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[CPAP] ResMed - Unclassified Apneas
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vsheline Offline

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #11
RE: ResMed - Unclassified Apneas
(01-17-2015 08:17 AM)MR-ab Wrote:  this is finally beginning to make some sense to me. Selecting appropriate pressure settings looks like it will be a trial and error process in my case. I know for certain that increasing pressure triggered 3x the number of central apneas during my titration measurements, yet I may still have residual obstructive apneas to address that will require increased pressure. I'm doing much better than my 50-60 AHI per hour before CPAP, but would love to get it below 10 on average as a mid-term goal.

Hi Mike,

Some doctors seem not very concerned about a moderate amount of pressure-induced central apneas which may show up during an initial titration, because, as our system becomes accustomed to breathing under pressure, these pressure-induced central events tend to reduce and disappear, during the first few weeks or months of therapy.

Hopefully, that will be true in your case, too.

This may be why insurance companies sometimes require a trial with a standard xPAP or standard bi-level machine without a backup rate, before approving an ASV bi-level titration and an ASV machine for patients who may have lots of centrals during a titration.

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 01-17-2015 02:43 PM by vsheline.)
01-17-2015 02:22 PM
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