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+--- Thread: Switched from APAP to BiLevel/TriLevel WOW (/Thread-Switched-from-APAP-to-BiLevel-TriLevel-WOW)
Switched from APAP to BiLevel/TriLevel WOW - Stubert - 12-24-2023
Been on CPAP/APAP for a year (AHI 66) and been struggeling ever since. Tried a ton of different settings, rarely any decent sleep.
Read a lot on this forum and studied a lot on youtube. Understand now all details about the data and my hospital/doctor have not go the time to discuss data with me.
So ... after selfstudie, I realised I might need BiLevel.
Bought a new Löwenstein Prisma 25S, from an online shop in Greece, and put my old Prisma Smart Max on the shelf.
Incredible result after 1 week of titration and sorting out settings. Sleep SO much better. My doctor does not know I bought it, since it is not allowed to take this matter into own hands, but I do not care, it is MY life. AHI between 0-1 now every night and good O2.
The TriLevel is insanely good and comfortable. Most nights AHI 0-1, Tidal vol and min vent is perfect. I look up the data in PrismaTS software.
Keep fighting, newer give up and trust your own studies and ask for help online!
My settings:
Auto S
TriLevel
EEPAP min 7
PDIFF (PS) min 4
Thanks for all the help reading different posts on this forum!
RE: Switched from APAP to BiLevel/TriLevel WOW - PeaceLoveAndPizza - 12-24-2023
Excellent news on taking control of your own therapy and finally getting some good rest.
When you get a chance, post whatever OSCAR charts you can as our knowledge base of Löewenstein machines is still growing.
RE: Switched from APAP to BiLevel/TriLevel WOW - Macka - 02-15-2024
I am on the same journey. Have been struggling with a Prisma20a for 6 months, but now realizing this machine has taken me as far as it can. It is very disappointing as I already spent $2500k and now have to pay thousands extra for 1 or 2 cm more pressure support. Hopefully this ridiculous situation will dissappear as the user community becomes better educated and buyer expectation increases.
A standard machine should provide and offer full control over bi and trilevel modes. The current cpap/apap models do not treat a large portion of OSA sufferers yet most if not all of our machines have this ability, but it is witheld from us by firmware altering and slight of hand.