CPAP/BPAP

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CPAP/BPAP

Postby restinglandau » Wed May 21, 2008 12:09 pm

Yesterday, I had my second sleep test. The doctor has "prescribed" a BPAP machine for me. I had not heard of a BPAP before this, but have read what little I could find about this type machine. However, I would like to hear from you. I have a basic understand of what a BPAP does, but beyond that, not much. Why would I need it? What has been your experience if you've used? Does a certain mask work better with a BPAP. Anything you can think of about BPAP.
Thanks!
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Postby Bearded One » Wed May 21, 2008 12:17 pm

Why did you put "prescribed" in quotes? xPAPs are prescribed, the same as certain medications.

Do you mean BiPAP? A BiPAP is named because it has two different pressures; one is higher and used while inhaling, the other is lower and used while exhaling. BiPAP is a Respironics registered trademark, ResMed calls theirs a VPAP (also a trademark).
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Re: CPAP/BPAP

Postby Daniel » Wed May 21, 2008 12:43 pm

restinglandau wrote:Yesterday, I had my second sleep test. The doctor has "prescribed" a BPAP machine for me. I had not heard of a BPAP before this, but have read what little I could find about this type machine. However, I would like to hear from you. I have a basic understand of what a BPAP does, but beyond that, not much. Why would I need it? What has been your experience if you've used? Does a certain mask work better with a BPAP. Anything you can think of about BPAP.
Thanks!


Can you give some more detail ? Type and severity of SA ? Titrated pressure setting ? Do you have any other respiratory or cardiac problems ?

Answers to these questions should indicate why BiLevel PAP has been prescribed.

Daniel.
The untreated Sleep Apnoea sufferer died quietly in his sleep..
Unlike his three passengers who died screaming !


The first 40 years of childhood are by far the hardest
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Postby Mrs Rip Van Winkle » Wed May 21, 2008 3:27 pm

BiLevel machines are usually prescribed due to having central/mixed apneas...or....COPD....or....high pressure...or any combination of these.

You will want a BiLevel that is fully data capable. Mine is a Resperonics BiPAP Auto M Series with BiFlex. Resmed has a different name. The DME tired to stick me with a cheaper one...saying my insurance would not cover this...but it did...the insurance codes are the same for a cheaper one and a higher priced one...just less profit for the DME.

The 2 different pressures on the BiLevel make it easier to handle. The inhalation pressure stops the apneas and the lower exhalation pressure makes it easier to exhale. The Bi Flex feature makes the transition between the 2 pressures feel more natural and easier. My machine also makes breathing feel more natural...it picks up on your natural rhythm...lesser machines will set the inhalation/exhalation to a preset timing...very unnatural...like tryng to take the same breaths as your bed partner.

My experience...I was on straight CPAP for a little over 4 years...been on the BiLevel for about 2 months now....the BiLevel rises far above the straight CPAP...I think I am doing better in the last 2 months than I had in the past 4 years! I do not know why they do not script Bi Levels to everyone!
I'm only a sufferer, not a medical pro. What I post are my thoughts as a sufferer, not that of the ASAA. As a moderator on these forums I oversee the posting rules. This is the internet, always discuss what you read with your medical team.
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Thanks for the info.

Postby restinglandau » Wed May 21, 2008 3:43 pm

I said "prescribed" because I am new to this and I don't know what to call it when the Dr. says you need a machine. As it turns out my doctor put in an order for a BiPAP. I have an appointment Friday when I will get my machine and findout SA, titration,etc.

If anyone has any other suggestions, advice, concerns, please let me know. Oh yeah, do I need a special mask for a BiPAP.

Thanks.
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Postby Mrs Rip Van Winkle » Wed May 21, 2008 6:02 pm

The mask will depend on what works best for you. What was used during your titration study? There are several masks out there...if you can, try on as many as you can with your DME. You will want to be hooked to the machine at your pressure and be able to lay down in a position that is typical to when you sleep.

Make sure your Dr is scripting for a data capable machine. Since he said he is scripting a BiPap then that means he is referring to a Resperconics. You can get the Resmed or the Resperonics. If you do get the Resperonics ask him to script you for the Auto M Series BiPAP with BiFlex...though it is an Auto machine...it can be set in regular BiLevel mode...it is the better or the machines as far as regular BiPaps go. He may be putting you on something better than that due to your condition...don't know. Bottom line...be informed as to what machine does what...you are the one paying for it and you might as well get a good one to start. This is a condition that one has to get good self advocacy skills.

Don't worry about the terminology or use of quotes....and some medical pros refer to BiPAP or BiLevel as BPAP being it is a generic term....:-)
I'm only a sufferer, not a medical pro. What I post are my thoughts as a sufferer, not that of the ASAA. As a moderator on these forums I oversee the posting rules. This is the internet, always discuss what you read with your medical team.
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Postby Bearded One » Wed May 21, 2008 6:36 pm

I wasn't familiar with the BPAP name, I had wondered if there was a generic term for BiPAP/VPAP
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Postby Linda » Wed May 21, 2008 7:36 pm

Bipap is the Respironics name for their bilevel machine. And from what I understand, only a certain type of bilevel machine is gnerally prescribed specifically for predominantly central sleep apnea.

You might have a high pressure requirement, and that can mean a need for a significant level of exhale relief that a bilevel machine can provide. You might have additional respiratory issues for which a bilevel can help. I have weak lungs (although I think there's a technical term for it), plus I have a high pressure requirement (18), and I use a bipap. Exhale relief can also be provided with regular cpaps, with something called cflex in Respironics machines and EPR in Resmed machines, providing a level of measured exhale relief, but a bilevel can provide greater exhale relief. The need for a bipap or bilevel is determined during your sleep study, typically.

And as was mentioned, the type of mask you is independent of the machine. Usually during the sleep study they can tell if you are a mouth breather or not. If you are a mouth breather, usually that is handled with the use of a type of full face mask (covers nose and mouth) instead of the nasal mask (covers just the nose). There are some variations. But masks are like shoes, the fit and suitability largely rests with the wearer. Someone who is male with a beard might have problems with a full face mask. Someone with high pressures might have difficulty using nasal pillows. This is why it's good to work with a good DME that can help with your choice, and most importantly, the fit.


Linda
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You should not use info on this website to diagnose or treat a health problem or disease without consulting with a qualified healthcare provider.
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Postby restinglandau » Wed May 21, 2008 8:16 pm

I really appreciate the insights you and all the other nice folks who provided iformation. You are all very kind. I am new to this condition and really appreciate all of the info. I can get.
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