Implications of turning machine off & continuing to sleep?

SleepingUgly wrote:...the doctor telling us never to use APAP with young children, as children have died on APAP because the machine doesn't reliably detect their breathing.

The other half of that would be that a child at risk (regardless of therapy mode) should be placed on an S/T

http://bipapst.respironics.com/Specifications.asp

or similar (some folks use Pulmonetics) that has an integrated alarm system.

deltadave wrote:The other half of that would be that a child at risk (regardless of therapy mode) should be placed on an S/T

http://bipapst.respironics.com/Specifications.asp

or similar (some folks use Pulmonetics) that has an integrated alarm system.

What does this mean? A ventilator?

SleepingUgly wrote:

deltadave wrote:The other half of that would be that a child at risk (regardless of therapy mode) should be placed on an S/T

http://bipapst.respironics.com/Specifications.asp

or similar (some folks use Pulmonetics) that has an integrated alarm system.

What does this mean? A ventilator?

That's one option. I'm happy with an APM, myself.

SleepingUgly wrote:doctor telling us never to use APAP with young children, as children have died on APAP because the machine doesn't reliably detect their breathing.

It seems it would be safe to use APAP as long as you set the lower pressure limit at a safe level. For instance, if the doctor thinks 10 cmH2O is the right manual pressure, settin the machine at 10-15 auto wouldn't risk too low of a pressure. Even 8-15 would probably be safe.

Maybe someone took a child who needed 16 cmH20 and put them on a dumb 4-20 auto pressure setting, didn't monitor the data, and had problems.

Also, no APAP will drop the pressure below 4 cmH2O, so it's not like the machine would strangle the child any worse than not having CPAP.

I wonder if this isn't more anti-auto CPAP fearmongering.

deltadave wrote: I'm happy with an APM, myself.

What's APM?!

SleepingUgly wrote:What are the implications/consequences to someone wearing a chin strap and a nasal mask who turns the machine off and continues to sleep with the mask?

Possible death?

SleepingUgly wrote:

deltadave wrote: I'm happy with an APM, myself.

What's APM?!

Wild guess...maybe this?

http://battlefield.wikia.com/wiki/APM

No, the Airway Pressure Manometer listed in my post on the previous page. It was originally listed at about 25 bucks but the seller pulled it and relisted for $75. Is there skulduggery underfoot?

deltadave wrote:No, the Airway Pressure Manometer listed in my post on the previous page. It was originally listed at about 25 bucks but the seller pulled it and relisted for $75. Is there skulduggery underfoot?

Manometer or Monitor?

Is it the thing at the bottom of this page:

http://www.ebay.co.uk/itm/Respironics-3 ... 45fd0becbb

It doesn't say how it works, so I don't know what it's used for or how. Is this a device for an average size kid who has hypopneas and FLs and desaturates down to 92% (and the way I read the report, it may be 93% or 94%) without CPAP?

SleepingUgly wrote:It doesn't say how it works, so I don't know what it's used for or how.

At the bottom of this page
http://www.msdonline.com/biomed/meh/BIPAP.HTM

Description of what an "Airway Pressure Monitor" is used for
Airway Pressure Monitor

BiPAP, CPAP, or volume ventilator units can be attached to the optional Airway Pressure Monitor (RPST/AWP), which provides constant analysis of airway pressure and will sound an audible alarm if pressure goes outside preset pressure limits. The older Respironics model with analog gauge (shown below) is still available in limited quantities; the newer model has a digital pressure display.