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ASV and Insurance Question
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DeepBreathing Offline
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Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Perth, Western Australia

Post: #11
RE: ASV and Insurance Question
natyprueba, if you hover your mouse cursor over the numbers at the left side of each graph, a window will come up with a few words of explanation and the units. All leaks are measured in L/min.

DeepBreathing
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
08-06-2016 12:16 AM
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natyprueba Offline

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Posts: 96
Joined: Jun 2016

Machine: airsense10
Mask Type: Full face mask
Mask Make & Model: resmed mirage 4
Humidifier: integrated in machine
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments: Learning

Sex: Male
Location: USA-13501

Post: #12
RE: ASV and Insurance Question
I can not find the units because they are screenshots.
If all the leaks are measured in lt/min and this is valid for the top graphic, he got way too much leaks.
Ralph.
08-06-2016 11:39 AM
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rozenbob Offline

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Posts: 17
Joined: Apr 2016

Machine: Dreamstation Auto Bipap
Mask Type: Full face mask
Mask Make & Model: Airfit
Humidifier: Dreamstation
CPAP Pressure: 16 in 11 ex
CPAP Software: SleepyHead

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Sex: Male
Location: Pensacola, Fl

Post: #13
RE: ASV and Insurance Question
Any better ? Box on left side shows my 95% Leak Rate is 11.0

[Image: 24nRCIfl.png]
(This post was last modified: 08-06-2016 02:41 PM by rozenbob.)
08-06-2016 02:39 PM
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Sleeprider Online
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Posts: 3,398
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #14
RE: ASV and Insurance Question
Rozenbob, if you're interested in seeing if that auto BiPAP can achieve better results, I would tweak the settings a bit. From what I see here, your EPAP min setting of 12 is fine. I would simply put the unit in auto B mode with EPAPmin at 12.0, PS min 2.0, PSmax 5.0, IPAPmax 17, and see if that drops your events. This will mostly let your machine self-titrate within the current parameters of your prescription, and the lower PS may not induce so much central apnea. The PS on this machine cannot resolve centrals like a ASV machine pressure support, which may be 8-12 cm on a breath by breath basis as centrals occur, causing a breath to be taken. It's your choice, but it may yield better results, or not. You are apparently on your way to ASV therapy.

Another thought. When you are finally prescribed a new ASV machine, I would push for a Resmed ASV rather than the Respironics S/V Adapt. I have seen both machines work well, but more people seem to find the Resmed works with them with fewer adjustments and tweaks.

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08-06-2016 05:37 PM
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natyprueba Offline

Preferred Members

Posts: 96
Joined: Jun 2016

Machine: airsense10
Mask Type: Full face mask
Mask Make & Model: resmed mirage 4
Humidifier: integrated in machine
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments: Learning

Sex: Male
Location: USA-13501

Post: #15
RE: ASV and Insurance Question
What to believe?


The post # 11 says that the units in the leak graphics are in liter/min.
If you watch the graphics titled as "leaks". You got two curves, and the top one is an average of 40 . If you got 40 l/min of leak everything is wrong.
That was my first post and now I got even more loss, because I don't know what is going on.
The culprit is Sleepyhead because everything must come with the units .
Ralph.
08-06-2016 07:24 PM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #16
RE: ASV and Insurance Question
Quote:The culprit is Sleepyhead because everything must come with the units .

I already told you SleepyHead does provide the units and they are L/min. Mark has chosen not to clutter up the display by including units which are commonly known, but makes these accessible by hovering the mouse over the scale numbers.

Leaks have two components: 1) The intended leak, which is designed in to the mask and allows exhaled breath to escape, carrying away CO2. 2) The unintended leak, which is what happens when air escapes from the mask and blows into your eyes or causes a face fart. "Total leaks" is the sum of 1) and 2). "Leak rate" is the unintended leak. Philips machines report both total leaks and unintended leaks - that's why there are two traces on the chart. Resmed machines only report the unintended leak.

rozenbob's leaks are under cotrol. Perhaps we can get back to helping him with his original questions (as answered by SleepRider and others above).

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
08-06-2016 08:43 PM
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