If your XPAP breaks at 10pm tonight, do you have a backup?

dsm wrote: The issue with the Vpap AdaptSV is that the older model only goes to a max of 16 CMS whereas the Bipap SV will go to a whopping 30 CMS.

The new Vpap AdaptSV goes up to either 19 or 20 (banned will know) also I posted the data in a long thread comparing the 2 machines.

This difference is one aspect I am really interested in comparing.

Set at it's highest pressure, the un-Enhanced Adapt SV set at EEP 10 + MinPS 6 will self limit at (IPAP) 15cmH20. MaxPS will be 20cmH20.

Set at it's highest pressure, the Enhanced Adapt SV set at EEP 15 + MinPS 6 will self limit at (IPAP) 20cmH20. MaxPS will be 25cmH20.

The usefulness of any pressure exceeding 25cmH20 is probably questionable.

Banned

Banned,

I am quite certain the Adapt SV old model will do me very well. If max PS is 20 then that is already what I have limited my Bipap SV to.

I learned to live without nightly data when using my dear old PB330 which I fine tuned by feel to 10 / 13 & it did ery well except it lacked the ability to go higher if needed as the SVs do.

My BipapSv is set to 11 /14 + max 20 & interestingly I was discussing in another thread how machines without mask pressure sensing are about 1 CMS out & my BipapSV reflects exactly that. The PB330 has a mask sensing line & both pressures are 1 below what works best with the BipapSV.

So I will be doing a big write up on both SV machines and on my opinion of the value of SV therapy as a better if not best known therapy for those diagnosed with OSA & also Centrals or mixed.

I am of the opinion that you (banned) were totally justified in your great enthusiasm for SV therapy. I do qualify my own enthusiasm by specifically saying it has to be great for the bulk of folks with 'OSA' and/or 'Centrals' and/or 'Mixed' and/or 'Irregular Breathing'.

Anyone with other respiratory complications don't fit into the above.

My point being that I now believe that SV trumps all the other forms of therapy for the bulk of people, as I have described. And, I believe that in general terms that was the point you were always making.

The side issues of people having hypercapnia or hypocapnia issues and possibly requiring special mods (like Lubman with his Vpap Sv and special deadspace adapter) are as always special cases with special needs.

I am so confident that Sv will become the norm that I am even willing to put a $ or two on it happening. But it may take 2-3 years or so for the wake up to filter thru to the profession that plop these machines in peoples laps.

Those of us trialling all types of xPAP therapy are mostly years ahead of our own RTs in what it is to use different types of xPAP therapy.

DSM

(Hmmm this turned into a bit of a soapbox rant )

But I know I have a captive audience


#2 Just looked at the Vpap AdaptSV Clin manual and it sure does go to 20 CMS as its max. Plus when it says 20 CMS it means 20 CMS.

So I will be setting it at EEP=10 MinPS=3 MaxPS=16 (but it will limit MaxPS to 20 CMS actual max pressure). The max pressure if it weren't capped at 20 would be EEP + MaxPS = 26. MinPS is just the hover point.


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CPAPopedia Keywords Contained In This Post (Click For Definition): bipap

You are starting to sound like me with the one-machine-cures-all approach!

Remember with any Adapt SV, you only need to set EEP and MinPS. The Adapt automatically adjusts MaxPS to 10cmH20 above MinPS. Your setting of EEP 10 and MinPS 3 will automatically adjust MaxPS to 20cmH20 in the un-Enhanced Adapt SV. Your best bet is to leave MaxPS alone. I've never had to touch it in the all the time I've used the Adapts. Not allot of dials to play with, but you can always run Learn Circuit again!

Your breath-by-breathe response (EEP and 'IPAP') will always be viewable in the LCD Treatment Screen 1. Treatment Screen 1 is the machines default screen.

Banned

Great information guys. Smart RTs should read this. They have their own forum and I like to read it, to see what their problems are. Believe me, they have plenty. That is partly why I don't bash DMEs much. I have learned from 4 different DME companies that their people -- the ones we interface with are not paid well, especially Apria.

I was told Apria DOES train their RT's fairly well, but can't keep them due to low salary. Who knows..........

Back to the Adapt and the other SV. I was really, really hoping the Resmed would work for me, on "full auto" like the Respironics, but as I just went back through my Encore Pro data, it appears my average IPAP runs from 15 to 23. I hit an IPAP 25-30 almost every single night. Sooooooo I don't know if the Resmed would rescue me or not. Frankly, I wonder if a full blown Ventilator would wind up hitting 35-40 to get the air in. Scary.

