Sleep apnoea

[sachinaps24]

What is the difference between resmed S9 vpap( Auto) bilevel machine & resmed aircurve 10 vauto bilevel machine....also is philips respironics bipap avaps better than these two machines??

[Pugsy]

The S9 VPap Auto is the older big brother of the AirCurve 10 VAuto.
The S9 models were discontinued when the AirSense/AirCurve models were released.
Some cosmetic differences and a few minor changes in feature options but the main job of how the machine works and does its job wasn't changed.

AVAPS isn't the same type of machine...so while it is a bilevel machine it has different functions than the above bilevel machines.
Now if just comparing the Respironics bilevel that is in the same class as the above mentioned ResMed machines...I prefer ResMed and I have used both.
AVAPS is a specialty machine and trying to compare it to the AirCurve 10 VAuto is like trying to compare apples and oranges.
It all depends on what a person is needing the machine to do.

[palerider]

What is the difference between resmed S9 vpap( Auto) bilevel machine & resmed aircurve 10 vauto bilevel machine....

The primary difference between the VPAP Auto and the Vauto is the physical form factor. The functions, and treatment behavior is the same, as far as anybody has been able to figure out... There were no new behaviors announced with the machine.

also is philips respironics bipap avaps better than these two machines??

Not unless you have lung disease issues. a VAPS is an entirely different beast.

[palerider]

AVAPS isn't the same type of machine...so while it is a bilevel machine it has different functions than the above bilevel machines.
Now if just comparing the Respironics bilevel that is in the same class as the above mentioned ResMed machines...I prefer ResMed and I have used both.
AVAPS is a specialty machine and trying to compare it to the AirCurve 10 VAuto is like trying to compare apples and oranges.
It all depends on what a person is needing the machine to do.

Yes, the AVAPS compares (not favorably) to the Resmed ST-A iVAPS.

[zonker]

Yes, the AVAPS compares (not favorably) to the Resmed ST-A iVAPS.

it's ALL alphabet soup!

[palerider]

Yes, the AVAPS compares (not favorably) to the Resmed ST-A iVAPS.

it's ALL alphabet soup!

VAPS: Volume Assured Pressure Support.

Meaning, those machines are programmed with how much of a tidal volume you should have, (how much you should breathe in and out each breath) and they adjust the pressure support to make sure you breathe that much in.

The biggest difference between them and an Adaptive Servo Ventilator (ASV) is that the ASV sets itself to whatever you've been breathing automatically, and just keeps you near that... but it doesn't make sure you don't trail off to too little over time... It's for people that breathe normally, but have centrals.. whereas the VAPS is for people that have trouble breathing normally... maybe their respiratory system is weak,... etc.

[sachinaps24]

Thanks a lot>>>> pugsy & palerider.....very helpful

[sachinaps24]

My mom has OSA....sleep study diagnosed an AHI of around 58 with no central component....she also has asthma but it is very well controlled on MDI..after titration study the physician advised cpap therapy..but on doing some research on osa & reading various journal articles i found that patients with severe OSA tend to lose compliance to therapy due to the discomfort associated with exhaling against the high PAP & thus have to resort to bipap therapy later....so i discussed it with the physician & taking into consideration the associated asthma (although well controlled) he advised the bipap avaps machine....well i am a doctor myself but still am finding it difficult to chose among the various bipap machines due to various technical differences....so....at present she needs therapy only for OSA...she has never had an exacerbation of asthma since almost the past 15years....so will resmed aircurve 10 vauto bipap suffice for her....& which corresponding one from respironics (bipap) ???

[Pugsy]

If it was my mom I would have her use the ResMed AirCurve 10 VAUTO bilevel machine.

The term "bipap" is actually a marketing term for the Respironics bilevel machines...but often it is used in generic form for all bilevels.
Sort of like ResMed using VPAP or VAuto...they don't use the term bipap...they use the term bilevel.

Unless something weird happens with the asthma I think that the AVAPS type of machine is over kill and the way it will actually force her to breathe might end up being more uncomfortable than the AirCurve 10 VAUTO.
ResMed's transition between inhale and exhale is also more smooth/comfortable than the equivalent machine in the Respironics brand...and I have used both brands. More customizable features to make the timing work with her own respiration timing.

