CPAP versus AutoPAP: are there really advantages to each?

chunkyfrog · Post by **chunkyfrog** » Thu May 17, 2018 3:09 pm

Is it not enough that we are spoon-fed misinformation by greedy DMEs
or MDs with decades--outdated education?
Such misinformation does not belong here.
Please allow PATIENTS to share the FACTS--since your ilk have so often FAILED.

jbstarks3 · Post by **jbstarks3** » Fri May 18, 2018 5:10 am

palerider wrote: ↑
Thu May 17, 2018 2:32 pm

jbstarks3 wrote: ↑
Thu May 17, 2018 11:49 am
patients with comorbids increases
And, there we have it, the smoking gun.

Some ignorant know it all from the medical 'community'.

Quit being a troll. I have used both cpap and autoPAP at home for 10 years. I just wanna help. If you use this stuff at home you know that everyone is going to have an opinion because this is not "one size fits all" therapy.

jnk... · Post by **jnk...** » Fri May 18, 2018 6:09 am

APAP--because this is not a one-pressure-fits-all-situations therapy!

A 2012 independent meta-analysis study comparing short-term outcomes, APAP vs. CPAP:

Conclusions: APAP and CPAP were similar in affecting relatively short-term changes in AHI, quality of life, and most other sleep study measures in the treatment of patients with moderate to severe OSA but without significant comorbidities. APAP, however, did reduce sleepiness by approximately 0.5 ESS [Epworth Sleepiness Scale] points more than fixed CPAP. Patients who received APAP also had objectively measured compliance of 11 minutes per night more than those who received fixed CPAP. . . . For now, based on the available data from experimental studies on short-term effects only, the decision to use APAP versus CPAP may well depend on individual patient preferences, specific reasons for non-compliance, costs and other practical considerations that clinicians and patients will need to assess on an individual basis. -- "Auto-titrating versus fixed continuous positive airway pressure for the treatment of obstructive sleep apnea: a systematic review with meta-analyses" Stanley Ip, Carolyn D'Ambrosio, Kamal Patel, Ndidiamaka Obadan, Georgios D Kitsios, Mei Chung and Ethan M BalkEmail author; Systematic Reviews 2012 1:20 -- https://doi.org/10.1186/2046-4053-1-20

"This research was funded by the AHRQ, US Department of Health and Human Services."

Arlene1963 · Post by **Arlene1963** » Fri May 18, 2018 8:01 am

I can't think of a single reason not to get an APAP rather than a CPAP machine. Even though I choose to use CPAP mode because I prefer it, I initially tried APAP and have an Airsense 10 Autoset for Her. I am currently using my Elite which was the one I got prescribed through the Ontario health care system.

I would much rather use APAP for many reasons, but I am one of the minority who seems to do better in terms of sleep quality on CPAP. I've tried APAP mode several times but always go back to straight pressure which I simply prefer because I sleep for longer and better using CPAP.

My PSG indicated very little variation in AHI between REM versus non-REM sleep, and ditto for supine versus non-supine positions, so I think this is likely why CPAP works for me. I am not one of those who needs very high pressure during REM, for example.

Of course night to night variations aren't covered with CPAP, but even though that is the case, my AHI is usually quite stable.

I don't regret having the choice of APAP, though. I often wish I felt better on APAP but I simply don't.

jnk... · Post by **jnk...** » Fri May 18, 2018 8:06 am

Thanks for that balanced and counter-balancing post, Arlene1963. That gets to the heart of the matter very eloquently.

chunkyfrog · Post by **chunkyfrog** » Fri May 18, 2018 10:32 am

It is better to have and not need than to need and not have--
WITH NO HOPE FOR AN "UPGRADE" TO WHAT YOU NEED.

palerider · Post by **palerider** » Fri May 18, 2018 11:48 am

jbstarks3 wrote: ↑
Fri May 18, 2018 5:10 am

palerider wrote: ↑
Thu May 17, 2018 2:32 pm

jbstarks3 wrote: ↑
Thu May 17, 2018 11:49 am
patients with comorbids increases
And, there we have it, the smoking gun.

Some ignorant know it all from the medical 'community'.
Quit being a troll. I have used both cpap and autoPAP at home for 10 years. I just wanna help. If you use this stuff at home you know that everyone is going to have an opinion because this is not "one size fits all" therapy.

The problem with *YOU* is that you come in and start stating your *opinion* as *fact*, and using buzzwords to lend faux 'authority'.

Your *opinion* is just that, your *opinion*.... and it's in the minority, and not supported by experience of the community.

As to your having used something at home for 10 years, there are LOTS of people, like you, that have used machines for extended periods, and still have a poor understanding of both their knowledge level, as well as the woeful limits of their knowledge, yet, like you, are eager to share their ignorance with the world.

JerryL · Post by **JerryL** » Sun May 20, 2018 12:21 am

ChicagoGranny wrote: ↑
Thu May 17, 2018 8:15 am
JerryL's critical, skeptical, researching and questioning approach and willingness to learn make him a candidate for a good long-term member here.

Thanks! I am studying what everyone here says. I can see there are disagreements, but I'm learning a lot. My next step is to decide what to ask my doctor to do. Of course, he might refuse to do anything, but if I don't ask, then there will be no change.

ChicagoGranny · Post by **ChicagoGranny** » Sun May 20, 2018 5:57 am

JerryL wrote: ↑
Sun May 20, 2018 12:21 am
My next step is to decide what to ask my doctor to do.

That should be an easy decision. Ask for a prescription for an APAP. It can also be used in CPAP mode.

Personally, this AutoSet machine is my favorite - https://www.cpap.com/productpage/resmed ... idair.html

Make sure to get the AutoSet model. ResMed has cheaper APAPs with fewer features.

CPAP versus AutoPAP: are there really advantages to each?

Re: CPAP versus AutoPAP: are there really advantages to each?

Re: CPAP versus AutoPAP: are there really advantages to each?

Re: CPAP versus AutoPAP: are there really advantages to each?

Re: CPAP versus AutoPAP: are there really advantages to each?

Re: CPAP versus AutoPAP: are there really advantages to each?

Re: CPAP versus AutoPAP: are there really advantages to each?

Re: CPAP versus AutoPAP: are there really advantages to each?

Re: CPAP versus AutoPAP: are there really advantages to each?

Re: CPAP versus AutoPAP: are there really advantages to each?