BIPAP or ASV?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
JRagel

BIPAP or ASV?

Post by JRagel » Sat Oct 30, 2010 9:21 am

I don't like doctors but I have to see one anyway to get my CPAC. On the internet I have been reading and there is a lot of talk about bipap and asv. What is the difference between them? I don't want to get ripped off. I told my doctor that I only wanted the best but he was not helpful at all. Can anyone help me decide?

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JohnBFisher
Posts: 3821
Joined: Wed Oct 14, 2009 6:33 am

Re: BIPAP or ASV?

Post by JohnBFisher » Sat Oct 30, 2010 10:17 am

Greetings! Welcome to the forum.

Which machine to get? Let's think of it this way. Which should you get? Stitches or a bandaid? If all you have is a minor cut, there is no reason to spend the time and money on the stitches. A bandaid will do.

So, it is with Positive Airway Pressure (xPAP) therapy. You need just enough to clear the obstructions. If CPAP does it and does not have any complications (for *your*) then that's the therapy you need. BiPAP is more expensive and does not add any value. ASV is WAAAY more expensive and should NOT be used if you do not need it.

So, will the bandaid work for you? Sounds like it will.

What you do want to ask for is to have the doctor prescribe a data capable machine. Preferably one for which you can purchase the software. Respironics machines and others allow you to get the software and read the data from the machine.

Just like with a diabetic, it is helpful to monitor your therapy. This allows you to know if something impacts your sleep. For instance many members discover that alcohol shortly before sleep tends to increase their apnea.

You may also want to request an auto-titrating machine. This is a machine that adjusts the pressure to meet your needs. It provides a Continuous pressure (CPAP), but if you are not obstructing, it lowers the pressure. When you start to obstruct it increases the pressure to meet your needs.

Hope all this helps.

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: User of xPAP therapy for over 20 yrs. Resmed & Respironics ASV units with EEP=9cm-14cm H2O; PSmin=4cm H2O; PSmax=15cm H2O; Max=25cm H2O
"I get up. I walk. I fall down. Meanwhile, I keep dancing” from Rabbi Hillel
"I wish to paint in such a manner as if I were photographing dreams." from Zdzisław Beksiński

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OutaSync
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Location: Virginia

Re: BIPAP or ASV?

Post by OutaSync » Sat Oct 30, 2010 10:48 am

JohnBFisher,

I want to thank you for always coming in and explaining things so well. I have lots of information in my head, but I can't express it as well as you can. That's why I'm always happy to see you post. I so appreciate you!

Bev
Diagnosed 9/4/07
Sleep Study Titrated to 19 cm H2O
Rotating between Activa and Softgel
11/2/07 RemStar M Series Auto with AFlex 14-17
10/17/08 BiPAP Auto SV 13/13-23, BPM Auto, AHI avg <1

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JohnBFisher
Posts: 3821
Joined: Wed Oct 14, 2009 6:33 am

Re: BIPAP or ASV?

Post by JohnBFisher » Sat Oct 30, 2010 1:59 pm

OutaSync wrote:... I want to thank you for always coming in and explaining things so well. ...
Why thank you! Flattery will get you everywhere!

I try to live my faith, not declare it. This is one way I try to help others on their own Journey toward better sleep and health.

And when we all do that, we end up with a very successful forum - we call it CPAPtalk.com !

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: User of xPAP therapy for over 20 yrs. Resmed & Respironics ASV units with EEP=9cm-14cm H2O; PSmin=4cm H2O; PSmax=15cm H2O; Max=25cm H2O
"I get up. I walk. I fall down. Meanwhile, I keep dancing” from Rabbi Hillel
"I wish to paint in such a manner as if I were photographing dreams." from Zdzisław Beksiński

JRagel

Re: BIPAP or ASV?

Post by JRagel » Sun Oct 31, 2010 3:13 am

JohnBFisher wrote:Greetings! Welcome to the forum.

Which machine to get? Let's think of it this way. Which should you get? Stitches or a bandaid? If all you have is a minor cut, there is no reason to spend the time and money on the stitches. A bandaid will do.

So, it is with Positive Airway Pressure (xPAP) therapy. You need just enough to clear the obstructions. If CPAP does it and does not have any complications (for *your*) then that's the therapy you need. BiPAP is more expensive and does not add any value. ASV is WAAAY more expensive and should NOT be used if you do not need it.

So, will the bandaid work for you? Sounds like it will.

What you do want to ask for is to have the doctor prescribe a data capable machine. Preferably one for which you can purchase the software. Respironics machines and others allow you to get the software and read the data from the machine.

Just like with a diabetic, it is helpful to monitor your therapy. This allows you to know if something impacts your sleep. For instance many members discover that alcohol shortly before sleep tends to increase their apnea.

You may also want to request an auto-titrating machine. This is a machine that adjusts the pressure to meet your needs. It provides a Continuous pressure (CPAP), but if you are not obstructing, it lowers the pressure. When you start to obstruct it increases the pressure to meet your needs.

Hope all this helps.
But how do I know if I am obstructing or not? Oh that is what the data capable machine is for I gotcha. Is the autotitrating thing the xpap?

cflame1
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Joined: Sat Mar 11, 2006 6:55 am
Location: expat Canadian in Kentucky

Re: BIPAP or ASV?

Post by cflame1 » Sun Oct 31, 2010 3:52 am

XPAP stands for every kind of PAP

an auto titrating PAP is usually notated as an APAP
But how do I know if I am obstructing or not? Oh that is what the data capable machine is for I gotcha. Is the autotitrating thing the xpap?
You're right about the data capable machine