[palerider]

My mom has OSA....sleep study diagnosed an AHI of around 58 with no central component....she also has asthma but it is very well controlled on MDI..after titration study the physician advised cpap therapy..but on doing some research on osa & reading various journal articles i found that patients with severe OSA tend to lose compliance to therapy due to the discomfort associated with exhaling against the high PAP & thus have to resort to bipap therapy later....so i discussed it with the physician & taking into consideration the associated asthma (although well controlled) he advised the bipap avaps machine....well i am a doctor myself but still am finding it difficult to chose among the various bipap machines due to various technical differences....so....at present she needs therapy only for OSA...she has never had an exacerbation of asthma since almost the past 15years....so will resmed aircurve 10 vauto bipap suffice for her....& which corresponding one from respironics (bipap) ???

I can't see any reason for your mom to need a VAPS, (and if she was going to get one, I'd go for the Resmed ST-A iVAPS.

I'm happy to help you understand the differences in the types of bilevel machines.

VAPS is discussed starting on page 33 of the titration guide, as well as many of the conditions that kind of machine is indicated for:
https://www.resmed.com/us/dam/documents ... er_eng.pdf

As far as i'm concerned, the AC10 VAuto is the best machine for people that don't have some other need, like centrals, or muscular, or lung disease that causes them to need assisted ventilation. (Normally I say the Autoset is best, but the VAuto is like the Autoset++ all it's goodness, and more, but more $$$).

[FifthAvenue]

PaleRider - Thanks for posting the ResMed document. After reading it, I have a much better understanding of CPAP technology.

[palerider]

PaleRider - Thanks for posting the ResMed document. After reading it, I have a much better understanding of CPAP technology.

Awesome. Glad it helps.. Feel free to ask questions.

[TropicalDiver]

I also have asthma and OSA -- my initial AHIs were well into the 80s. I used the S9 VAUTO and am moving to the Aircurve 10 VAUTO. I tried the equivalent model in the dreamstation (BiPAP auto) line after the S9 but am going to the aircurve.

For whatever reason, the ResMed just seems to sync with my breathing better. While my AHIs were good with either the S9 or the Dreamstation, my subjective sleep quality was much better with the S9. Others will prefer the Respironics.

Masks are one of the most important aspects of therapy. There are tons of choices (and sizes) out there.

[sachinaps24]

If it was my mom I would have her use the ResMed AirCurve 10 VAUTO bilevel machine.

The term "bipap" is actually a marketing term for the Respironics bilevel machines...but often it is used in generic form for all bilevels.
Sort of like ResMed using VPAP or VAuto...they don't use the term bipap...they use the term bilevel.

Unless something weird happens with the asthma I think that the AVAPS type of machine is over kill and the way it will actually force her to breathe might end up being more uncomfortable than the AirCurve 10 VAUTO.
ResMed's transition between inhale and exhale is also more smooth/comfortable than the equivalent machine in the Respironics brand...and I have used both brands. More customizable features to make the timing work with her own respiration timing.

Thanks a lot

[sachinaps24]

My mom has OSA....sleep study diagnosed an AHI of around 58 with no central component....she also has asthma but it is very well controlled on MDI..after titration study the physician advised cpap therapy..but on doing some research on osa & reading various journal articles i found that patients with severe OSA tend to lose compliance to therapy due to the discomfort associated with exhaling against the high PAP & thus have to resort to bipap therapy later....so i discussed it with the physician & taking into consideration the associated asthma (although well controlled) he advised the bipap avaps machine....well i am a doctor myself but still am finding it difficult to chose among the various bipap machines due to various technical differences....so....at present she needs therapy only for OSA...she has never had an exacerbation of asthma since almost the past 15years....so will resmed aircurve 10 vauto bipap suffice for her....& which corresponding one from respironics (bipap) ???

I can't see any reason for your mom to need a VAPS, (and if she was going to get one, I'd go for the Resmed ST-A iVAPS.

I'm happy to help you understand the differences in the types of bilevel machines.

VAPS is discussed starting on page 33 of the titration guide, as well as many of the conditions that kind of machine is indicated for:
https://www.resmed.com/us/dam/documents ... er_eng.pdf

As far as i'm concerned, the AC10 VAuto is the best machine for people that don't have some other need, like centrals, or muscular, or lung disease that causes them to need assisted ventilation. (Normally I say the Autoset is best, but the VAuto is like the Autoset++ all it's goodness, and more, but more $$$).

Thanks a lot