- Studies suggest that in the one-third of people who
try CPAP therapy for snoring and sleep apnea actually quit.
I know personally many of you really struggle,
especially in the beginning breathing
against those therapy pressures,
but before you Go and throw in the towel,
there's a little device
that you might not have heard of.
And it's a whole lot easier to use compared
to your standard CPAP
or auto CPAP devices.
So stick around
and let's talk about the wonderful world of BiPAP.
(upbeat music)
Happy new year guys
and welcome to my channel CPAP Reviews.
My name's Nick.
And for those of you already subscribed
thank you so much for all your beautiful contributions
throughout the year 2020.
It was a very difficult year
for myself as I'm sure it was for you guys.
So it was really encouraging just
to read all your beautiful comments
and see everyone supporting each other on the channel.
It was really heartwarming for me
and I really appreciate all your likes as well.
And for those of you who are tuning in for the first time
this is an education channel on snoring and sleep apnea.
And just some
of the products that we use to get by in the night time.
So if this is something that you're interested in
please consider hitting the subscribe button
and joining this wonderful little community
that we have full of very supportive people
that are gonna really help you along the way.
Alrighty guys, let's get stuck in.
Now in front of me here I have two machines
that look very similar on the outside
but there's actually a really big difference
on how these two machines operate.
And how they deliver the positive airway pressure
which is the therapy.
So just in front of me here on the right
I have an auto CPAP machine.
And on the left, I have what's called an auto BiPAP machine
or bi-level machine.
Now with the auto CPAP machine
which the majority of you will have.
If you've got a standard CPAP machine
I reckon you just take that back.
It's just, it's just old technology now.
You really want to be on an auto CPAP machine
especially if you're just starting out.
So that's my recommendation to you from the start.
But with an auto CPAP machine,
the way it works is,
it's gonna actually monitor your breathing
as you sleep over nighttime.
And all that information gets passed
into the computer in the machine.
And then the machine actually works out
how much pressure is required on a minute by minute basis
to keep your breathing nice and consistent,
nice and stable so that we remove all
that snoring and sleep apnea.
But with a auto CPAP machine
the pressure that you breathe in.
So your inhalation pressure is pretty similar
to the pressure that you breathe out
your exhalation pressure.
It's really constant.
There's a little bit of a reduction as you breathe out,
we call that pressure relief.
But generally speaking,
the pressure that you breathe in is very similar to that
when you breathe out.
And many of you really struggle with this
especially in the beginning,
because you're not used
to breathing against any sort of resistance.
Normally when you breathe out
there's nothing there stopping you breathing out.
But all of a sudden,
when you're thrown into this world of CPAP
and you're in your line every nighttime
with your mask on,
when you go to breathe out,
it's very unnatural because the machine is trying
to push air in,
and you're trying to breathe out against that air.
this is just too much of a challenge to overcome.
Now on the left here,
I have the BiPAP machine.
So the beautiful thing about a BiPAP machine
is that it's still going to monitor your breathing
over nighttime and it's still gonna regulate the pressure
in order to control your sleep apnea.
But instead of there being the same pressure
for inhalation and exhalation
we can actually set a different pressure for our exhalation.
So for example, and I'm gonna show you this
on the machines in a second.
We could have an inhalation pressure of 10 let's say
but we could set out exhalation pressure at four
which is a 60% reduction in the pressure as we breathe out.
And this makes breathing with the therapy just
so much more easier and just so much more comfortable
because you're not constantly fighting
that pressure coming in.
And it also helps with other things like air leaks,
dry mouth and a few of the other side effects like
aerophagia, other things that I've talked about
the side effects of sleep apnea.
So the BiPAP machines really are a whole lot easier to use.
And I think it's probably best
if I show you live exactly how to put the mask on
and show you the screen.
So we can just have a look at how those machines operate
and show you the difference.
For this example,
I'm just gonna set it's min pressure on 10.
The reason being is I wanna show you what happens when
the pressure is on 10 with this device
especially when I'm breathing out
compared to the bi-level machine.
Okay. So the pressure's on 10.
