He said it in the video but it bears repeating: All resmed 10 and 11 machines have Bi-PAP and ASV capability. All of them do. They just don’t install the software for it. The only difference between a cpap, auto set, bi-pap and ASV is the firmware on the machine. The hardware is 100% identical. They just slap a different logo on it and sometimes use a different color plastic. It’s dumb. I’m not opposed to charging for more advanced software…but if I have one of these machines I should be able to pay an upgrade fee rather than replace the whole thing. They could flash it remotely over the air if they wanted to.

Yes. Everyone should be given the choice to experience it. Barry Krakow MD is right when he said fobbing everyone off with plain CPAP is inhumane in many cases.

Just started ASV therapy two weeks back - life changing after 2.5 decades of suffering - events are between 0.0 and 2.0 - (last overnight study was 72!

Thanks for this Jason! I used to be on Auto Bipap for 3 years and I saw your past videos advising that Bilevel is better than auto. So as an experiment I changed my setting to Bilevel using my Oscar data over 3 years and tuned my Bilevel settings to my 95p ipap and 95p epap averages. My AHI has never been better with Bilevel and I wake up less!

Bruh, v-com plus mouth tape and bleep is the holy grail. 100 score every night and 90-96 pillow sleep score. I’m a changed man. And I failed CPAP in 2019.

You're asking the wrong question. It's not "should everyone be on bilevel or asv?" The question is should everyone who needs them, have the same access to medical treatments? Working your way through the barriers put in place by insurance companies forcing you to PROVE to them that you're x,y,z is the opposite of medicine. Give everyone a machine capable of automatic adjusting low and high pressure and let the doc (or the patient) turn on whatever features they want. Cpap mode, apap mode, bi mode or asv. Whatever works. Heck, there should probably even be hypothetical situations where someone might automatically convert from cpap to bipap or asv if the machine notices a lot of centrals. Not possible with current artificial pidgenholling of apnea sufferers. Mechanically, these machines are identical and could easily offer all these features. One medical device to treat them all, and in the darkness, bind them!

2:20 Thanks for being one of the good guys ❤

Superb content. You teach us vital information.

If your nose runs & feet stink, no worries, you are merely upside down..... just upright yourself.

1:19 important nuance: It cycles from IPAP to EPAP when you stop actively inhaling. You don't have to immediately exhale.

I heard that ASV is the best machine for central apnea.

Interesting, I've had some issues with high co2 retention and my last split sleep study I was told I didn't meet the threshold to even do a titration. Seeing the doctor afterward, she noted the high co2 retention and sent me home with 6-15 pressure settings after having success with 6-8 (originally they had me using a 12-15 pressure. I still follow along with CPAP stuff, but I've totally given up on the whole racket they've set up that has such a low rate of success in finding solutions for patients.

I had bipap for my first machine. It was set up all wrong. I had tons of air in my belly and had category 5 shite storm sitting on my face at different time through out the night. Now I'm on cpap and doing much better.

Thanks JAson, explained a lot in this video (for once) lol. Just kidding your thickness. But I did learn something. I'm on the Bi-pap and now I know a little bit more.

Ty. Great video. Jason, can TREATED OSA possibly still cause a high rbc count?

You state that one can try Bilevel when central apneas occur. I can not see why that would help. In contrast - you once explained the EPR (on a Resmed machine) can increase the chance of central apneas. This is exactly what I have experienced. When I am not mistaken EPR can be seen as a sort of simple (up to 3 bar) bilevel option, right!? So why would Bilevel help with central apneas? What is the difference of a bilevel to an ASV machine -- especially in regards of trying to avoid CPAP introduced central apneas?

Nice video Buddy thank-you ...A ? What would the price point be on data reading and dialing in with Oscar or SleepHQ

3:05 Actually (by applying PS) you're augmenting tidal volume. This has the effect of increasing CO2 blow off. With healthy lungs getting oxygen in is pretty easy. That's why people with hypercapnia can have full oxygen saturation. It's the CO2 blow off that requires the ventilatory effort. And PS adds its own ventilatory effort on top of your own ventilatory effort, with increased tidal volume as a result. This is how AVAPS/iVAPS works btw, it puts PS in a closed loop with tidal volume, increasing PS when tidal volume doesn't hit the target.

im a little confused, when a cpap allows you to exhale with no effort (like it senses you exhaling and allowing it to happen), isn't that the same as bipap then? I just got a new airsense 11 and my last one was some phillips cpap from 10 years ago, its incredible the difference in technology. That one you felt that pressure all the time, now its like you aren't even wearing a cpap except for the mask tied to your face of course.

How do you feel about placing patients on Bilevel or ASV without knowing their ejection fraction?? Or placing a patient on Bilevel with a low ejection fraction?

Hey Jason how are you? My name is Rick I am getting a CPAP machine I’m just wondering in your opinion I know you’re not a doctor do you think they can help with anxiety and stress those types of things if you get the proper sleep?

I'm on BiPAP, have been for years. Honestly, I have no idea why I was moved from CPAP to BiPAP. It was never fully explained to me. I'm currently on a ResMed AirCurve 10. In 6 months I am eligible for a new machine. What machine is considered The Best? Should I stay with the same model machine? Or get something different? It's amazing how little my sleep doctor seems to know or inquire about my sleep. I just seem to learn as I go and my sleep keeps getting better.

I have tried bi level and I get more apneas and hyponeas on Bilevel than I do on CPAP. Just saying...

