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BiPAP ST to ASV - Optimizing
#51
RE: BiPAP ST - almost there - please help
OK - just bought a refurb ASV for $1300 with overnight delivery...

My current Bipap settings are 16/10

What settings would you recommend that I tell the distributor to set my machine up to to start out?
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#52
RE: BiPAP ST - almost there - please help
Start at Titration default on this ASV.

ASV Auto mode
EPAP 4-15
PS 3-15

This is with the understanding you'll do a self Titration at home with OSCAR data and coaching from Apnea Board members.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#53
RE: BiPAP ST - almost there - please help
ResMed's ASV Titration

[attachment=35054]
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#54
RE: BiPAP ST - almost there - please help
Not sure if you got the Resmed Aircurve 10 ASV, but this is the recommended titration protocol.  I have not followed your thread closely to know if EPAP should start higher, but most people find EPAP min 5.0, EPAP max 15.0, PS min 3.0, PS max 15.0 is a workable start from which we can optimize.

[Image: attachment.php?aid=4210]
Sleeprider
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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.
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#55
RE: BiPAP ST - almost there - please help
Thanks - My doctor did say that he wanted me to make sure my EPAP was higher, I think he said 10. He didnt actually include any specifics in the script.
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#56
RE: BiPAP ST - almost there - please help
We can work it up to Min 10 cmH2O in time. Don't jump into the deep end too soon. With the ASV, you'll have a bit of a learning curve as ASV is a very different animal than other PAP machines. By all means, titrate yourself up there on EPAP if you need it, but start at the bottom and only go up if your needs require it. Your comfort will thank you.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#57
RE: BiPAP ST - almost there - please help
thanks y'all, had it set to the standard settings and it's being overnighted so i can start tomorrow.
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#58
RE: BiPAP ST - almost there - please help
Make sure you have the SD card in it and post an OSCAR after first night. Include details on how you slept, what was right or wrong. We'll help address these either through question and answer and setting suggestions.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#59
RE: BiPAP ST - almost there - please help
I would also recommend that you check the time and date prior to its first use.
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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.
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#60
RE: BiPAP ST - almost there - please help
Ok received it today - no way to tell the total hours bc they reset it to zero. Anyways - overall seems like a decent machine - took a few pulls through the nasal pillows and it works fine.

Here are the settings that came on it .

I think epap is potentially high

Mode ASV
Epap - 9.8
Min PS - 3
Max ps 14.4
Ramp 25 min
Start epap 4
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