So I'm just gonna put the mask on now
and start breathing.
So you can see here
with the auto CPAP set to 10,
it's basically staying at 10.
So when I'm breathing in,
it's a 10 and when I'm exhaling
it's also around 10 as well.
And that consistent pressure
is what can be very challenging for people,
especially in the beginning when their lungs
and the muscles that support our lungs and our breathing,
aren't used to breathing against such resistance
as the therapy pressure itself.
And you're going to see with the BiPAP in a minute,
how this changes with the bi-level machine.
All right, now I'm going to set up the Bi-PAP.
So I'm just gonna to press and hold down
the two buttons again.
And going to the settings.
So now instead of auto max and auto min
we've got max IPAP
and min EPAP
which is Max Inhalation Pressure,
Min Exhalation Pressure.
And this P S is the really important value there.
So that's the pressure drop
between your inhalation and your exhalation.
So I'll show you this when we get back into it.
So I put my mask on.
All right, guys now with the BiPAP machine
you can see that when I'm breathing in
you can see the pressure go up to 14.
But as I'm breathing out,
the pressure dramatically reduces down to four.
And this makes life so much easier
for me as I'm breathing out against the therapy pressure.
There's virtually no resistance.
So during inhalation I'm getting that full therapy pressure
which is when I need it.
And during exhalation,
there's no resistance
which makes my life a whole lot easier.
Now I know what you're thinking.
And that is,
if the BiPAP machines are so much more comfortable
and enjoyable to use,
then why are we actually bothering
with the auto CPAP or the CPAP machines?
And it really just comes down to one thing
at the end of the day,
and that's the price of them. (till machine rings)
So a BiPAP machine sort of new is about double the cost
of an auto CPAP machine.
But I think for some of you that really need it
for those of you that are really severe
and it's having a really detrimental impact on your life
but you're really struggling with,
the continuous positive airway pressure,
that inhalation, exhalation pressure being the same
and you just can't get used to the pressure levels.
Then it's definitely worthwhile trying a BiPAP machine
from your provider or wherever you're getting them from
because it really will make life a lot easier for you.
And it'll just help you get used to
that therapy so that you can start sleeping with it
and hopefully getting more quality of life.
So that's what I wanted to show you what today.
Now there are some places
if you're looking at the prices and you're thinking,
it's too expensive for me,
just hunt around a little bit
because there's many places these days that will sell,
X rentals and secondhand devices, refurbished devices.
So just have a bit of a Google round.
I'll put some links in the description as well
of some places that I've found
that you can have a look at,
but you can pick these up.
They'll still have a warranty and everything like that
but you can probably pick them
up for half the price compared
to if you are going to buy one new.
So guys, my take home message from today's video is
if you're just starting out
by all means try out an auto CPAP machine
and see how you go with it
make sure you educate yourself on how it all works.
And look at all those videos that I do
on getting used to CPAP therapy
and really persist in the beginning with it.
But if you're just not quite getting it
and you're wanting to give it away
then by all means,
go and speak to your clinician about trying a BiPAP machine.
You will find it a whole lot easier to use
and it will be a whole lot more comfortable
for you when you are using it.
Obviously there is that little bit of extra cost involved
but for some of you it's gonna dramatically improve
the quality of your life
and I highly recommend it.
And to be honest, I really feel
that probably in the next three to five years
we'll probably see a big transition
across this sort of therapy as the technology
maybe becomes a bit more affordable and whatnot.
Anyway, guys, just before I go
there is a little person that I'd like you to meet.
And just bear with me one moment
and I'm going to grab him.
This is my little mate, Jack named after his great granddad
and his middle name's Nicholas named after Me.
And this is little, little Haile and little Zack.
Come in, Zacky say hello.
He's a. - He's a little.
- He's a little ripper.
He came out six weeks early just before Christmas
and we're just super happy to have him.
Thanks for watching the video.
It's great to be with you in 2021.
Hey, hopefully it's a whole lot better than the year 2020
In the meantime, just look out for one another
try and keep a positive frame of mind and try and be safe.
All right, I'll see you next time.
Have a good day.
Bye.