What would a Resp.AutoBiPAP read out look like on CPAP?

dllfo · Post by **dllfo** » Mon Nov 27, 2006 12:47 pm

EDIT-I renamed this thread because the original title might be misleading.
I am getting smart card readouts from a friends Resp. Auto BiPAP that does
not show any EPAP numbers. It has IPAP, no EPAP. On 4 different days it has no EPAP info. Would that indicate it was set up by the sleep study people in a CPAP format?? This paragraph and new subject line may make Offlineon's comments look strange, it is MY fault, NOT his.

A new user, maybe had the machine a week or so ....I downloaded the smart card and it had IPAP, no EPAP. no flow limitations, it has AHIs, OHIs, snore index and average apnea index that show up on MyEncore/Encore Pro Analyzer.

HEY, when I look at her info in My Encore, it says APAP-CPAP Pressures", did they set her machine up as a "CPAP"?

My Auto BiPAP is set up as bipap-biflex and My Encore reads as "Auto Bi-Level IPAP & EPAP Pressures"

Any ideas? She is out of town or I would call her and "run thru her settings"
with her.

Do any of you who have the Respironics Auto BiPAP see "APAP-CPAP Pressures" when you look at your numbers on MyEncore?

_________________

CPAPopedia Keywords Contained In This Post (Click For Definition): respironics, bipap, auto, APAP, Smart Card

offlineon · Post by **offlineon** » Mon Nov 27, 2006 2:13 pm

- edit -

Sorry about that

dllfo · Post by **dllfo** » Mon Nov 27, 2006 7:40 pm

offllineon....thank you. I know all of that, I have been setting our two Auto BiPAPs for months....it is our FRIEND's machine.

I have NOT seen the Auto BiPAP machine set up in CPAP format before, but this may be what has happened. I am not sure. Otherwise, the smart card is not receiving the data or it is not accepting the normal data from the machine.

And I have both manuals, user and provider. I have all the codes to the machine.

My original question was intended to ask...Is her Respironics Auto BiPAP set up in CPAP mode??????

If you read my initial post again, you will see that her Smart Card is giving me data in a ......different format.....I guess it is.

I am not sure what data an Auto BiPAP would put out IF it is in a CPAP type mode. Maybe she has a defective smart card?

On Encore Pro Analyzer I had IPAP 90% and Max IPAP - - NO EPAP. Wouldn't that indicate CPAP type settings?

offlineon · Post by **offlineon** » Tue Nov 28, 2006 2:41 am

On Encore Pro Analyzer I had IPAP 90% and Max IPAP - - NO EPAP. Wouldn't that indicate CPAP type settings?

Sounds logical, but no FL sounds strange. I know you are looking for an answer and I can't provide one... but since an expert has not seen this post yet.. the worst I can do is BUMP your topic up the list

I am not sure what data an Auto BiPAP would put out IF it is in a CPAP type mode. Maybe she has a defective smart card?

If so, you would think the card would read a Cxxx error if inserted in your own machine - but I can understand if you do not want to try that.

.. at the risk of seeming reallllly stupid here I have a question.

Here goes.... <cue "Captain Obvious" music>

Have you tried setting your machine to bilevel EPAP=IPAP and running it for a minute in circuit, on a spare smart card, and testing those results?

curtcurt46 · Post by **curtcurt46** » Tue Nov 28, 2006 12:12 pm

Can you look at the setting on the machine? I think you need this first, then proceed. I suspect that no matter the setting the details should show a IPAP and EPAP. The manual that comes with encore pro on the CD shows all the typical reports by type machine. Take a look.

dllfo · Post by **dllfo** » Tue Nov 28, 2006 7:56 pm

The lady who owns it is supposed to bring it to town Thursday. They live about 30 miles north of us.

RG figured it out with the meager amount of data I squeezed out. She says it looks like the lady's Auto BiPAP machine has been set to operate in bipap with biflex mode (BFLE). It isn't set up like a regular CPAP ...it's being used as a regular bipap machine. That is a "semi quote" She found an EPAP in the data that I didn't see.

I saw this lady at coffee this morning, but I didn't get to ask her any questions, I had to leave early. It sure makes like interesting when you come across data like this.

jskinner · Post by **jskinner** » Tue Nov 28, 2006 9:26 pm

You can determine her settings mode with Encore Pro Analyzer. If you go to a Night Report it will tell you what "Therapy Mode" the machine is configured for.

-James

jskinner · Post by **jskinner** » Tue Nov 28, 2006 9:36 pm

dllfo wrote: On Encore Pro Analyzer I had IPAP 90% and Max IPAP - - NO EPAP. Wouldn't that indicate CPAP type settings?

Wow I've never seen that. Don't rule out the possibility of a bug in EPA If you put an Auto in CPAP mode however it shows up as CPAP. I would have expected a BiPAP to do something similar.

Would you be willing to send me a patient export file of this, I'd like to see it. If its correct it would make a good test case.

-James

rested gal · Post by **rested gal** » Tue Nov 28, 2006 11:22 pm

dllfo wrote:RG figured it out with the meager amount of data I squeezed out. She says it looks like the lady's Auto BiPAP machine has been set to operate in bipap with biflex mode (BFLE). It isn't set up like a regular CPAP ...it's being used as a regular bipap machine. That is a "semi quote" She found an EPAP in the data that I didn't see.

dllfo, lest it sound like I found something unusual, I didn't do anything magical. Just looked at the PDF you sent me of the lady's Encore Pro data file. Operating mode and EPAP/IPAP pressures were stated several places. I appreciated you and the lady letting me take a look at the download file.

----and another page----

offlineon · Post by **offlineon** » Wed Nov 29, 2006 5:54 am

Ahh... even if the report did not state the mode (which it does) the straight E/I lines are a giveaway. When dllfo mentioned CPAP mode but posted no data, I thought he meant E=I in BFLE mode.