Newbie on AVAPS

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Snoredog
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Re: Newbie on AVAPS

Post by Snoredog » Sun Nov 23, 2008 8:58 pm

well heck, why don't you download this one while you are at, see page 3:

http://global.respironics.com/UserGuide ... 042977.pdf
someday science will catch up to what I'm saying...

-SWS
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Re: Newbie on AVAPS

Post by -SWS » Sun Nov 23, 2008 9:03 pm

dsm wrote:I am wondering if the puffs were added in once Respironics expanded the HeartPAP to deal with csdb rather than just csr.
Doug, that seems plausible to me since an obstructive component is presumably even more prevalent in the CSDB population than the CHF population. Alternately, those wave reflection techniques might have occurred as part of the normal course of the design's technological evolution.

-SWS
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Re: Newbie on AVAPS

Post by -SWS » Sun Nov 23, 2008 9:20 pm

Snoredog wrote:well heck, why don't you download this one while you are at, see page 3:

http://global.respironics.com/UserGuide ... 042977.pdf
Page 3 has a white line leading to only one of those three decision branches---specifically that leftmost branch where clinicians are supposed to continue addressing any remaining obstructive component. At this early stage of the titration process there are no connecting lines to the right two decision branches just yet.

Rather, at this early stage Respironics still has the clinician taking reiterative passes getting rid of obstruction using nothing more than CPAP+SV modality (BiLevel isn't even turned on at this early stage).

Despite the fact that BiLevel isn't turned on while the clinician repeats the left-most branch to eliminate obstruction, SV modality is very actively: 1) set at 10cm above CPAP, and 2) capable of addressing central events by virtue of sending IPAPpeak as high as 10cm above CPAP.

Many cases of CSDB should be addressed by the above CPAP+SV modality. And if there is no outstanding central dysregulation at this point, then the titration is done according to Respironics. However, if central dysregulation is present after the entire obstruction is out of the way, then the second of those three decision branches is executed next. Finally the third branch is executed last.

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Snoredog
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Re: Newbie on AVAPS

Post by Snoredog » Sun Nov 23, 2008 10:15 pm

-SWS wrote:
Snoredog wrote:well heck, why don't you download this one while you are at, see page 3:

http://global.respironics.com/UserGuide ... 042977.pdf
Page 3 has a white line leading to only one of those three decision branches---specifically that leftmost branch where clinicians are supposed to continue addressing any remaining obstructive component. At this early stage of the titration process there are no connecting lines to the right two decision branches just yet.

Rather, at this early stage Respironics still has the clinician taking reiterative passes getting rid of obstruction using nothing more than CPAP+SV modality (BiLevel isn't even turned on at this early stage).

Despite the fact that BiLevel isn't turned on while the clinician repeats the left-most branch to eliminate obstruction, SV modality is very actively: 1) set at 10cm above CPAP, and 2) capable of addressing central events by virtue of sending IPAPpeak as high as 10cm above CPAP.

Many cases of CSDB should be addressed by the above CPAP+SV modality. And if there is no outstanding central dysregulation at this point, then the titration is done according to Respironics. However, if central dysregulation is present after the entire obstruction is out of the way, then the second of those three decision branches is executed next. Finally the third branch is executed last.
Glad you understand it now, there should be fewer arguments about it.
someday science will catch up to what I'm saying...

-SWS
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Joined: Tue Jan 11, 2005 7:06 pm

Re: Newbie on AVAPS

Post by -SWS » Sun Nov 23, 2008 10:49 pm


Chihuahuas always scent post the highest.

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dsm
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Re: Newbie on AVAPS

Post by dsm » Sun Nov 23, 2008 10:52 pm

Have started a new thread with the 3 patent applications that appear to be for the bipap AutoSV

viewtopic/t36513/Original-2-patents--1- ... utoSV.html

Banned, sorry for all the trampling around inside your thread. I'll try to locate the patents for the AVAPS & post them here

Thanks

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

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rested gal
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Re: Newbie on AVAPS

Post by rested gal » Mon Nov 24, 2008 12:13 am

-SWS wrote::lol:
Chihuahuas always scent post the highest.
Ain't it the truth!

Snoredog wrote:Glad you understand it now, there should be fewer arguments about it.
Image
ResMed S9 VPAP Auto (ASV)
Humidifier: Integrated + Climate Control hose
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3M painters tape over mouth
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Snoredog
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Re: Newbie on AVAPS

Post by Snoredog » Mon Nov 24, 2008 12:28 am

Hey Doug,

can you find the patent on this FOM method they are using on RG's car?
https://www.youtube.com/watch?v=0-iR8Ja5THA

I think the Adapt SV uses it
someday science will catch up to what I'm saying...

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