Yes you have to show BiAP is not working or getting rid of the Centrals while keeping up with compliance ... and have a script for ASV written ...Chalkie wrote: ↑Wed Apr 25, 2018 12:16 pmWhether I eventually get an ASV or not I suspect I will have to persevere with BiPAP for a while. It does not appear the pressure settings are right for me so I need to deal with that first and I am sure as hell the hospital won't hand me an ASV until I have. I understand it would have to be under special dispensation anyway.
Are you on a Bi-Level machine and if so why?
Re: Are you on a Bi-Level machine and if so why?
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| Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
| Additional Comments: ResMed S9 VPAP ST |
Re: Are you on a Bi-Level machine and if so why?
I have a BiPAP because of the four cm difference in my pressures. (I could not tolerate a straight CPAP.) I do not have a centrals problem.
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| Machine: DreamStation BiPAP® Auto Machine |
| Mask: ResMed AirFit™ F20 Full Face CPAP Mask with Headgear |
| Humidifier: DreamStation Heated Humidifier |
| Additional Comments: Pressures: IPAP 18/ EPAP 14; Secondary mask - Nuance Pro Nasal Pillow |
Re: Are you on a Bi-Level machine and if so why?
This is basically the reason I decide to go BiPAP/Bilevel. Like PR I was looking for a better APAP machine and after researching I found out that I could get even better results using bilevel and I could set it to APAP if I wished. However, having more control over my IPAP and also my EPAP to some extent convinced me to give it a try. I started with the PR760 but eventually moved on to the same machine as PR. The S9 VPAP auto works very well for me.palerider wrote: ↑Tue Apr 24, 2018 11:48 amI'm on bilevel, but it's because I was looking for an autoset, and came across a sweet deal on a vpap auto, after some research, I found out that it could be set up to work exactly like an autoset, so I bought it.
Then I found some times when I was starting to take a breath before an apnea, and the machine wasn't switching to ipap, so I took advantage of the resmed bilevel customizations and increased the trigger sensitivity, so it could help me breathe when my throat started to close up, ... and also that it was cutting off the higher pressure a lot of times when I was breathing slowly, so I changed the max time it would stay at IPAP. Having those customizations, which aren't available on a regular apap gave me better sleep. (AHI usually under 0.5).
PR, I'd be interested to see how you customised your settings. Like you I've increased the IPAP max time but am not sure about trigger settings. You can PM me but other members will find what you did helpful.
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| Machine | Mask | |||
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| Additional Comments: Sleepyhead software | ||||
Re: Are you on a Bi-Level machine and if so why?
I saw little bumps in the flow like I was trying to take a breath, but the machine wasn't catching it, so I set the trigger to high, then very high, and that helped stopping some apneas.
I then noticed my inspiration time on sleepyhead, and saw that it was being cut off at the default 2 seconds, so I raised the TiMax until it was higher than the inspiration times on sleepyhead... this took a few iterations... whether it actually helped anything, or not, I don't know.
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Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Re: Are you on a Bi-Level machine and if so why?
I've been in PAP therapy for almost eight years. I was Rx Auto BiPAP and a full face mask because I'm a mouth breather with huge lungs. I think the BiPAP was more for the exhalation relief than the inhalation necessity. I have bumped it over 20 cm on occasion.
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| Mask: Ultra Mirage™ Full Face CPAP Mask with Headgear |
| Additional Comments: My BiPAP is so old it's not listed: PR System One 50 BiPAP Auto |
Re: Are you on a Bi-Level machine and if so why?
I worked out the Ti Max thing quite quickly for the same issues that you experienced. However, when I looked at the trigger settings I wasn't which direction to go in - high or low. Now I know and will see what happens when I go from medium to high. If it doesn't work for me I'll know quite quickly. Thanks for the info.palerider wrote: ↑Thu Apr 26, 2018 1:48 pmI saw little bumps in the flow like I was trying to take a breath, but the machine wasn't catching it, so I set the trigger to high, then very high, and that helped stopping some apneas.
I then noticed my inspiration time on sleepyhead, and saw that it was being cut off at the default 2 seconds, so I raised the TiMax until it was higher than the inspiration times on sleepyhead... this took a few iterations... whether it actually helped anything, or not, I don't know.
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| Machine | Mask | |||
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| Additional Comments: Sleepyhead software | ||||
Re: Are you on a Bi-Level machine and if so why?
Trigger and cycle settings are both how sensitive they are to what they're responding to... higher or lower sensitivity, so if you want it to trigger easier/quicker, then you set it to high, or highest, or if you want it to trigger later in your inhale, low, or lowest.
Same for cycle. The examples in the manual for obstructive or restrictive lung disease settings give you a good idea how it works.
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Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.