Bipap for a backup instead of APAP

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Pesser
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Bipap for a backup instead of APAP

Post by Pesser » Tue Aug 12, 2014 11:31 am

I’m looking at secondwind.com for a backup machine. As indicated in my profile, I have an APAP. Since money is not an issue for me (no insurance-out-of-pocket) would buying a bipap make sense? I’m doing fine with my APAP; but I do like new things. Also I have noticed that some people with low AHIs do get more sleep with a bipap. I’m looking at a PR760.

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Re: Bipap for a backup instead of APAP

Post by palerider » Tue Aug 12, 2014 1:07 pm

Pesser wrote:I’m looking at secondwind.com for a backup machine. As indicated in my profile, I have an APAP. Since money is not an issue for me (no insurance-out-of-pocket) would buying a bipap make sense? I’m doing fine with my APAP; but I do like new things. Also I have noticed that some people with low AHIs do get more sleep with a bipap. I’m looking at a PR760.
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Re: Bipap for a backup instead of APAP

Post by Pesser » Tue Aug 12, 2014 1:30 pm

palerider wrote:
Pesser wrote:I’m looking at secondwind.com for a backup machine. As indicated in my profile, I have an APAP. Since money is not an issue for me (no insurance-out-of-pocket) would buying a bipap make sense? I’m doing fine with my APAP; but I do like new things. Also I have noticed that some people with low AHIs do get more sleep with a bipap. I’m looking at a PR760.
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Re: Bipap for a backup instead of APAP

Post by archangle » Tue Aug 12, 2014 1:50 pm

Pesser wrote:I’m looking at secondwind.com for a backup machine. As indicated in my profile, I have an APAP. Since money is not an issue for me (no insurance-out-of-pocket) would buying a bipap make sense? I’m doing fine with my APAP; but I do like new things. Also I have noticed that some people with low AHIs do get more sleep with a bipap. I’m looking at a PR760.
I don't know about the sleeping better part, but you should be able to set the 760 to give you basically the same therapy as the PRS1 Auto.

Insurance may not pay for a bilevel unless the prescription specifically says bilevel and you are classified as "failing CPAP."

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Re: Bipap for a backup instead of APAP

Post by Pesser » Tue Aug 12, 2014 3:40 pm

archangle wrote:
Pesser wrote:I’m looking at secondwind.com for a backup machine. As indicated in my profile, I have an APAP. Since money is not an issue for me (no insurance-out-of-pocket) would buying a bipap make sense? I’m doing fine with my APAP; but I do like new things. Also I have noticed that some people with low AHIs do get more sleep with a bipap. I’m looking at a PR760.
I don't know about the sleeping better part, but you should be able to set the 760 to give you basically the same therapy as the PRS1 Auto.

Insurance may not pay for a bilevel unless the prescription specifically says bilevel and you are classified as "failing CPAP."
Thanks for this!

Insurance is not an issue. I’m in Canada and I think I don’t need a prescription. It’s just that using the same machine for a backup as the primary seems wasted somehow. If I get a bipap I’m left with something to try!

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Re: Bipap for a backup instead of APAP

Post by StuUnderPressure » Tue Aug 12, 2014 4:09 pm

Pesser wrote:It’s just that using the same machine for a backup as the primary seems wasted somehow. If I get a bipap I’m left with something to try!
If I needed a backup or travel machine, I would do what you are contemplating in a heartbeat for just that reason - Something to try.

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Re: Bipap for a backup instead of APAP

Post by Pesser » Tue Aug 12, 2014 4:19 pm

I wish that little devil would give me an opinion and his story! I think he has made his Vpap into a APAP and he certainly gives me the impression that he doesn’t take the @#@+* from the doctors!

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Re: Bipap for a backup instead of APAP

Post by palerider » Tue Aug 12, 2014 5:09 pm

Pesser wrote:I wish that little devil would give me an opinion and his story! I think he has made his Vpap into a APAP and he certainly gives me the impression that he doesn’t take the @#@+* from the doctors!
what? who? me? not mad *poke's with pitchfork*.

I ended up with two vpaps the first because the guy I was dealing with on craigslist had a vpap auto when I was looking for an autoset, and the second as a backup to the first.

one of them I'm using, experimenting with different pressure supports, and the other I stuck on my bedmate to silence the snores (well, actually I had a 560 over there, but the whine of it's motor annoyed me enough that I swapped it out with the quieter s9 vpap auto)... that one's set with pressure support=0, so it's pretending to be an autoset.

I haven't looked into the settings of the respirionics bipaps, and what tweaking you can do with them. I'm pretty sure that if you bought a 760 you could, at the very least, set the max ps down low, I don't know how low it will go to, and make it mostly behave like a 560.

