What does this mean?

GuestJB · Post by **GuestJB** » Wed Dec 19, 2007 9:47 am

I had an auto titration study done and got my report. Please help me understand what the following means.

Maximum Titrated IPAP Pressure 15.0 cm
Average Device IPAP Pressure <=90% of time 11.3 cm
Maximum Titrated EPAP Pressure 9.7 cm
Average Device EPAP Pressure <=90% of time 8.0 cm
Average Time in Apnea Per Day 2.0 mins.
Averate Time in Large Leak Per Day 1.1 mins
Average AHI 2.4

My initial sleep study indicated that my CPAP pressure be set at 6 cm. After 7 months and still being tired I had the above auto titration done. What pressure should I set my machine at? I have a Rem Star Pro M Series.

Wulfman · Post by **Wulfman** » Wed Dec 19, 2007 9:59 am

GuestJB wrote:I had an auto titration study done and got my report. Please help me understand what the following means.

Maximum Titrated IPAP Pressure 15.0 cm
Average Device IPAP Pressure <=90% of time 11.3 cm
Maximum Titrated EPAP Pressure 9.7 cm
Average Device EPAP Pressure <=90% of time 8.0 cm
Average Time in Apnea Per Day 2.0 mins.
Averate Time in Large Leak Per Day 1.1 mins
Average AHI 2.4

My initial sleep study indicated that my CPAP pressure be set at 6 cm. After 7 months and still being tired I had the above auto titration done. What pressure should I set my machine at? I have a Rem Star Pro M Series.

They gave you a Bi-PAP titration and you have a CPAP?......DUH!
(The words IPAP and EPAP are Bi-PAP/Bi-level terminology for Inhale and Exhale pressures)

Do you have software to monitor your therapy with your Pro M? At least you have a data-capable machine to give you feedback.
If so, you could try starting with a pressure of 8 and work up if necessary. The EPAP pressure is supposed to take care of apneas and the IPAP pressure is supposed to take care of the hypopneas.

I'm guessing you may end up at around 10 or 11.

Den

krousseau · Post by **krousseau** » Wed Dec 19, 2007 10:04 am

Do they plan to prescribe a BiPAP-if not I don't get why you had a BiPAP titration.

Guest · Post by **Guest** » Wed Dec 19, 2007 10:31 am

I don't have the software but I have my DME provider print out the data monthly. I put in a call to them to see what they recommend.

Wulfman · Post by **Wulfman** » Wed Dec 19, 2007 10:59 am

Anonymous wrote:I don't have the software but I have my DME provider print out the data monthly. I put in a call to them to see what they recommend.

When they do the downloads/printouts......do they give you a "Full Details" report? (those show where all the events took place) Or, do they just to the "Summary" report that only shows how many hours you slept?

With the M Series Pro, you can get SOME information from the LCD screen, but the software reports will show the actual events in better detail.

Den

GuestJB · Post by **GuestJB** » Wed Dec 19, 2007 11:17 am

They give me the full report. I also look at my AHI & leak report daily on the machine.

krousseau · Post by **krousseau** » Wed Dec 19, 2007 1:32 pm

Join & fill in the profile with your equipment-you can get better/more specific advice from people.

rested gal · Post by **rested gal** » Wed Dec 19, 2007 5:42 pm

Sounds like they may have given JB the Respironics BiPAP Auto with Bi-Flex, rather than an autopap.

As Den said, "IPAP/EPAP" are bilevel machine terminology -- not the kind of "pressure" words (miniumum/maximum) that would be usually seen on an autopap report.

Perhaps the DME thought the word "Auto" in the name of the BiPAP Auto meant it was an autopap machine. When actually it is a bilevel (bipap) machine, not an "autopap" (auto-titrating cpap machine) at all.

The BiPAP Auto can auto-titrate while operating as a bilevel. But a bilevel machine is first and foremost what kind of machine the BiPAP Auto is. It can't "just auto-titrate" ever...it always has to also operate as a bi-level if auto-titrating is turned on.

Regardless... it's a good machine, the BiPAP Auto with Bi-Flex.

GuestJB · Post by **GuestJB** » Thu Dec 20, 2007 3:04 pm

My DME provider recommended a CPAP pressure change to 11. If I don't feel any better than he recommends I change to a Bi-Pap machine. I really don't understand why he tested me on the Bi-Pap. Would my inhale pressure reading be the same whether on CPAP or Bi-Pap?

What does this mean?

What does this mean?

Re: What does this mean?