BiPap Titration Study

This area is for discussion of Sleep Studies used in the evaluation of Sleep Apnea.


BiPap Titration Study

Postby peanutbrutal » Wed Sep 22, 2010 9:05 am

I was diagnosed last year with OSA and placed on CPAP. I've not noticed much improvement at all, and visited my physician last week. He has scheduled me for a BiPap Titration Study. Can someone please tell me what a BiPap Titration Study is? I'm not familiar with the term "titration" and don't quite understand the difference between BiPap and CPAP. Thank you.
peanutbrutal
 
Posts: 2
Joined: Wed Sep 22, 2010 9:00 am

Postby CrohnieToo » Wed Sep 22, 2010 10:58 am

When you were placed on CPAP last year, how was it determined that you had OSA? Was it due to an in-lab sleep study or an at-home sleep study?

How did they determine what CPAP pressure setting you needed? Were you provided w/an at-home auto-titrating CPAP or did you have an in-lab sleep study?

Will you be having an in-lab bi-level titration study or will they be providing you w/an at-home, auto-titrating bi-level PAP?

The most common method of diagnosing OSA is an in-lab sleep study. That might require a one-night in-lab sleep study where you sleep all night on room air or what is referred to as an in-lab split-night study where you start out the night sleeping on room air and part way thru the night the tech comes in and provides you w/a mask and uses the CPAP to adjust pressure during the night to determine what CPAP pressure you need to reduce or eliminate your OSA events.

CPAP or bi-level PAP titration just means to adjust the PAP pressure settings to prevent or reduce your OSA events.

CPAPs produce just one set continuous pressure. Some have a limited form of pressure relief on exhalation. But a bi-level PAP can produce almost an unlimited amount of pressure relief on exhalation so that you inhale at one pressure and exhale at a lower pressure. This usually makes it much easier to breathe and much more smooth breathing w/a bi-level.

Bi-PAP is the Respironics manufacturer's proprietary name for their bi-level PAPs. VPAP is Resmed's proprietary name for their bi-level PAPs. (VPAP = variable positive airway pressure) (BPAP or Bi-PAP = bi-level positive airway pressure) (CPAP = continuous positive airway pressure) (APAP = auto-titrating positive airway pressure) (xPAP = any positive airway pressure).
ResScan 3.10 - Resmed S8 ResLink & oximeter
ConTec CMS-50D+ oximeter - Philips EverFlo 5L Oxygen Concentrator
PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2.14.0
User avatar
CrohnieToo
 
Posts: 7943
Joined: Mon Mar 20, 2006 9:18 pm
Location: Mid-Michigan
Machine: Resmed S8 VPAP Auto
Mask: Resmed Quattro FX Small
Humidifier: Resmed H3i
Year Diagnosed: 2006

Postby peanutbrutal » Wed Sep 22, 2010 11:14 am

CrohnieToo,

Thank you for the quick reply.

I had an in-lab sleep study in September 2009 and my pressure was determined to be 12 as a result of the study. I was fitted with a RedMed CPAP machine.

My tritation bi-level study will again be in lab on October.

Thank you for explaining this in a way I can understand. I've searched the Internet for explanations, but all were much too technical and geared toward those in the health care field.

This is really helpful and I'm looking forward to the results of next week's study. I may be asking more questions after the study - thanks!
peanutbrutal
 
Posts: 2
Joined: Wed Sep 22, 2010 9:00 am

Postby CrohnieToo » Wed Sep 22, 2010 11:32 am

Well, you were provided w/a great device, I assume it was the Resmed S8 Elite II? Or maybe the Resmed S8 Escape II. You really don't want a Resmed PAP w/Escape in the name. The Escapes provide good therapy but they can only report Compliance data which is of no interest or value to you. The Elite and the AutoSet can provide full data, i.e. Leak, AHI, AI, etc.

I was started on CPAP in Oct 2006 w/a Resmed S8 Elite. Great device. I bought out of pocket a Resmed S8 AutoSet Vantage so that I had a PAP and a backup/travel PAP. Then in March 2008 I was switched to a bi-level. I started w/the Resmed VPAP Auto but am now using, since March 2009, the PR SystemOne BPAP Auto w/Bi-Flex. I really liked the Resmed S8s. I'm getting excellent therapy w/the PR S1 BPAP altho the software and I aren't on as friendly terms as the Resmed software and I were.

Respironics just came out w/their new PR SystemOne PAPs in 2009. Resmed just came out w/their equivalent Resmed S9 PAPs in 2010 but they haven't released an S9 bi-level yet.
ResScan 3.10 - Resmed S8 ResLink & oximeter
ConTec CMS-50D+ oximeter - Philips EverFlo 5L Oxygen Concentrator
PR SystemOne BPAP Auto w/Bi-Flex & Humidifier - EncorePro 2.2.14.0
User avatar
CrohnieToo
 
Posts: 7943
Joined: Mon Mar 20, 2006 9:18 pm
Location: Mid-Michigan
Machine: Resmed S8 VPAP Auto
Mask: Resmed Quattro FX Small
Humidifier: Resmed H3i
Year Diagnosed: 2006

Postby Bons » Thu Sep 23, 2010 9:12 pm

What does that data from your machine show? Are you still having a large number of obstructive apneas or are you having problems with centrals? I was titrated for BiPap earlier this week because my centrals went up after starting on Cpap three weeks ago. They were high during Bipap as well, so in the middle of the night they switched me to an AVS (adaptive servo-ventilator) which I guess is best for treating central apnea. It took a lot of adjusting to learn to breathe both of them, because they are rather different from breathing with the Cpap.
PR bipap auto sv advanced
Fisher and Paykel flexifit 431
Bons
 
Posts: 572
Joined: Fri Sep 03, 2010 1:11 pm
Location: Pennsylvania
Mask: fx for her nasal mask



  • Site Supporter

Return to Sleep Studies

Who is online

Users browsing this forum: No registered users and 0 guests