Which CPAP to choose? Resmed or Respironics

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
WNJ
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Re: Which CPAP to choose? Resmed or Respironics

Post by WNJ » Thu Nov 13, 2008 9:01 pm

As for odor, I would say that it is because the machine is new and it will go away soon. More than likely, I figure it is the hose. Washing it may help.

Good luck with your new machine!

I don’t understand the hostility toward the “brick” that comes with the M Series. Most other XPAPs have the power supply built in to the unit; the M Series has it separate (the “brick.”) I like the idea of having it separate. If the power supply dies, it is easy and probably cheaper to replace the brick. For camping, I could leave the brick at home and have a smaller and lighter unit to deal with.

As to Respironics v ResMed, I figure it’s a Ford v Chevy kind of thing. Since they’re both engaging in anti-competitive marketing practices, a pox on both their houses as far as I’m concerned.

I hope the IntelliPAP software becomes a reality before I need another new XPAP.

Wayne

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Guest

Re: Which CPAP to choose? Resmed or Respironics

Post by Guest » Fri Nov 14, 2008 7:56 am

When you consider the fact that with Resmed, all it's doing all night is providing spikes of pressure which wakes a lot of people up, the Respironics auto is clearly better thought-out.

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Slinky
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Re: Which CPAP to choose? Resmed or Respironics

Post by Slinky » Fri Nov 14, 2008 10:17 am

There are NO SPIKES w/the Resmed S8 IIs' EasyBreathe technology in auto mode. Breathing is as easy and smooth as one could possibly want it.

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Snoredog
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Re: Which CPAP to choose? Resmed or Respironics

Post by Snoredog » Fri Nov 14, 2008 11:19 am

Slinky wrote:There are NO SPIKES w/the Resmed S8 IIs' EasyBreathe technology in auto mode. Breathing is as easy and smooth as one could possibly want it.
game buzzer! Wrong!! ole misguided one

Easy breathe is shown with those same peaks as dsm put up but that whole delta of highs/lows move up and down as the pressure increases or decreases on the Autoset II,

http://www.resmed.com/en-us/assets/docu ... sa-eng.pdf

dsm was showing EPR in CPAP mode as Vantage does NOT have the Easy Breathe Technology.

you only get the results dsm was showing if you have the right software and the optional Reslink module.
someday science will catch up to what I'm saying...

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Paul56
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Re: Which CPAP to choose? Resmed or Respironics

Post by Paul56 » Fri Nov 14, 2008 11:42 am

Guest wrote:When you consider the fact that with Resmed, all it's doing all night is providing spikes of pressure which wakes a lot of people up, the Respironics auto is clearly better thought-out.
What is important here is...

-that the machines all provide therapy. Don't like the Resmed? Don't use it.

-that we assist each other rather than get into arguments over machine choices.

BTW, my comments about the "BRICK" are always typed with a huge smile on my face and not to be taken seriously. I'm really more about function than form. Perhaps someday I will have my own "BRICK" that I can toss around.

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dsm
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Re: Which CPAP to choose? Resmed or Respironics

Post by dsm » Fri Nov 14, 2008 2:53 pm

Guest wrote:When you consider the fact that with Resmed, all it's doing all night is providing spikes of pressure which wakes a lot of people up, the Respironics auto is clearly better thought-out.
Sorry but you are an idiot - you come into the thread without any sensible input and spend your time antagonizing people with your claptrap. Just go away !!!.

D
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dsm
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Re: Which CPAP to choose? Resmed or Respironics

Post by dsm » Fri Nov 14, 2008 2:57 pm

Snoredog wrote:
<snip>

you only get the results dsm was showing if you have the right software and the optional Reslink module.
Snoredog,

Nup - that data is the same without the reslink. Reslink adds flattening & snore index only. It is ResScan that offers the high granularity to the data & it is not meant to be laboratory grade info but does allow delving down to breath-by-breath identification of events.

And yes it was pre-easy breath. The reason it shows the way it does is because EPR was activated. But I can do a test without EPR to see if individual breaths can be seen.

Also Easy-breathe introduced the 'shark-fin' wave form (not a spike). Shark-fin is all the fashion but I am sure you know that

DSM

Below is an extract from an Resmed S7 Spirit - recorded in 2004 - loaded into ResScan. It doesn't show the pressure fluctuations that the machines with EPR do. I was wondering if the charts might show small pressure variations on breathing out but it seems not.

Image
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

jnk
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Re: Which CPAP to choose? Resmed or Respironics

Post by jnk » Fri Nov 14, 2008 6:38 pm

I believe Snoredog is correct that ResLink is required to get high resolution flow data, as that is what is suggested in the ResLink advertising literature.

http://www.google.com/search?source=ig& ... +flow&aq=f

When I asked on another post about "snore, flattening, and detailed flow data," Velbor replied that "those parameters all require the ResLink module for data capture and display."

viewtopic/t36202/viewtopic.php?f=1&t=36162

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Slinky
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Re: Which CPAP to choose? Resmed or Respironics

Post by Slinky » Fri Nov 14, 2008 7:08 pm

I will say that I do have a problem w/a "puff" at the end of inhalation and start of exhalation in Spontaneous mode w/this VPAP Auto. And I still haven't figured out which option will eliminate that (if that makes you feel any better, SnoreDog??) Since my DME's RT hasn't got the foggiest about these "fancy" bi-levels AND I haven't been able to reach anyone who is knowledgeable or interested enough to go thru the Clinician's Manual to figure out which option or combination of options will eliminate that "puff" - I've taken the easy way out, to heck w/the doctors who insist on my using the Spontaneous mode, i'Ve gone back to auto mode and smooth, easy breathing AND SLEEPING. Ahhhhhhh.

