Anyone with Experience with the - Respironics Trilogy 202 Ventilator?

Just thought I would ask about this, as my sleep doc said it might be needed if I can't get my AHI down to a normal level on the ASV I have as the Epap I need is or may be over 15. She said its usually for people who require pressures such as I do and end stage COPD. While I do not have end stage COPD I do have copd.....

Thanks in Advance

I see a ton of settings avail for it

https://www.usa.philips.com/healthcare/ ... r/overview

Some of its Specs / Settings
Specifications
IPAP - 50 cm H₂O
CPAP - 4 - 20 cmH20 (passive leak port circuits) cm H₂O
EPAP/PEEP (a) - 0 - 25 cmH20 (active valve circuits) cm H₂O
EPAP/PEEP (b) - 4 - 25 cmH20 (passive leak port circuits) cm H₂O
Pressure support - 0 – 30 cmH2O cm H₂O
Tidal volume - 50 - 2000 ml
Breath rate(a) - 0 - 60 BPM (AC mode) beats per minute
Breath rate(b) - 1 - 60 BPM (all other modes) beats per minute
Inspiratory time - 0.3 - 5.0 -s Synchrony features
Rise time - 1 - 6 (relative scale)
Ramp start pressure (a) - 0 - 25 cmH20 (active circuits) cm H₂O
Ramp start pressure (b) - 4 - 25 cmH20 (passive circuits) cm H₂O
Ramp start pressure © - 4 - 19 cmH20 (CPAP mode) cm H₂O
Ramp time - 5 - 45 min
C-Flex - 1 - 3 (relative scale)
Flow trigger sensitivity - 1 - 9 l/min

Madalot had one of the 100 models.

search.php?keywords=Trilogy


Den

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I am rather knowledgeable with the Trilogy 100, which is essentially the same. I'm not convinced you would need such an advanced machine, but only based on the information you've provided thus far. There are several BiPAP/bi-level machines that can provide inspiratory pressures of 30 cmh2o, and EPAP of 25 cmh2o (the latter which your machine already provides). If for some reason you would need an IPAP above 30, you would be well aware as you'd be suffering from extreme chronic respiratory failure. The Trilogy can use a backup rate as well, but again, so can many other machines that are far less expensive and not eternal rentals.

What are your current pressure settings, and needs, and treated AHI?

Need over 15 epap. My asv is always maxed well most of the time. Here is a thread that I was first asking about the diff of the dream station vs AirCurve asv as I was due for my new second asv that has turned into trying to find the proper pressure settings as my ahi is always 10ish on asv. I now have a 3 year old AirCurve asv and a week old one.


viewtopic/t174384/Central-amp-Obstructi ... ngsgt.html

How do I get my epap above 15? I can’t seem to adjust it past 15


On asv mode
Epap 14
Min Ps - 3, Max Ps - 11

metsfan302 wrote: ↑

Thu Feb 07, 2019 4:43 pm

How do I get my epap above 15? I can’t seem to adjust it past 15


On asv mode
Epap 14
Min Ps - 3, Max Ps - 11

The max pressure on the AirCurve ASV is 25 cmh2o. So, if your IPAP goes up to 25 cmh2o based on the ASV algorithm, and it wants to give the programmed max PS of say 10 cmh2o, for ease of math and explanation, the highest possible EPAP the machine could deliver is 15 cmh2o (pressure support is the difference between IPAP and EPAP). You could try reducing max PS, to be able to raise your EPAP, but I imagine that has its own consequences...maybe someone more knowledgeable can elaborate, as I am not well versed on ASV.

The Trilogy, or any non ASV specific device, cannot be used as a device that runs the ASV algorithm, because the Trilogy was designed for an entirely different purpose than the treatment of CSA. So if CSA is your main issue, the Trilogy is probably not for you. You could of course run S/T mode with a backup rate on the Trilogy, but I think that ASV is more effective in CSA.

The Trilogy helps people who do not ventilate adequately while sleeping (and awake). The ASV helps maintain current ventilation, preventing over and undershoots. In the case of respiratory disease, sleep ventilation is inadequate, therefore a machine that can augment ventilation is necessary.

Thanks raisedfist.....

I don't seem to exhale properly or much at all / lack of expiration. Will follow up with my pulmonologist.

With a ResMed bi-level, there are settings that can be of benefit to persons with obstructive lung diseases, such as COPD. Those settings are rise time, Ti min and Ti max, and Cycle & Trigger sensitivity.

Just curious as I haven't followed all your therapy history...how severe is the central apnea component of your AHI, when using just a regular CPAP/APAP or basic bi-level machine?

raisedfist wrote: ↑

Fri Feb 08, 2019 2:16 pm

Just curious as I haven't followed all your therapy history...how severe is the central apnea component of your AHI, when using just a regular CPAP/APAP or basic bi-level machine?

It's been some years but his central apnea came about because of medication and not because of the normal cpap pressures triggering the centrals. It was/is significantly severe though unless something has changed a lot. We weren't talking about a half dozen centrals....more like 20 to 30 or more per hour. He had a significant number of centrals even when not on cpap at all.

So he has a double whammy....severe OSA even if the medication wasn't causing the centrals....so they both are/were severe.

He was doing okay until last few weeks and then things went to hell in a hand basket and things got worse in the UA department (which of course is all ResMed ASV machines will give us in the apnea category). Something changed to make it worse...don't know what it was though.