POLL CPAP or APAP, Data or no Data

General Discussion on any topic relating to CPAP and/or Sleep Apnea.

What sort of machine and capability do you have

fixed pressure, compliance data only
12
10%
fixed pressure, full data
24
21%
Auto
81
69%
 
Total votes: 117

User avatar
DreamStalker
Posts: 7509
Joined: Mon Aug 07, 2006 9:58 am
Location: Nowhere & Everywhere At Once

Re: POLL CPAP or APAP, Data or no Data

Post by DreamStalker » Sun Apr 12, 2009 3:22 pm

jnk wrote:
Slinky wrote:Fully data capable bi-level auto.

YOU figure out where you want to place THAT answer in your poll. I can't.


This poll makes much more sense than mine a while back. Here is how I read the choices of the poll:

(1) A non-auto CPAP or BiPAP without full data.

(2) A non-auto CPAP or BiPAP with full data.

(3) An auto of any sort, which gives full data.
Take it easy on her Jeff ... all the kids outran her today and got way more easter bunny eggs than she did, so she's a bit grumpy.
President-pretender, J. Biden, said "the DNC has built the largest voter fraud organization in US history". Too bad they didn’t build the smartest voter fraud organization and got caught.

User avatar
Slinky
Posts: 11372
Joined: Wed Nov 01, 2006 3:43 pm
Location: Mid-Michigan

Re: POLL CPAP or APAP, Data or no Data

Post by Slinky » Sun Apr 12, 2009 3:43 pm

Nope. Didn't have the energy to run around looking for easter eggs. Still whupped from chasing a horse down the road yesterday! Granddaughter left a barn gate open when she and daughter went riding in the tree farm yesterday so the Paint decided to go visit the neighbor's horses a mile away. I don't know who I wanted to beat on more - the horse or the granddaughter. Not that it made much difference 'cause I didn't have the energy to beat a fly to death after chasing that son of a gun!!

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2 Software - Contec CMS-50D+ Oximeter - Respironics EverFlo Q Concentrator
Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.

User avatar
packitin
Posts: 470
Joined: Tue Jul 15, 2008 10:31 am
Location: Blue Ridge Mts. of Va.

Re: POLL CPAP or APAP, Data or no Data

Post by packitin » Sun Apr 12, 2009 6:46 pm

This beats the heck out of me. I've got an auto, and I honestly don't know if I'm getting the best therapy.
Especially after reading the thread about Resmeds and Respironics and pressures above 10. I caught about 1.5% of the discussion.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Mask: AirFit™ N30i Nasal CPAP Mask with Headgear Starter Pack
Additional Comments: MAD device last 18 years (when power is out)
Resmed Vauto S Bilevel
Airfit n30

jnk
Posts: 5784
Joined: Mon Jun 30, 2008 3:03 pm

Re: POLL CPAP or APAP, Data or no Data

Post by jnk » Sun Apr 12, 2009 6:56 pm

packitin wrote:This beats the heck out of me. I've got an auto, and I honestly don't know if I'm getting the best therapy.
Especially after reading the thread about Resmeds and Respironics and pressures above 10. I caught about 1.5% of the discussion.
The "above 10" statements are a distraction based on a misunderstanding, so don't let that "information" distract you.

The trick to getting good treatment from any brand of auto is to be sure the minimum is set high enough. An auto user needs to set the minimum pressure high enough to get the reported AHI as low as possible, within reason. If you do that, you get good treatment.

User avatar
dsm
Posts: 6996
Joined: Mon Jun 20, 2005 6:53 am
Location: Near the coast.

Re: POLL CPAP or APAP, Data or no Data

Post by dsm » Sun Apr 12, 2009 7:21 pm

jnk wrote:
Slinky wrote:Fully data capable bi-level auto.

YOU figure out where you want to place THAT answer in your poll. I can't.


This poll makes much more sense than mine a while back. Here is how I read the choices of the poll:

(1) A non-auto CPAP or BiPAP without full data.

(2) A non-auto CPAP or BiPAP with full data.

