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CPAP TO BIPAP TO ASV
#41
RE: CPAP TO BIPAP TO ASV
Well not to be too snarky, but the Dreamstation machines are like the full-employment act for sleep doctors. Events are nearly always higher and more problems are reported by the users of those machines. I think your zero AHI and comfort speaks for itself. You might want to check this site to see where your doctor gets extra money for what he prescribes https://projects.propublica.org/docdollars/
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#42
RE: CPAP TO BIPAP TO ASV
   

Dave, Im ready to put this in auto mode. Don't like pushing so hard on EAP. 
Which settings should I use again?
Dave, I found the titration settings so going to start there.
Thanks so much to all the information and support. I don't know where Id be without this forum, and Oscar, of course.
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#43
RE: CPAP TO BIPAP TO ASV
OK sure. Enter clinical menu via the knob and home click hold for 5 seconds. Scroll downward until you get to Mode. Click to edit it to ASV Auto and click to lock it in. Go to EPAP and set Min and Max. Last I recall, you had EPAP at 7. You can enter EPAP Min as 7 and a short range with maybe EPAP Max 10-12 somewhere around there. Click to enter then dial in the number and click to lock. After done be sure to exit clinical mode which locks the settings in.

If others better at pressure than I suggest otherwise go with their suggestion. You can try this and edit EPAP pressures if it feels "off" in any way or if numbers skew badly. I would say leave PS as is right now.

Reminder if you find a whole number like 11 is not enough and 12 is too much you can do fractional numbers, 11.2 etc.
Dave

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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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#44
RE: CPAP TO BIPAP TO ASV
Dave's description is correct. We had talked about EPAP min at 5.0 and EPAP max at 8.0 That gives you the best shot at a lower pressure. We know you probably don't need more than 7.0 since there are no events at that EPAP pressure.
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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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#45
RE: CPAP TO BIPAP TO ASV
    So, I went AutoAVS last night. Still great results. But I felt like I was pulling for air on occasion like it wasn't enough pressure somewhere. 
Do the screenshots signify anything? 
Again, thanks guys.
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#46
RE: CPAP TO BIPAP TO ASV
That's where we would have you bump the min EPAP up a bit, or the min PS
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
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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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#47
RE: CPAP TO BIPAP TO ASV
Agreed, I'd suggest EPAP Min bump, fractional or whole steps, maybe to 6 to see how it goes. It may need to go higher yet to address the air starvation, but see if 6 helps out. My use of the ASV made me aware EPAP Min will address air starvation directly and at all times. PS isn't at all times.

PS EPAP Min. Median was 6.8 with 7.9 being the 95%
Dave

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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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#48
RE: CPAP TO BIPAP TO ASV
What was going roughly on 345 to 415? looks like steady, very steady breathing and almost fixed pressure.  Is that what we are hoping for?
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#49
RE: CPAP TO BIPAP TO ASV
I don't think that the suggestions were to address any event around 345. I was suggesting to address this comment "But I felt like I was pulling for air on occasion like it wasn't enough pressure somewhere" you mentioned. This indicates the base pressure is to low. That's how I interpret pulling for air. This is what I call air starvation.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
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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#50
RE: CPAP TO BIPAP TO ASV
     Dave, You answered my first question, thanks.  I should have been clearer in my second question. 
Im including a screen shot of morning chart with zoomed in time frame. (didn't work for some reason. Im talking about 3:45-4:15 time period.)This section looked unusual. But in a good way or a bad way. Steady pressure at 11, and very shallow breaths Im interrupting. I'm trying to imagine what was going on.
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