bi-pap or auto set

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
thegrons
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Joined: Fri Jul 02, 2010 2:03 pm

bi-pap or auto set

Post by thegrons » Sun Jul 28, 2013 6:36 pm

I have heard that the lower setting on the bipap is important? If my CPAP setting is usually 8.2 is it important to keep the lower pressure setting at 8.2 or can I lower it to 7.2? I don't want too radical of a swing but while falling a sleep it might be more comfortable at the lower setting and let it creep up to 8.2 versus setting it at say 8.2-9.2.

I thought I would try setting it at 7.2 and 9.2 and see how it works, any issues with going down to the 7.2?

Thanks,

John

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STL Mark
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Location: St. Louis, MO - USA

Re: bi-pap or auto set

Post by STL Mark » Sun Jul 28, 2013 6:43 pm

I was a bit confused in your question if you were asking about the BiPap machines or the Auto Cpap mode of your Autoset machine? What are your goals in changing from your 8.2 CPAP setting? For example do you wish it had less pressure during exhale?

_________________
Mask: AirFit™ F10 Full Face Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Machine: S9 VPAP Adapt (eASV) 36037

Mode: ASVAuto, Min EPAP: 4, Max EPAP: 15, Min PS: 3, Max PS: 15, Ramp: Off - Original Titration: 18

thegrons
Posts: 115
Joined: Fri Jul 02, 2010 2:03 pm

Re: bi-pap or auto set

Post by thegrons » Sun Jul 28, 2013 6:58 pm

Sorry I thought the autoset mode was the same as a bipap. My question was this: Someone told me that if I am going to switch from Cpap to autoset mode; the lower end number was the crucial number. So when I set it to autoset; should I keep the lower number at my cpap setting of 8.2 or is it OK to lower it a bit?

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Pugsy
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Re: bi-pap or auto set

Post by Pugsy » Sun Jul 28, 2013 7:02 pm

OP has just recently got a S9 AutoSet after years using a S8 Elite...at 8.2 cm.

Now is wondering about using the APAP mode of the new machine. I think he was meaning APAP and not bipap.
But it might also be in relation to the EPR reduction which functions like a bilevel machine.
thegrons wrote:I have heard that the lower setting on the bipap is important?
Assuming you mean APAP and not bipap..and are referring to the minimum pressure in APAP mode...yes, it can be important as it needs to be close enough to what pressure is ultimately needed so that the machine can respond quickly enough to do its job.
thegrons wrote: If my CPAP setting is usually 8.2 is it important to keep the lower pressure setting at 8.2 or can I lower it to 7.2? I don't want too radical of a swing but while falling a sleep it might be more comfortable at the lower setting and let it creep up to 8.2 versus setting it at say 8.2-9.2.
Yes, you could try 7.2 minimum and 9.2 maximum to see what the machine wants to do. If you were doing well on the 8.2 cpap setting that 7.2 minimum is close enough to get to 8.2 quickly and deal with any possible events.
Just evaluate your reports for confirmation.

So yes, 7.2 minimum would be a good pressure to try.

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STL Mark
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Re: bi-pap or auto set

Post by STL Mark » Sun Jul 28, 2013 7:06 pm

I am not one to give medical advise so I will tell you how I would handle it if it was me. With a titration pressure of 8.2 if I were switching to Auto mode on your machine I would turn off ramp set my lower pressure to 7 and upper pressure to 10 and try the different EPR settings like 2 for example. If I found it hard to get enough air to breath then I would put my bottom pressure back up to 8.2. Some find considerable help from the EPR settings as far as comfort. Personally I do not use ramp.

_________________
Mask: AirFit™ F10 Full Face Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: Machine: S9 VPAP Adapt (eASV) 36037

Mode: ASVAuto, Min EPAP: 4, Max EPAP: 15, Min PS: 3, Max PS: 15, Ramp: Off - Original Titration: 18

thegrons
Posts: 115
Joined: Fri Jul 02, 2010 2:03 pm

Re: bi-pap or auto set

Post by thegrons » Sun Jul 28, 2013 7:10 pm

Thanks all!