(3) An auto of any sort, which gives full data.
Re the 'FULL DATA' matter - only Bipaps & Vpaps that record Minute Ventilation, Tidal Flow, Breaths-per-minute, PLUS AHI (hi & ai & pressure) really privide full data. Autos on their own provide a subset of the above.

So Full Data really only applies to the latest Bilevels. But am sure most people are quite happy with that subset.

DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

jnk
Posts: 5784
Joined: Mon Jun 30, 2008 3:03 pm

Re: POLL CPAP or APAP, Data or no Data

Post by jnk » Sun Apr 12, 2009 7:26 pm

dsm wrote:
jnk wrote:
Slinky wrote:Fully data capable bi-level auto.

YOU figure out where you want to place THAT answer in your poll. I can't.


This poll makes much more sense than mine a while back. Here is how I read the choices of the poll:

(1) A non-auto CPAP or BiPAP without full data.

(2) A non-auto CPAP or BiPAP with full data.

(3) An auto of any sort, which gives full data.
Re the 'FULL DATA' matter - only Bipaps & Vpaps that record Minute Ventilation, Tidal Flow, Breaths-per-minute, PLUS AHI (hi & ai & pressure) really privide full data. Autos on their own provide a subset of the above.

So Full Data really only applies to the latest Bilevels. But am sure most people are quite happy with that subset.

DSM
Thanks, DSM!

Would it help if I changed my post to "AHI data" instead of "full data"? Or is there a better way for me to word that?

jeff

User avatar
Slinky
Posts: 11372
Joined: Wed Nov 01, 2006 3:43 pm
Location: Mid-Michigan

Re: POLL CPAP or APAP, Data or no Data

Post by Slinky » Sun Apr 12, 2009 9:57 pm

Aw, shucks, I suppose yer right, dsm, but it was just so much easier to say .... and to mean .... and, oh heck, you just HAD to go and get technical on us, didn't you?? Yer a party pooper despite you are right!!!

_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear
Additional Comments: PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2 Software - Contec CMS-50D+ Oximeter - Respironics EverFlo Q Concentrator
Women are Angels. And when someone breaks our wings, we simply continue to fly.....on a broomstick. We are flexible like that.
My computer says I need to upgrade my brain to be compatible with its new software.

User avatar
Georgio
Posts: 608
Joined: Thu Aug 28, 2008 5:34 pm
Location: Jacksonville Beach, Fl

Re: POLL CPAP or APAP, Data or no Data

Post by Georgio » Mon Apr 13, 2009 2:24 am

I have 2 data capable auto machines that both report good AHI data numbers, one makes me feel like I can't remember feeling so good, the other makes me sick.

Georgio
DreamStation 2, Oscar
Resmed AirFit P30i Nasal Mask

User avatar
dsm
Posts: 6996
Joined: Mon Jun 20, 2005 6:53 am
Location: Near the coast.

Re: POLL CPAP or APAP, Data or no Data

Post by dsm » Mon Apr 13, 2009 4:38 am

Slinky wrote:Aw, shucks, I suppose yer right, dsm, but it was just so much easier to say .... and to mean .... and, oh heck, you just HAD to go and get technical on us, didn't you?? Yer a party pooper despite you are right!!!

Slinky

Yes I am a party pooper

Its just when I saw 'full data' it kind of took control of my fingers & I couldn't stop them 'correcting' the impression that Autos prive some more than the latest bilevels ( it used to be the otherway round where Autos did provide more - but not anymore)

JNK,

Just ignore my techo comments

Doug
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

jnk
Posts: 5784
Joined: Mon Jun 30, 2008 3:03 pm

Re: POLL CPAP or APAP, Data or no Data

Post by jnk » Mon Apr 13, 2009 6:15 am

dsm wrote: . . . Just ignore my techo comments . . .
Too late, I already changed my post to reflect your points.

