Please help me with my bipap

I have the Respironics dreamstation

I clicked the button and the ramp button and went to my therapy on the machine and I don't understand what this means.

there are five boxes and the first says 'AUTOB' second says 'IPAP 20.0' third says 'EPAP 8.0' fourth says 'PS 3.0' fifth says 'PS 7.0'

that is apparently my therapy can anyone translate that for me? and which one would I need to edit to bring down the pressure a little bit myself? you can change it on the machine.

The pressure is high and messing with me its hard to use the machine more than like 30 mins to an hour. I actually used to use cpap. bipap is hard but the docs think I need it.

Off the top, I have never used a DreamStation. Here is a link to a Technical Manual which may help you some. I find it a rather poor manual because it covers the whole range of Respironics machines from a simple fixed CPAP up to the Auto BiLevel you have.

Here is my best guess of what your settings mean:

• AutoB - It is set to BiLevel with Auto pressure control
• IPAP 20 - I suspect this is the maximum IPAP or inhale pressure, and is set at 20 cm.
• EPAP 8 - I again suspect this is essentially the minimum EPAP pressure or essentially minimum pressure during an exhale.
• PS 3 - This is likely the minimum pressure support or differential between exhale and inhale.
• PS 7 - This would likely be the maximum pressure support, and the machine is allowed to vary pressure support between 3 cm min and 7 cm max.

If you want to lower the starting pressure you would likely have to lower the EPAP. It can be set as low as 4 cm.

This all said, if you are using it for an hour or so, it will be controlling pressure based on events. So it doesn't matter if you start at 6 cm or 4 cm, it could ramp pressure up to as high as the maximum which is 20 cm, based on events happening, unless you set the maximum lower.

You probably would be best to talk to your doctor about the issues you are having. A BiLevel is a fairly complicated machine and can be hard to get it adjusted right.

i think you hit the nail on the head wow that does seem right!, i exhale and its 8 and when i inhale it is 11 but sometimes its went up higher even in a short amount of time and then it goes back down and up again and feels hard to breathe sometimes its just odd.

thanks a lot for the response. i was permanently banned on the cpaptalk so i figured id post here about this.

I wanted to lastly ask you im 24 when I was like 18 or so they had me on cpap, now its this machine after a couple polysomnography earlier this year. what does that indicate to you? I also had REM without atonia similar to the mm2 thalamic Creutzfeldt-jakob patients. and I know when it comes to these sleep doctors they are a different breed. they are not like a neurologist. seems like its hard to get help from sleep doctors

thank you for the kindness and answering my question. it did show me how to change it. I changed it didn't help much. I just cant rest or restore since Ive been a child I have accepeted that haha

and yeah mainly central and respiratory distresses, hypopnea in the polysomnography Im pretty sure I remember them telling me that. I don't think there was any obstructive. maybe 1 or 2 osa events.

Thanks again. one last question would you know why after not even an hour I will be shivering cold like a mothef---er? and when I rip the mask off I stop feeling froze. and I never get cold.

bless

not a heated hose. and I don't like the humidifier I removed it from the machine. I didn't use it when I used to use cpap either.