bipap

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
glenwood73
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Joined: Sat Nov 26, 2005 10:22 am

bipap

Post by glenwood73 » Wed Sep 01, 2010 8:52 pm

What is the difference between cpap and bi-pap?I have been on cpap for three years now,but seem to be getting worse
very sleepy during the day,but can only sleep five to six hours a day no matter what.I have no trouble with my mask or my machine.
Should I look into bi-pap?

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LoQ
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Re: bipap

Post by LoQ » Wed Sep 01, 2010 10:44 pm

Bipap is a brand model of a machine. The generic is called bilevel. I believe that bilevel machines are generally used when patients needs high settings, which makes it hard to exhale. The bilevel machine has a higher pressure for inhalation than it does for exhalation.

What is your pressure setting? Have you tried changing it to see if it helps you?

You might need to check with your doctor to see if you need another sleep study. Sometimes they can be done at home.

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Slinky
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Re: bipap

Post by Slinky » Thu Sep 02, 2010 9:02 am

Unfortunately, the Resmed S8 Compact can NOT provide ANY data that will help determine what your current problem is. It is a bottom of the line, bare bone, entry level CPAP.

You are going to need one of three things: either a new in-lab titration study, a 30 day rental of a fully data capable auto adjusting CPAP (an APAP), or a "by guess and by gosh" pressure setting adjustment by your sleep doctor.

Trying to adjust your pressure yourself w/a bare-bone CPAP like the Compact is NOT a good idea at all. The Compact just is NOT capable of providing the data needed to do so. You can not always go by how you feel, you need that data from a fully data capable CPAP to do right by yourself.

Insurances will usually only replace a CPAP every 5 years UNLESS you are proven to need a more advanced level PAP and that would most likely require a new in-lab titration study.

The fully data capable APAPs, the full data capable CPAP and the bottom of the line, bare-bone CPAPs are all the same insurance (HCPCS) code: e0601. Insurances pay by HCPCS code, NOT by brand and model. Bi-level PAPs are an entirely different HCPCS code. AND they are CONSIDERABLY more expensive than the HCPCS code e0601 PAPs.

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semreka
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Re: bipap

Post by semreka » Fri Sep 03, 2010 12:07 pm

glenwood73 wrote:What is the difference between cpap and bi-pap?I have been on cpap for three years now,but seem to be getting worse
very sleepy during the day,but can only sleep five to six hours a day no matter what.I have no trouble with my mask or my machine.
Should I look into bi-pap?
Bipap has two pressure values for exhalation and inhalation individually.
It allows to have comfortable breathing in higher pressures needed.
If your pressure value is over 12 cm H2O,you may not tolerate it while you are exhaling .(the value of 12 is not a conventional limit for passing cpap to bipap .It may change due to medical examinations.)
So it changes pressure values for exhaling and inhaling period of your each breath .
There is some other more complex dissimilarities between cpap and bipap , but most determinative one is this.
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