Going from Apap to a BiPap

I'm going Thursday night for my sleep study to be titrated for a BiPap machine. Right now I have a S9 AutoSet and the machine is being rented from Medicare but I own the humidifier. What is the top of the line Resmed BiPap machine?

Why don't you check out the ResMed website and read about everything available.

The ordinary straight BiLevel therapy or the BiLevel machines used to treat predominantly centrals?

There is the plain Auto BiLevel which works like the AutoSet but with 2 varying pressures at once instead of one.
https://www.cpap.com/productpage/S9-VPA ... chine.html

You can see the different machines here and compare them
http://www.resmed.com/us/products/vpap_ ... c=patients

I think BiPap is the term used by Resperionics and VPap is the termed used by Resmed.
Both are terms for BiLevel therapy.

squid13 wrote:I'm going Thursday night for my sleep study to be titrated for a BiPap machine. Right now I have a S9 AutoSet and the machine is being rented from Medicare but I own the humidifier. What is the top of the line Resmed BiPap machine?

Why are they changing you over to BPAP?

I want one that is full data and works with my H5i humidifier. The two I see are S9 VPAP Auto or S9 VPAP Adapt. What is the difference between the two and which one is better? I'm being changed over do to centrals.

You can put check marks in the boxes and see the differences
http://www.resmed.com/us/products/vpap_ ... c=patients

Main difference is the Adapt is used to treat patients with CompSAS, CSR or CSA.
It works as a non invasive ventilator and will actually breathe for you if you forget to breathe.

A regular VPAP is more for people with problems with higher pressures or aerophagia.

I guess you would say I have mixed apnea. The S9 AutoSet takes care of most of the obstructive but does nothing for the centrals. If I didn't have centrals my AHI would be zero most nights. I'm still under 5 for my AHI but these centrals come in clusters a lot of the time and I'm waking up 4 to 5 times during the night. So it boils down to a quality of life issue.

Do you know if the new titration is for strictly plain bilevel or are they going to also try for the adapto servo ventilation bilevel titration which is used specifically for central issues?

As to your question Pugsy I don't no but I'll ask that's for sure. I asked him about ASV and he said the bilevel will take care of it.

Straight BiLevel could very well take care of the centrals. It is usually the first step anyway. Medicare would probably require its use and possible failure before covering the ASV machines due to their cost. Long list of requirements there.

I think you will like the BiLevel. It may offer a little more comfort which might translate into better sleep for you.
Your centrals aren't huge in numbers and the pressure ranges available with BiLevel therapy may limit them even more.

Anything that can improve the quality of our sleep and thus perhaps let us feel better, is fair game to try in my opinion.
Sometimes it simply is not all about numbers. Great numbers don't guarantee great feelings. I sure wish it did though.

That's what I told him after he sounded like he wasn't going to do it. I said what good is great numbers if your still waking up all night at different times and feel tired in the morning. So it boiled down to a quality of life issue and he agreed. So it's probably going to be the S9 VPAP Auto for a choice and then I can use my humidifier with it and climate line.