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Re: Which CPAP to choose? Resmed or Respironics

Post by jnk » Fri Nov 14, 2008 7:28 pm

Slinky wrote:. . . "puff" at the end of inhalation and start of exhalation in Spontaneous mode w/this VPAP Auto. . . .

In "S" mode, the "Cycle" adjustment might help that, Slinky. In "VAuto" mode, both the "Cycle" and the "Exhalation" adjustments tailor the feel of the transition from ipap to epap.

[An edit: Technically, the "Exhalation" adjustment is the nature, or shape, of the drop in pressure during the exhale, but in practice it can feek as if it changes the feel of the transition to exhale, IMO.]
Last edited by jnk on Fri Nov 14, 2008 8:09 pm, edited 1 time in total.

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Slinky
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Re: Which CPAP to choose? Resmed or Respironics

Post by Slinky » Fri Nov 14, 2008 7:35 pm

Thanks, jnk. I was thinking along those lines as the Rise Time didn't seem to make much difference w/the minor changes to it that I did try. Right now the "cycles" are all set at the Default Medium. I was trying to figure out if I needed slower or faster (higher or lower) when I opted to just go back to auto mode and get some sleep for awhile before trying again.

Was it you or who was also experiencing this "puff" between inhalation and exhalation?? I wish I could remember!

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Mask: Quattro™ FX Full Face CPAP Mask with Headgear
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Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.

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Snoredog
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Re: Which CPAP to choose? Resmed or Respironics

Post by Snoredog » Fri Nov 14, 2008 7:46 pm

carbonman wrote:
No contest. No need for violence.

Image
You know that graphic would have greater impact if you mirror flipped it from right to left, of course anyone
posting immediately afterward would get wet.
someday science will catch up to what I'm saying...

jnk
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Re: Which CPAP to choose? Resmed or Respironics

Post by jnk » Fri Nov 14, 2008 7:53 pm

Slinky wrote:Thanks, jnk. I was thinking along those lines as the Rise Time didn't seem to make much difference w/the minor changes to it that I did try. Right now the "cycles" are all set at the Default Medium. I was trying to figure out if I needed slower or faster (higher or lower) when I opted to just go back to auto mode and get some sleep for awhile before trying again.

Was it you or who was also experiencing this "puff" between inhalation and exhalation?? I wish I could remember!
The problem I had was that TiMax was set to 2 seconds when I needed 3. That was on the VPAP III, a machine in which the default was 2 seconds. In the VPAP Auto the default is 3 seconds. Anyway, my problem was that the machine was cycling to exhale before I was through inhaling. So I think that was a little different from the "puff" you are describing. I've never used my VPAP Auto in "S" mode.

The rise time is how quickly the pressure rises when you inhale, as I understand it.

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dsm
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Re: Which CPAP to choose? Resmed or Respironics

Post by dsm » Fri Nov 14, 2008 8:07 pm

jnk wrote:I believe Snoredog is correct that ResLink is required to get high resolution flow data, as that is what is suggested in the ResLink advertising literature.

http://www.google.com/search?source=ig& ... +flow&aq=f

When I asked on another post about "snore, flattening, and detailed flow data," Velbor replied that "those parameters all require the ResLink module for data capture and display."

viewtopic/t36202/viewtopic.php?f=1&t=36162

There are really two issues re the data in the S8s ...

1) The machine monitors all that (snore index, flattening etc: ) and uses that data to make its decisions.
2) The recording of all that data - agreed only Reslink includes flattening & snore index detail on the Reslink datacard

RE whether that pressure detail gets recorded with out reslink. I'll pull the reslink off & run the machine for 10 mins & extract the data.
Any bets as to what will show - I am betting it will be the same as I posted further above but I don't claim to be 100% sure until I have done the test

Snoredog has (afaict) never used an S8 nor a Reslink (is that true Snoredog ? )

DSM

#2 - Hmmm - that test was a waste of time - after doing it I realised I have no serial cable nor thin style datacard reader in order to extract the 10 mins of test data.
In fact that is why I used the Reslink as firstly it has a SM datacard that can be read on any SM compatible reader & secondly because it does record more data.
Someone else will have to link to or post a ResScan report from a non-reslink S8 with EPR.

DSM
Last edited by dsm on Fri Nov 14, 2008 9:14 pm, edited 1 time in total.
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carbonman
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Re: Which CPAP to choose? Resmed or Respironics

Post by carbonman » Fri Nov 14, 2008 8:41 pm

Snoredog wrote:
carbonman wrote:
No contest. No need for violence.

Image
You know that graphic would have greater impact if you mirror flipped it from right to left, of course anyone
posting immediately afterward would get wet.
WOW ......that would be very rude .......and distastefull .....


......pretty funny, too ......


....but, still rude ..............


.........I'll take that under advisement.
"If your therapy is improving your health but you're not doing anything
to see or feel those changes, you'll never know what you're capable of."
I said that.