I've read that jds is playing with his 960 autoSV, setting it to ps= so it's behaving like an autoset. apparently you can also set them to a fixed pressure support, so they'd act like an auto bilevel.

if you were just going to get a machine for more bells and whistles, why not go for that one? *poke*

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Re: Bipap for a backup instead of APAP

Post by Pugsy » Tue Aug 12, 2014 5:21 pm

palerider wrote:I haven't looked into the settings of the respirionics bipaps, and what tweaking you can do with them. I'm pretty sure that if you bought a 760 you could, at the very least, set the max ps down low, I don't know how low it will go to, and make it mostly behave like a 560.
I own a PR S1 760. It has a minimum and maximum PS setting available in auto mode which if both is set to zero will make the machine function like a an apap. When that is done EPAP is treated like a minimum apap pressure and max IPAP becomes the apap max. Easy to do.
Only thing to remember if you do that and decided to go back to bilevel it won't let you change minimum PS until maximum PS is higher...I spent half a day cussing it out because it wouldn't let me set minimum PS until I realized that it helps to read the manual.

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Re: Bipap for a backup instead of APAP

Post by palerider » Tue Aug 12, 2014 5:57 pm

Pugsy wrote:
palerider wrote:I haven't looked into the settings of the respirionics bipaps, and what tweaking you can do with them. I'm pretty sure that if you bought a 760 you could, at the very least, set the max ps down low, I don't know how low it will go to, and make it mostly behave like a 560.
I own a PR S1 760. It has a minimum and maximum PS setting available in auto mode which if both is set to zero will make the machine function like a an apap. When that is done EPAP is treated like a minimum apap pressure and max IPAP becomes the apap max. Easy to do.
Only thing to remember if you do that and decided to go back to bilevel it won't let you change minimum PS until maximum PS is higher...I spent half a day cussing it out because it wouldn't let me set minimum PS until I realized that it helps to read the manual.
was there a moment of "crap, I broke it" in there somewhere?

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Re: Bipap for a backup instead of APAP

Post by JDS74 » Tue Aug 12, 2014 6:11 pm

palerider wrote: ...I've read that jds is playing with his 960 autoSV, setting it to ps= so it's behaving like an autoset. apparently you can also set them to a fixed pressure support, so they'd act like an auto bilevel. ...
Yep, it works just like a Auto CPAP if the pressure supports are set to zero. Just a little expensive to actually use it that way though

Of course if you run into a low cost 960 somewhere, I'd be interested in one as a backup machine.

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Re: Bipap for a backup instead of APAP

Post by palerider » Tue Aug 12, 2014 6:34 pm

JDS74 wrote:
palerider wrote: ...I've read that jds is playing with his 960 autoSV, setting it to ps= so it's behaving like an autoset. apparently you can also set them to a fixed pressure support, so they'd act like an auto bilevel. ...
Yep, it works just like a Auto CPAP if the pressure supports are set to zero. Just a little expensive to actually use it that way though

Of course if you run into a low cost 960 somewhere, I'd be interested in one as a backup machine.
set min epap and max ipap to the same and you should have it throttled down to 460 level (will it do that too?)

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Re: Bipap for a backup instead of APAP

Post by Bill44133 » Tue Aug 12, 2014 6:38 pm

Pesser wrote:I’m looking at secondwind.com for a backup machine. As indicated in my profile, I have an APAP. Since money is not an issue for me (no insurance-out-of-pocket) would buying a bipap make sense? I’m doing fine with my APAP; but I do like new things. Also I have noticed that some people with low AHIs do get more sleep with a bipap. I’m looking at a PR760.
Hi Pesser!

I use a 760 for my main machine. Works great for me I would recommend it. You can set it to auto and it will give the correct
pressure that you need. Though you may want to set your range of pressure close to what your apap is set to now so the pressure change does not disturb your sleep.

I have a PR750 for my backup machine. They are very similiar. I get good sleep with either one of them.

I wish you well

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Re: Bipap for a backup instead of APAP

Post by Pesser » Tue Aug 12, 2014 7:17 pm

Bill44133 wrote:
Pesser wrote:I’m looking at secondwind.com for a backup machine. As indicated in my profile, I have an APAP. Since money is not an issue for me (no insurance-out-of-pocket) would buying a bipap make sense? I’m doing fine with my APAP; but I do like new things. Also I have noticed that some people with low AHIs do get more sleep with a bipap. I’m looking at a PR760.
Hi Pesser!

I use a 760 for my main machine. Works great for me I would recommend it. You can set it to auto and it will give the correct
pressure that you need. Though you may want to set your range of pressure close to what your apap is set to now so the pressure change does not disturb your sleep.

I have a PR750 for my backup machine. They are very similiar. I get good sleep with either one of them.

I wish you well
I presently have a min of 10; max of 20; a-flex at 1. Can I do this with the 760 by setting a small relief? The aflex sooths both inhale and exhale. Thanks guys!

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Re: Bipap for a backup instead of APAP

Post by Pugsy » Tue Aug 12, 2014 7:25 pm

Pesser wrote:I presently have a min of 10; max of 20; a-flex at 1. Can I do this with the 760 by setting a small relief? The aflex sooths both inhale and exhale. Thanks guys!
Yes, you can plus the 760 comes with BiFlex which works pretty much the same way as AFlex does. You can have both...the pressure support difference comfort and BiFlex if you wish.
Or you could set PS to 0/0 and have it work like an apap and have biflex relief.

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