BiPAP ST to ASV - Optimizing

[Gideon]

Go to the clinician menu the About screen, that is where the run hours are.

[SarcasticDave94]

EPAP isn't as high as you stated the doc wanted at 10. EPAP appears as a range IF ASV Auto mode is used, that is the only way EPAP can have 4-9.8 numbers.

Personal opinion, ramp needs to be turned off or with a short time and setting within EPAP range. You do not want to lock out therapy for 25 minutes unless pressure is a reasonable number. You may feel you need Ramp, OK make pressure 6, 7 or so. You may have events flags during Ramp, therapy doesn't happen during Ramp duration.

Total hours cannot be erased unless the seller used the new blower repair option. If they did, I'm not comfortable with them hiding total hours. User hours is totally different though. Look in your Clinical Menu, near the bottom should be something "About" maybe. Look in there for hours.

Update your left panel Apnea Board user data to reflect ASV and pressure set.

Post an OSCAR as soon as you get some time on the ASV.

[fikus56]

Under the about section in the clinical settings it now says run hours = 1 , it did say 0.

The thing looks great, works, and is technically refurbished with original resmed parts so we’ll see how it goes

I’ve set it to auto ASV

Min 4 epap
Max 15 epap
Min 3 ps
Max ps 15

Feels a bit lighter after being blasted with the Bipap ST - will report back

[SarcasticDave94]

Perfect, that's your default ResMed titration setup.

For tomorrow's follow-up with OSCAR:

Do me a favor, note specifically how you feel/felt when you use the ASV. If you need to, write it down. Tell us if you're feeling too little air to start, etc.

BTW eventually your ASV will make its presence known right as you drift off to sleep. Try to remain calm and recall what I'm trying to teach. When it blows hard as you're drifting off, BLOW BACK. Literally you will blow forcefully back to ASV reminding him you're still breathing.

[Sleeprider]

I’m glad to see default settings in ASV auto mode with ramp off. That will give us the best idea of your needs after the first night of data. While the data is important please post some subjective discussion of what feels right or wrong and we can try to address comfort issues as well as consider the data. The ASV is often remarkable in preventing almost all events but your comfort and sleep are top priority.

[fikus56]

Thanks for the tips - according to supplier , the reasoning behind the 0 hours is that a new blower was installed

[SarcasticDave94]

I'm OK with that reason for the reset then. This is the same as a car getting a new engine. Your zero hours mean you will not need another machine for about 20K hours.

[fikus56]

Got a 1.6 ahi the first night.

Booting my personal laptop up to get all the Oscar data.

Comfortability was decent. There were times I wished the pressure were a bit stronger as I’ve been using a Bipap st 16/10 for months now.

I woke up twice in the night but was able to get back to sleep fairly easily.

Feel a bit more refreshed than normal this morning. Typical of when the machine is working etc : )

[Sleeprider]

Once we look at the data, we can see if you might need a boost in EPAP min or PS min. Either one is no big deal and may help with the feeling of wanting more air. Nothing is like the constant blast of the ST for disruption.

[fikus56]

OK - here are the 2 x screen shots pulled from last night's Oscar report.