I apperciate your keeping an eye on me, my friend. It's what any community should be about. It ain't party-pooping to me; it's just part of the party!

jeff

User avatar
Ganesha
Posts: 134
Joined: Sat Apr 11, 2009 10:27 am
Location: Central NJ

Re: POLL CPAP or APAP, Data or no Data

Post by Ganesha » Mon Apr 13, 2009 2:50 pm

Since the question was about the machine's capability here is my answer:

My ResMed S8 AutoSet II is a Data Capable APAP machine.
But I am locked into straight CPAP mode,
and I do not have access to any Clinical Data,
Just AHI, AI, HI, and Leaks on the LCD.
Of course I can see usage.

Bottom line, what the machine is capable of and what I can do with it are two different things.

I was surprised by the high percentage of APAP users in the survey.
But I a month ago I couldn't even spell CPAP
Ganesha
Hindu god of intellect and wisdom. Remover of Obstacles.
I am not a Hindu or a god, just Mark from New Jersey. But the CPAP mask makes me look like Ganesha.
________________________________________________________________________________________

User avatar
Snorebert
Posts: 160
Joined: Thu Feb 19, 2009 3:37 pm
Location: Phoenix, AZ

Re: POLL CPAP or APAP, Data or no Data

Post by Snorebert » Mon Apr 13, 2009 3:11 pm

I've been wondering. Why do you think that manufacturers make CPAPs at all instead of making only APAPs? I realize that there may be a cost factor but one would think that the savings of decreasing the number of variations and the reduction of inventory costs could offset the manufacturing cost differences.
There are two rules of life. The first is don't tell everything that you know.

User avatar
dsm
Posts: 6996
Joined: Mon Jun 20, 2005 6:53 am
Location: Near the coast.

Re: POLL CPAP or APAP, Data or no Data

Post by dsm » Mon Apr 13, 2009 3:28 pm

Snorebert wrote:I've been wondering. Why do you think that manufacturers make CPAPs at all instead of making only APAPs? I realize that there may be a cost factor but one would think that the savings of decreasing the number of variations and the reduction of inventory costs could offset the manufacturing cost differences.
Apaps were the 'ants pants' of machines when they provided data (when Apaps 1st started providing data, they provided just what we users wanted & cpaps didn't, bilevels didn't provide AHI until Respironics added that to their Bipaps.

So if you wanted to read your own data the Apaps were the best story in town (circa 2005/6/7). But, Apaps have one failing, too many RTs send the user out the door with the machine set 4-20 & that just wasn't working too well. Apaps were always an attempt to deliver minimum pressure needed because it was believed (rightly) that higher pressures made cpap mask management so hard that too many people would give up cpap alltogether.

Bilevels not only now provide better data, but they provide a good deal of the relief the Autos promised to deliver but didn't really get there. If anyone really wants Auto capability, they can now get it via a Bilevel Auto.

So back to your question, I believe making bilevels instead of cpaps would make far more sense but, as long as one costs more than the other (smae for cpap vs auto), we will see both on the market. Autos just aren't the "bee's knees' of xPAP therapy.

DSM
xPAP and Quattro std mask (plus a pad-a-cheek anti-leak strap)

jnk
Posts: 5784
Joined: Mon Jun 30, 2008 3:03 pm

Re: POLL CPAP or APAP, Data or no Data

Post by jnk » Mon Apr 13, 2009 3:31 pm

Snorebert wrote: . . . one would think that the savings of decreasing the number of variations and the reduction of inventory costs could offset the manufacturing cost differences. . . .
You have my vote as the next CEO of GM.

User avatar
Snorebert
Posts: 160
Joined: Thu Feb 19, 2009 3:37 pm
Location: Phoenix, AZ

Re: POLL CPAP or APAP, Data or no Data

Post by Snorebert » Mon Apr 13, 2009 3:57 pm

You are miles ahead of me, DSM. I am still a relative rookie in this game and have a lot more to learn. But having tried CPAP more than a dozen years ago and failing miserably I can say that the advances that I have seen - humidifiers and much more face-friendly interfaces - still make me wonder why the much less capable equipment is deemed acceptable by the medical community.
There are two rules of life. The first is don't tell everything that you know.