CPAPtalk.com

well heck, why don't you download this one while you are at, see page 3:

http://global.respironics.com/UserGuide ... 042977.pdf

dsm wrote:I am wondering if the puffs were added in once Respironics expanded the HeartPAP to deal with csdb rather than just csr.

Doug, that seems plausible to me since an obstructive component is presumably even more prevalent in the CSDB population than the CHF population. Alternately, those wave reflection techniques might have occurred as part of the normal course of the design's technological evolution.

Snoredog wrote:well heck, why don't you download this one while you are at, see page 3:

http://global.respironics.com/UserGuide ... 042977.pdf

Page 3 has a white line leading to only one of those three decision branches---specifically that leftmost branch where clinicians are supposed to continue addressing any remaining obstructive component. At this early stage of the titration process there are no connecting lines to the right two decision branches just yet.

Rather, at this early stage Respironics still has the clinician taking reiterative passes getting rid of obstruction using nothing more than CPAP+SV modality (BiLevel isn't even turned on at this early stage).

Despite the fact that BiLevel isn't turned on while the clinician repeats the left-most branch to eliminate obstruction, SV modality is very actively: 1) set at 10cm above CPAP, and 2) capable of addressing central events by virtue of sending IPAPpeak as high as 10cm above CPAP.

Many cases of CSDB should be addressed by the above CPAP+SV modality. And if there is no outstanding central dysregulation at this point, then the titration is done according to Respironics. However, if central dysregulation is present after the entire obstruction is out of the way, then the second of those three decision branches is executed next. Finally the third branch is executed last.

-SWS wrote:

Snoredog wrote:well heck, why don't you download this one while you are at, see page 3:

http://global.respironics.com/UserGuide ... 042977.pdf

Page 3 has a white line leading to only one of those three decision branches---specifically that leftmost branch where clinicians are supposed to continue addressing any remaining obstructive component. At this early stage of the titration process there are no connecting lines to the right two decision branches just yet.

Rather, at this early stage Respironics still has the clinician taking reiterative passes getting rid of obstruction using nothing more than CPAP+SV modality (BiLevel isn't even turned on at this early stage).

Despite the fact that BiLevel isn't turned on while the clinician repeats the left-most branch to eliminate obstruction, SV modality is very actively: 1) set at 10cm above CPAP, and 2) capable of addressing central events by virtue of sending IPAPpeak as high as 10cm above CPAP.

Many cases of CSDB should be addressed by the above CPAP+SV modality. And if there is no outstanding central dysregulation at this point, then the titration is done according to Respironics. However, if central dysregulation is present after the entire obstruction is out of the way, then the second of those three decision branches is executed next. Finally the third branch is executed last.

Glad you understand it now, there should be fewer arguments about it.

Chihuahuas always scent post the highest.

Have started a new thread with the 3 patent applications that appear to be for the bipap AutoSV

viewtopic/t36513/Original-2-patents--1- ... utoSV.html

Banned, sorry for all the trampling around inside your thread. I'll try to locate the patents for the AVAPS & post them here

Thanks

DSM

-SWS wrote:
Chihuahuas always scent post the highest.

Ain't it the truth!

Snoredog wrote:Glad you understand it now, there should be fewer arguments about it.

Hey Doug,

can you find the patent on this FOM method they are using on RG's car?
https://www.youtube.com/watch?v=0-iR8Ja5THA

I think the Adapt SV uses it

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