05-11-2015, 02:38 PM
RE: No events with at-home titration.Why does pressure increase?
(05-10-2015, 06:34 PM)storywizard Wrote: Supplier #2 is great, all their machines are cleaned and sterilized...I have had a great customer experience with them, awaiting my ASV machine this week...
Good luck with the therapy...
Storywizard
Thank you Storywizard.
(05-11-2015, 08:31 AM)vsheline Wrote: Hi jdip,
The "Auto" bi-level machines are all able to auto-adjust EPAP, so both ResMed and PRS1 bi-level machines do that. The PRS1 BiPAP Auto DS750/DS751 and DS760/DS761 (unlike ResMed Bi-level "S9 VPAP Auto" or the new AirCurve 10 Auto) can also slowly auto-adjust the Pressure Support to be just high enough to prevent Flow Limitation (UARS) and the resulting RERA events.
You could set a PRS1 BiPAP Auto machine to an EPAP of 9 and just let the machine auto-adjust the Pressure Support.
Or, you could let the PRS1 BiPAP Auto machine auto-adjust EPAP also. You would likely find that, with bi-level, you would be able to use an EPAP lower than 9, and every night the machine could do an auto-titration on both EPAP and Pressure Support. You could either leave machine in full auto mode or, after gathering a couple weeks of data, set a fixed EPAP and/or fixed PS, chosen based on the data gathered.
In addition, seems like you will need to email your doctor the article/talk by Dr Barry Krakow (or drop off a hard copy), to help your doctor understand that bi-level therapy is the way to go when treating UARS.
Also, please check your Private Messages.
PM replied. Thanks again for all of this great info. Giving my doctor a copy of that article is a good suggestion.