VPAP

[brothertony]

Can anyone give mw information and opinion on the VPAP in treating complexSA

[Mary Z]

It's the treatment of choice if you cannot be managed with AUTO or BiPAP. I delivers timed backup respirations if you do not take a breath in a certain amount of time. It used to be someshat rare, but I am hearing about more and more people using it. It is the most advanced and expensive modality. It is not something I would try to titrate myself.

[cflame1]

VPAP is the Resmed name for what Respironics calls BiPAP.

VPAP Adapt SV is a different animal.

[JohnBFisher]

Can anyone give mw information and opinion on the VPAP in treating complexSA

If you were diagnosed with ComplexSA, then treatment choices often include the need to determine if CPAP and/or BiPAP can not address your problem. Sometimes the use of CPAP and/or BiPAP will resolve the complex sleep apnea. However, if that fails to address the problem, then an adaptive servo-ventilator is the next step generally recommended.

Rested Gal has a wonderful set of links on central apnea:

viewtopic.php?p=22702

Under it I listed a set links about Complex Sleep Apnea (ComplexSA) or sometimes referred to as Complex Sleep Apnea Syndrome (ComplexSAS). Some papers you might want to read include:

Complex Sleep Apnea: It Really Is a Disease
http://www.ncbi.nlm.nih.gov/pmc/article ... .5.403.pdf

The Quest for Stability in an Unstable World: Adaptive Servoventilation in Opioid Induced Complex Sleep Apnea Syndrome
http://www.ncbi.nlm.nih.gov/pmc/article ... .4.321.pdf

No doubt other articles have been written since I added those links. You can use Google Scholar to search for such papers:
http://scholar.google.com/scholar?q=complex+sleep+apnea

Included in that search is:

Adaptive Servoventilation Versus Noninvasive Positive Pressure Ventilation For Central, Mixed, And Complex Sleep Apnea Syndromes
http://www.resmed.net/us/documents/Morg ... ilevel.pdf

Hope that helps!

[packitin]

Thanks for those sites.

This is very interesting. Here is another site that I found to be very enlightening.

http://www.lakesidepress.com/CPAP/CPAP.htm

Jay

[JohnBFisher]

Ditto on that site! I will add that to Rested Gal's Links of Central Apnea.

That site is nothing fancy, but it has great information.