah, that one. . .that's MINE.

[Nooblakahn]

Looks like an old fashioned in the back.. I'll take it. I voted bilevel... closest you have to asv.

[park_ridge_dave]

For your troubles

Dooooonuts DOH!

(sorry just "Homer" me)

[John from Brookston]

Doesn't exhale relief make it a BiPAP? And I quit using ramp this week.
And I want that chocolate cake donut in the back row.

[Pugsy]

Doesn't exhale relief make it a BiPAP? And I quit using ramp this week.

No exhale relief doesn't work like bilevel pressure machines. It's similar but not the same because the timing is a bit different.
Respironics exhale relief is flow based relief...not the immediate per cm reduction that the Resmed machines offer with EPR.
So the PR S1 AFlex and CFlex is no where like bilevel pressure machines.
Now the S9 with EPR is probably more like a bilevel pressure machine but it isn't exactly the same. EPR isn't as finely attuned to the user's breathing rhythm as the VPAP (ResMed's bilevel pressure machine). I experimented with my S9 VPAP in cpap mode and bilevel fixed pressure mode with EPR of 3 in cpap mode and pressure support of 3 in bilevel mode and while they felt very similar to each other ....there was a subtle difference in the timing. Bilevel mode was a little more easier to breathe with.

Interesting to note that the PRS 1 BiPaps offer BiFlex exhale relief...and yes it is noticeable. Again a rhythm thing more than reduction.
And Resmed's VPAP in bilevel mode doesn't offer any exhale relief and that is because in bilevel mode the pressure support or difference between EPAP and IPAP is considered enough relief.

So with the PR S1 machines...exhale relief in the form of their Flex options doesn't come close to acting like a bilevel machine but the ResMed machines with EPR is very similar to what a bilevel machine will do.
Of course bilevel machines offer more than 3 cm difference in EPAP and IPAP to afford more relief.

[Stormynights]

Doesn't exhale relief make it a BiPAP? And I quit using ramp this week.

No exhale relief doesn't work like bilevel pressure machines. It's similar but not the same because the timing is a bit different.
Respironics exhale relief is flow based relief...not the immediate per cm reduction that the Resmed machines offer with EPR.
So the PR S1 AFlex and CFlex is no where like bilevel pressure machines.
Now the S9 with EPR is probably more like a bilevel pressure machine but it isn't exactly the same. EPR isn't as finely attuned to the user's breathing rhythm as the VPAP (ResMed's bilevel pressure machine). I experimented with my S9 VPAP in cpap mode and bilevel fixed pressure mode with EPR of 3 in cpap mode and pressure support of 3 in bilevel mode and while they felt very similar to each other ....there was a subtle difference in the timing. Bilevel mode was a little more easier to breathe with.

Interesting to note that the PRS 1 BiPaps offer BiFlex exhale relief...and yes it is noticeable. Again a rhythm thing more than reduction.
And Resmed's VPAP in bilevel mode doesn't offer any exhale relief and that is because in bilevel mode the pressure support or difference between EPAP and IPAP is considered enough relief.

So with the PR S1 machines...exhale relief in the form of their Flex options doesn't come close to acting like a bilevel machine but the ResMed machines with EPR is very similar to what a bilevel machine will do.
Of course bilevel machines offer more than 3 cm difference in EPAP and IPAP to afford more relief.

Thanks Pugsy, Now I know the difference in the machines. I don't understand why they cost so much more though.

[Pugsy]

I don't understand why they cost so much more though

Neither do I except ResMed insists on price fixing and Respironics not so much. ResMed seems to want to maintain the illusion that since their machine costs so much more than the others it must be "so much better" but I sure don't see it.
I have both machines...the PR S1 BiPap Auto and the S9 VPAP Auto. The VPAP has the fixed pressure support in auto mode that I happen to like and it is strictly something I only notice while awake before I go to sleep and it takes me all of 3 to 5 minutes to fall asleep so that isn't worth double the price for sure.
Besides it isn't like I hate the way the PR S1 does the pressure support in auto mode...it's quite comfortable.
My husband says the PR S1 BiPap is pretty much totally silent but he hears the VPAP...go figure that one.
Originally I thought that I really, really preferred the fixed PS of the VPAP but I have now concluded that I really don't feel that way anymore. There's a smoothness to the PR S1 BiPap that I really like as well...so really for me a toss up.
Right now using the VPAP mainly for the Climateline heated hose. During the wintertime I battle rain out so the heated hose is a definite plus.
I think if I had my wish list updated...my next machine would be the PR S1 BiPap Auto 60 series. I just can't justify the additional cost of the ResMed machine for me and my needs.

[John from Brookston]

Doesn't exhale relief make it a BiPAP? And I quit using ramp this week.

No exhale relief doesn't work like bilevel pressure machines. It's similar but not the same because the timing is a bit different.
Respironics exhale relief is flow based relief...not the immediate per cm reduction that the Resmed machines offer with EPR.
So the PR S1 AFlex and CFlex is no where like bilevel pressure machines.
Now the S9 with EPR is probably more like a bilevel pressure machine but it isn't exactly the same. EPR isn't as finely attuned to the user's breathing rhythm as the VPAP (ResMed's bilevel pressure machine). I experimented with my S9 VPAP in cpap mode and bilevel fixed pressure mode with EPR of 3 in cpap mode and pressure support of 3 in bilevel mode and while they felt very similar to each other ....there was a subtle difference in the timing. Bilevel mode was a little more easier to breathe with.

Interesting to note that the PRS 1 BiPaps offer BiFlex exhale relief...and yes it is noticeable. Again a rhythm thing more than reduction.
And Resmed's VPAP in bilevel mode doesn't offer any exhale relief and that is because in bilevel mode the pressure support or difference between EPAP and IPAP is considered enough relief.

So with the PR S1 machines...exhale relief in the form of their Flex options doesn't come close to acting like a bilevel machine but the ResMed machines with EPR is very similar to what a bilevel machine will do.
Of course bilevel machines offer more than 3 cm difference in EPAP and IPAP to afford more relief.

Thanks, Pugsy, I know what you mean about the rhythm with BiFlex. For about the first 3 breaths I'm fighting the machine then I get into the groove and by morning I'm breathing effortlessly.

[chunkyfrog]

I'll pass on the donuts; only a french cruller tempts me enough.
Drunken donuts does something wrong--grainy finish--ick.
But Krappy Kreme is the worst! They use CAKE BATTER; and it only LOOKS like a cruller!
Only the local bakery can make them good.
Oh, BTW, what use is a three year old poll? I have stopped using ramp.
I think most do after a while. The results of this poll are all FUBAR.