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The Water Cooler
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CPAP
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<blockquote data-quote="_CY_" data-source="post: 2911086" data-attributes="member: 7629"><p>for those new to cpap and/or thinking about trying cpap .. do it .. go take that sleep study. for some it can be life changing and/or save your life.</p><p></p><p>the dirty little secret for cpap is compliance or the lack of .. for cpap to work you've got to actually use it .. everyone is different but generally one needs to use cpap for about 5 hours each night to be effective. you've got to deal with a foreign object attached to your face all night. then when you roll over, mask could become unsealed. air could be forced into your stomach, etc. etc. etc.</p><p></p><p>hopefully you can find solutions to all of above .. but it takes a bit of work to find it and you may not get the support needed before one gets so frustrated .. cpap mask gets ripped off your face because you just can't stand it. hence why lots of like new cpap/bipap machines on Craigslist.</p><p></p><p>1. commit .. get a sleep study .. preferably at a sleep lab that is willing to follow up with support</p><p>2. you can find loads of support at <a href="http://www.apneaboard.com/forums/index.php" target="_blank">Apnea Board forum </a></p><p>3. go with an autoset cpap machine with data capabilities .. free sleephead software available so folks at Apnea board can help with solutions.</p><p>4. an autoset bipap can be easier to tolerate and could make a huge difference in compliance.</p><p>5. full face mask, nasal and pillows are the three options available .. don't give up .. you may have to try all three before finding one you can tolerate.</p><p>6. knowing how to control your cpap machine's settings can make a huge difference in compliance</p><p></p><p>reason an autoset cpap/bipap machine is preferred is simple .. a sleep lab can only provide a snap-shot in time for one night .. lots of factors can effect your pressure needs .. sleep positions .. clogged nose, etc. etc. an autoset cpap/bipap will change pressures on the fly.</p><p></p><p>a cpap machine provides a continuous flow of air at xx cm pressures to create the splint that keeps your airways open. when you exhale that positive pressure is still there. if you have trouble exhaling against that continuous positive air pressure (cpap) then your partial pressure of carbon dioxide (<span style="font-size: 18px">Pco2</span>) in the blood can raise too high.</p><p></p><p>a bipap or bilevel machine detects when you exhale, then lowers pressures during exhale cycle. some newer autoset bipap machine can be set to mimic your natural intake and exhale cycles .. without question will be more comfortable to use and help with compliance. but due to higher costs your insurance company will not pay extra without a pretty darn good reason.</p><p></p><p>technology marches on and that's a good thing .. one of the newer data capable cpap machines has a bipap like function but limits drop to 3 cm during exhale. resmed airsense 10 autoset behave like a bipap limited to 3 cm pressure difference.</p><p></p><p>resmed aircurve 10 vauto is the auto bipap version if you can swing it .. it's got additional features that allows delivery of airflow to more closely mimic your natural breathing cycle for a more comfortable use.</p></blockquote><p></p>
[QUOTE="_CY_, post: 2911086, member: 7629"] for those new to cpap and/or thinking about trying cpap .. do it .. go take that sleep study. for some it can be life changing and/or save your life. the dirty little secret for cpap is compliance or the lack of .. for cpap to work you've got to actually use it .. everyone is different but generally one needs to use cpap for about 5 hours each night to be effective. you've got to deal with a foreign object attached to your face all night. then when you roll over, mask could become unsealed. air could be forced into your stomach, etc. etc. etc. hopefully you can find solutions to all of above .. but it takes a bit of work to find it and you may not get the support needed before one gets so frustrated .. cpap mask gets ripped off your face because you just can't stand it. hence why lots of like new cpap/bipap machines on Craigslist. 1. commit .. get a sleep study .. preferably at a sleep lab that is willing to follow up with support 2. you can find loads of support at [URL='http://www.apneaboard.com/forums/index.php']Apnea Board forum [/URL] 3. go with an autoset cpap machine with data capabilities .. free sleephead software available so folks at Apnea board can help with solutions. 4. an autoset bipap can be easier to tolerate and could make a huge difference in compliance. 5. full face mask, nasal and pillows are the three options available .. don't give up .. you may have to try all three before finding one you can tolerate. 6. knowing how to control your cpap machine's settings can make a huge difference in compliance reason an autoset cpap/bipap machine is preferred is simple .. a sleep lab can only provide a snap-shot in time for one night .. lots of factors can effect your pressure needs .. sleep positions .. clogged nose, etc. etc. an autoset cpap/bipap will change pressures on the fly. a cpap machine provides a continuous flow of air at xx cm pressures to create the splint that keeps your airways open. when you exhale that positive pressure is still there. if you have trouble exhaling against that continuous positive air pressure (cpap) then your partial pressure of carbon dioxide ([SIZE=5]Pco2[/SIZE]) in the blood can raise too high. a bipap or bilevel machine detects when you exhale, then lowers pressures during exhale cycle. some newer autoset bipap machine can be set to mimic your natural intake and exhale cycles .. without question will be more comfortable to use and help with compliance. but due to higher costs your insurance company will not pay extra without a pretty darn good reason. technology marches on and that's a good thing .. one of the newer data capable cpap machines has a bipap like function but limits drop to 3 cm during exhale. resmed airsense 10 autoset behave like a bipap limited to 3 cm pressure difference. resmed aircurve 10 vauto is the auto bipap version if you can swing it .. it's got additional features that allows delivery of airflow to more closely mimic your natural breathing cycle for a more comfortable use. [/QUOTE]
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