Help -- Auto BIPAP Settings

If you changed PS minimum to 0 the machine would function like an APAP and not a bipap. You wouldn't like that after using 5 PS for a while at your pressures.

Phil587 wrote:So, if I read you correctly this time, my settings as stated with PS min/max set at 5 should give me the results I desire -- a machine that will range from 12 to 17 on EPAP and 17 to 22 on IPAP and never separate by more than 5 CM3 and do that automatically as required. That's what I am after! If I were to change the min PS to zero, my machine might possibly run the same pressure IPAP and EPAP. GAK!

That would be correct.

Here's an example. My min EPAP is 10 cm....PS was 4 min and 5 max I think but it rarely did 5 and max IPAP was 20. I rarely hit max IPAP. The little saw tooth looking spikes that you see are the auto mode pressure probes...little increases just to test things a little. It's a normal function of both the Respironics auto adjusting pressures...be it bipap or apap.

Pugsy wrote:If you changed PS minimum to 0 the machine would function like an APAP and not a bipap. You wouldn't like that after using 5 PS for a while at your pressures.

Phil587 wrote:So, if I read you correctly this time, my settings as stated with PS min/max set at 5 should give me the results I desire -- a machine that will range from 12 to 17 on EPAP and 17 to 22 on IPAP and never separate by more than 5 CM3 and do that automatically as required. That's what I am after! If I were to change the min PS to zero, my machine might possibly run the same pressure IPAP and EPAP. GAK!

That would be correct.

Here's an example. My min EPAP is 10 cm....PS was 4 min and 5 max I think but it rarely did 5 and max IPAP was 20. I rarely hit max IPAP. The little saw tooth looking spikes that you see are the auto mode pressure probes...little increases just to test things a little. It's a normal function of both the Respironics auto adjusting pressures...be it bipap or apap.

So, I see the little "test" pressure spikes and then I see the pressure rise, both E and I, in response to your OA's, hypopneas, and etc. Very cool. That's what I am after to take out my final bit of trouble.

Thanks a bunch for letting me see that. Way cool!

Phil

So, after finishing my first night on auto-BiPAP, I am anxious to get home so I can check my numbers. What I did see this morning on awakening was an AHI of 1.7 -- about average for me over the last 6 weeks but, most importantly, was the pressure difference. I have been on straight BiPAP for the last 6 weeks at 19I/15E. Last night my 90% average was I18.5/E13.5. Now the I drop was insignificant and not noticed by me but the E difference was *very* significant. Breathing out against 13.5 CM3 is VERY different than breathing out against 15. I consider that a major improvement in my therapy. Now for the fine-tuning.

A big thanks to those offering help and suggestions.

Phil