Bi-level to Apap?

I have COPD and the hardest number to adjust for me was the Epap or exhale number. When you have COPD it is hard to exhale as it is and when you have to exhale against a high pressure sleep is very hard. I don't even know what ps pressure setting means but I know mine is 6 and it seems to work fine

Thanks for your reply lesser. It is greatly appreciated!

I'm sorry Pesser!!

PS is Pressure support...the difference between inhale and exhale.
EPR pretty much is Pressure Support called EPR..difference between inhale and exhale.
Only thing is..with the APAP machines in the ResMed line....EPR can't ever be more than 3...it would feel like using your machine now with PS of 3. I don't think you would like it given your history. I thought I remembered your having some COPD issues..and that's why I mentioned it.
If you change your PS to 3...that's what EPR at 3 will feel like. If you didn't like 4 or 5 PS...you sure won't like 3.

Because people with COPD have trouble exhaling anyway...exhaling against cpap therapy becomes more of a challenge.
With COPD the lungs have to work harder exhale and empty the lungs.
PS of 3 isn't as easy to exhale against as PS of 6. The greater the difference between inhale and exhale the easier it is to exhale.

Hmmm, I may need to take a closer look at my dad's Respironics. I'm not sure he's on a bilevel machine (system one w/C-flex?) But I know his COPD is stage three and he's had a great deal of difficulty this last month or two. I don't think the nursing staff at his facility have a clue about XPAP therapy; it took nearly three days to get his personal machine "approved" for use in their building...

RicaLynn wrote:I may need to take a closer look at my dad's Respironics. I'm not sure he's on a bilevel machine (system one w/C-flex?)

If it says "CFlex on the machine" it's straight cpap and not a bilevel device...the bilevel Respironics are called BiPap and the exhale relief is called BiFlex and is clearly stated on the machine.

CFlex at 3 would offer the greatest possible reduction during exhale and even that is based on rather forceful breathing which is not something someone with bad COPD can normally do routinely. It's not 3 cm though...at the most under forceful breathing maybe 2 cm reduction. Respironics exhale relief doesn't work like ResMed's EPR. It base on air flow (breathing).

Bipap would probably be much more comfortable for him...and in this situation even EPR at 3 might feel better to him.

Sclark08 wrote:Thanks for your reply lesser. It is greatly appreciated!

You had it right...

After all if he was truly interested in what you had to say he could have offered more than this...

Pesser wrote:If you were going to write a psychological profile on “Guest” using his/her postings you would likely find all “Guest” the same! I wonder why. Maybe the “Guest” isn’t interested in what you have to “say” but I am; and very much so!

He offered the lesser of anyone who posted in this thread so far.
But then who would believe anyone who uses the avatar lesser does.

Hey Guest

Why don't you join some website where the people will be as demeaning and negative as you are. Of course anyone who won't even post a user name , I don't really expect much from them.

This web site helps people and shares ideas they don't demean and belittle people like you do. I pray that you get over the chip on your shoulder and take a tip from an old movie"if you can't say nothin nice don't say nothin at all "

Sclark08 wrote:Hey Guest

Why don't you join some website where the people will be as demeaning and negative as you are. Of course anyone who won't even post a user name , I don't really expect much from them.

This web site helps people and shares ideas they don't demean and belittle people like you do. I pray that you get over the chip on your shoulder and take a tip from an old movie"if you can't say nothin nice don't say nothin at all "

Hey lady maybe you oughta take a look at who swung first with the negative comments in his very first post in this thread. I hope you get your answer and get some sleep.