I have read some research papers and one of them said ... I think this is small animals ... dogs maybe ... at 30-40 cmH2O, the insides of their lungs are blown into a pile in the bottom. That is my non-technical wording, not theirs. Then it went on to say humans can stand higher pressures...I think.
I don't want to be the one to find out.

My big Pulmonary puzzlement is ---- on a good day, I can exhale into the Peak Flow Meter and hit 600+. This is after QVAR, Xopenex in my nebulizer and other meds. So the lung docs say I am doing great. THEN WHY THE
#&%*@^$* DOES IT FEEL LIKE I CANNOT GET A DEEP BREATH? They call it tightness of the chest. I don't think the National Jewish Hospital could figure out some of my idiosyncrasies. If I have small airway damage/ disease (QVAR used for that) and I retain approx. 20% of the gases during inspiration-expiration ... and if the Peak Flow Meter is a valid test -- how can I hit such a high number? No one could explain it to me. Sorry, my frustrations pop out now and then.

I think I have figured out how to buy the Respironics BiPap Auto SV at $3499. American Express has a card with zero percent interest for the first 15 months and it doubles the warranty of what you buy. So I am told....

If a person gets that card, buys their unit the first day, they might be able to make a minimum payment on it for 14 months, then pay it off before the beginning of the 15th month = interest free loan and a double warranty.
By the end of the 15 months, I will have found enough newspaper routes and lawns for my wife to mow, so we can pay it off.

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CPAPopedia Keywords Contained In This Post (Click For Definition): respironics, resmed, bipap, Encore Pro, DME, auto

If my machine breaks tonight I have my old Sullivan V in the closet.

BTW, had the power go out for about 5 hours the other night so it was the first time I used the 12v set up instead of an inverter. Worked like a charm and I hadn't charged my battery in several months, so I was afraid that it wouldn't last very long but it did fine. Much easier to set up too.

Supposed to have bad weather here tonight, so got the battery fully charged and ready for the weather.

[quote="JeffH"]If my machine breaks tonight I have my old Sullivan V in the closet.

BTW, had the power go out for about 5 hours the other night so it was the first time I used the 12v set up instead of an inverter. Worked like a charm and I hadn't charged my battery in several months, so I was afraid that it wouldn't last very long but it did fine. Much easier to set up too.

Supposed to have bad weather here tonight, so got the battery fully charged and ready for the weather.

http://cpapauction.com

You can bid on some of the SV's or St's.

shortbus wrote:http://cpapauction.com

You can bid on some of the SV's or St's.

I bought em all

If no one else outbids me on that PB330 I'll buy it as a spare but at $100 it is a steal as it has to be one of the best & quietest Bilevels on the market. It uses a sensing line up to the mask & thus is one of the few that delivers exactly the pressure is says it does.

The PB330 has more adjustments than any other bilevel on the market BUT it doesn't record nightly data, but again, that never really bothered me. I would use my Pulse Ox to tell me what it was seeing.

DSM

Joking aside, am sure more will come up and at good prices. I am more than hppy with what mine cost.

[quote="dsm"][quote="JeffH"]If my machine breaks tonight I have my old Sullivan V in the closet.

BTW, had the power go out for about 5 hours the other night so it was the first time I used the 12v set up instead of an inverter. Worked like a charm and I hadn't charged my battery in several months, so I was afraid that it wouldn't last very long but it did fine. Much easier to set up too.

Supposed to have bad weather here tonight, so got the battery fully charged and ready for the weather.

After we talked about this last May, I completed the Medical Baseline Allowance application and just got approved. It reduced my monthly bill from $357 to about $145 this month. Talk about a forum having value!

Thanks again for the tip and stay cool!

dllfo wrote: I HIGHLY RECOMMEND (AGAIN) THAT YOU CHECK YOUR ELECTRIC COMPANIES WEBSITE TO SEE IF YOU QUALIFY FOR A DISCOUNT BECAUSE SOME PLACES CONSIDER A CPAP AS "LIFE SUPPORT" EQUIPMENT. I GET A 33% REDUCTION IN ELECTRIC RATES AND I AM SUPPOSED TO BE THE FIRST ONE TO GET MY POWER BACK UP AFTER A FAILURE. All caps for obvious emphasis. Or call the electric company --- ask them.

cpapauction.com ROCKS!!!! Bought my backup machine(S7 Lightweight with heated humidifier ) for $105. Buy all of my masks there also. Great site...never have had a problem!