Hello all. I need help from someone. I’ve had my cpap for 4 years with about 3k hours on it. I take it off every night after 2 hours. I’ve had multiple mask, sleep studies, pressure changes, meds, etc. my insurance denied me for the inspire 3 times and I’m out of energy. I’m willing to pay for help and I just need some guidance or advice.

Jason, sometimes, I will start my machine for the night, and lie down, but after 30-45 minutes, say, I need to shut off and get up for some reason. I have noticed that sometimes, the AHI for that short period is quite high, sometimes EVEN IF I HAVEN'T ACTUALLY FALLEN ASLEEP. Here's one I'm thinking of especially -- 22 minutes and an AHI of 33.9, and my recall is that's one where I hadn't fallen asleep. Any idea what would cause that? I haven't looked at the data yet on OSCAR. Thanks

I still don't get why the bipap isn't better. Exhaling is a different pressure than inhaling, so how is a machine that specifically targets these two different pressures not better....always... than one that doesn't?

Hi Jason I want to ask you how to set the Resmed aircurve from bipap to cpap? is the cpap you mention similar to the mode Auto Cpap? or maybe can you make the psupport zero so that it's like an auto cpap mode? thankyou

Paper jerks ? Lol, love it

Hey Jason, is there any difference between CPAP and Bilevel on an Airsense 10 for the first 3 levels of EPR settings other than being able to be more granular in EPR steps, say instead of 1, 2, or 3 EPR being able to do 1.x or 2.x or 3.x EPAP?

Lanky Lefty, I have not used my CPAP for a few days due to a cold. But, during the night when I wake up for a bathrooom break, I use a pulse oximeter that measures my O2 saturation as between 95-97%. Does this mean that I get enough O2 without using the CPAP machine? Thanks.

so Bipap user here. CPAP/APAP didn't work for me, as I ran into issues with the APAP pressures running away (trying to open airway but false reading rate limit) to the point that it would prevent breathing out at all. would wake me up and force me to rip off the mask to relieve the pressure then restart the machine. Tried the mouthguard... Waste of 600+ dollars Finally Got Bipap. Life Changing would never go back to sleeping without it. I have to say I disagree with you, but not for the reasons you listed. Expiratory pressure relief is a setting on most cpap/apap devices (its worthwhileness is debatable but functionally its the same thing as Bipap but in reverse. As Bipap waits for you to breath in and keeps up the pressure vs Expiratory pressure relief is waiting for the signal you are breathing out. Functionally returning to a normal pressure on breathing in... here's my disagreement.. I think APAP/CPAP fails to address oxygenation at all, as its idea is just keep the airway open. And just does nothing if a CA happens. I dont understand why a combination of the two cant be used. for people with minimal CA's but still have concerns for oxygenation where if the system detects a CA it gives a level of pressure support and if it detects a OA it gives a increase in base pressure? basically looking for a middle ground that looks at the entirety of possible situations. Additionally Bipap has some nuance to it that it has a base line breaths per minute rate so if you stop breathing it will push a new breath every x(2 seconds) seconds (clinical setting is flexible) or it will detect a users breathing pattern by senses the pressure curve of the very start of a breath in, then provides the pressure support to inhalation pressure. some users may not need a massive pressure support like mine is 4 different which you feel but not much, I've seem as low as 1 or 2 cm of pressure support which most people wouldn't feel. Personally I would say BIPAP for everyone but theres nuance to it, I honestly think its a better solution to start with than APAP / CPAP cause the titration study should be able to identify if all they need is pressure or if they need pressure support.

I am using an old DreamStation 1 BIPAP and need to replace it. When will they make a DreamStation 2 BIPAP?

ASV Auto, for the win.

What do you think about people using Bilevel instead of CPAP? Thanks for watching! Channel Sponsor: cpapsupplies.com/lefty Use my CPAPSupplies.com (affiliate link): bit.ly/38yPlXk Don't forget discount code: LEFTY20 if all else fails!

APAP of resvent ibreeze is better and softly regulate and managed your inhale and exhale rthym which is more comfortable than a continous blow.

*Quickie Question! Can a person become dependent on CPAP forever? What I mean is, does CPAP condition the body to need CPAP forever? I recall the brain (pons medulla?) has that secondary-type mechanism that senses extra CO2 that builds up and hence..encourages ONE TO BREATHE! But in a way.....aren't we (those of us on CPAP) kind of making that CO2 brain-backup-response go dormant by virtue of not using it because of longterm CPAP therapy? (Don't get me wrong...I know some of us need CPAP forever! ...but if one is hopeful in losing weight and perhaps wanting to ween themselves and get off CPAP...are we in a sense screwed by virtue of constant use? Gosh, that was a mouthful! sorry, Lefty. 😂* Hope this made sense? Oy. 🤓

I'm starting to wonder if i need bipap or asv. Im still having 2+ events most nights and i wake up at least once a night about 60% of the time. :/

I tried bi-pap but I prefer cpap with pressure at 15. Yeah, you heard me.

Are my ears playing tricks on me? Did i just hear 'Papper Jerks' Bahahahahahaha. Dude, you're looking sharp also! Sweet hair cut, shaved face but I'm glad you left the chest hair run wild and free 😜. Loving the great content dude. Keep it coming

I find it INFURIATING that people use the 'CPAP' when many of the times they mean 'APAP'. Maybe I am picky but I am new to half of your jargon and without local sleep techs available, getting your correct gear options sorted out is depressing. In Australia half the gear you speak of is unheard of 😔 by us commoners.

Bi-level + oxygen, Co2 retainer, O2 levels in 70's without

Why can you use tap water in Bipap and not in cpap?