Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

[CPAP] UARS, data interpretation OSCAR, what to do?
#41
RE: UARS, data interpretation OSCAR, what to do?
(05-19-2021, 08:46 AM)SarcasticDave94 Wrote: Yep that is an ASV. Only the ASV has ASV and ASV Auto modes. This is one Sleeprider mentioned that treats Central and mixed Apnea, so what he said is correct.

so im screwed? theres nothing i can do with this machine?
Post Reply Post Reply






Donate to Apnea Board  
#42
RE: UARS, data interpretation OSCAR, what to do?
If I understood your explanation correctly, this is a trial machine, a loaner of some sort. Report to them that you're in need of a different model ResMed as mentioned by Sleeprider. VAuto or AutoSet sounds like a good direction.
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.
Post Reply Post Reply
#43
RE: UARS, data interpretation OSCAR, what to do?
You are in AU. It is incredibly hard and expensive to get a Resmed S9 VPAP Adapt Pacewave. It should not be hard to find someone that needs that machine, and that may be able to trade a S9 VPAP Auto or Aircurve 10 Vauto. Yours is the more valuable machine, but it is a ventilator. Alternatively contact Supplier #2 and have them quote a lightly used Aircurve 10 Vauto for shipment to AU. Their current pricing is under $800 USD, and shipping will add about $100.. You are already using the best settings possible, and your AHI is nearly zero. If that is not working for you, then that is as good as it gets with ASV. A VPAP auto will provide consistent pressure support throughout therapy rather than targeting minute vent like your ASV does.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
Post Reply Post Reply
#44
RE: UARS, data interpretation OSCAR, what to do?
(05-19-2021, 09:01 AM)SarcasticDave94 Wrote: If I understood your explanation correctly, this is a trial machine, a loaner of some sort. Report to them that you're in need of a different model ResMed as mentioned by Sleeprider. VAuto or AutoSet sounds like a good direction.

Yes. I can get another one but it's not always easy for some reason. so yea.

(05-19-2021, 09:09 AM)Sleeprider Wrote: You are in AU. It is incredibly hard and expensive to get a Resmed S9 VPAP Adapt Pacewave.  It should not be hard to find someone that needs that machine, and that may be able to trade a  S9 VPAP Auto or Aircurve 10 Vauto. Yours is the more valuable machine, but it is a ventilator. Alternatively contact Supplier #2 and have them quote a lightly used Aircurve 10 Vauto for shipment to AU.  Their current pricing is under $800 USD, and shipping will add about $100..  You are already using the best settings possible, and your AHI is nearly zero.  If that is not working for you, then that is as good as it gets with ASV.  A VPAP auto will provide consistent pressure support throughout therapy rather than targeting minute vent like your ASV does.

Why is the consistent pressure support better for RERAs than targeting minute ventilation?
Post Reply Post Reply






Donate to Apnea Board  
#45
RE: UARS, data interpretation OSCAR, what to do?
(05-19-2021, 09:18 AM)KingKongBingBong Wrote: Why is the consistent pressure support better for RERAs than targeting minute ventilation?

In my understanding, it's kind of for the same reason that antibiotics are good for bacterial infections and no good for viruses or fungal infections, which require their own antiviral or antifungal medications - different treatments are targeted at different things, with different underlying causes. You might get some relief with the wrong medication, but you probably won't get adequate results.

My understanding is (and I'm no expert) that not all sleep-disordered breathing has the same cause or response to different xPAP therapies. It's not a case of going from CPAP to BiPAP to ASV from ok to better to best. They just work in different ways, and support different disorders with different underlying needs.CPAP/APAP works great on OSA. BiPAP is better for other non-SDB respiratory issues (my father uses one for COPD), as well as perhaps better at managing RERAs and Flow Limitation and UARS, whereas ASV is great for central and complex sleep apnea. But they're not designed specifically to do everything the other types of machine do, and so probably aren't as effective as the correct machine with the most appropriate treatment algorithm.

I hope that helps (and I'm not getting things muddled!).


See my comparison of Viatom/Wellue and CMS50F oximeters here.

Not a doctor, definitely not your doctor, all advice is given as-is and represents simply my own understanding as a fellow patient and OSCAR user.
Post Reply Post Reply
#46
RE: UARS, data interpretation OSCAR, what to do?
(05-19-2021, 10:15 AM)Ratchick Wrote:
(05-19-2021, 09:18 AM)KingKongBingBong Wrote: Why is the consistent pressure support better for RERAs than targeting minute ventilation?

In my understanding, it's kind of for the same reason that antibiotics are good for bacterial infections and no good for viruses or fungal infections, which require their own antiviral or antifungal medications - different treatments are targeted at different things, with different underlying causes. You might get some relief with the wrong medication, but you probably won't get adequate results.

My understanding is (and I'm no expert) that not all sleep-disordered breathing has the same cause or response to different xPAP therapies. It's not a case of going from CPAP to BiPAP to ASV from ok to better to best. They just work in different ways, and support different disorders with different underlying needs.CPAP/APAP works great on OSA. BiPAP is better for other non-SDB respiratory issues (my father uses one for COPD), as well as perhaps better at managing RERAs and Flow Limitation and UARS, whereas ASV is great for central and complex sleep apnea. But they're not designed specifically to do everything the other types of machine do, and so probably aren't as effective as the correct machine with the most appropriate treatment algorithm.

I hope that helps (and I'm not getting things muddled!).

Why does Barry Krakow advocate foremostly for ASV then? What is his reasoning?
Post Reply Post Reply
#47
RE: UARS, data interpretation OSCAR, what to do?
An ASV works by stopping periods where you literally stop breathing by maintaining a constant minute vent by forcing a breath.

A BiLevel works by providing enough PS to normalize a flow limited breathform.

2 totally different tasks.
Post Reply Post Reply






Donate to Apnea Board  
#48
RE: UARS, data interpretation OSCAR, what to do?
(05-19-2021, 10:23 AM)KingKongBingBong Wrote: Why does Barry Krakow advocate foremostly for ASV then? What is his reasoning?

Unfortunately, I'm not inside his head, so I can't tell you his thought processes. Apology-2.


See my comparison of Viatom/Wellue and CMS50F oximeters here.

Not a doctor, definitely not your doctor, all advice is given as-is and represents simply my own understanding as a fellow patient and OSCAR user.
Post Reply Post Reply
#49
RE: UARS, data interpretation OSCAR, what to do?
BTW is there any way to assess machine-generated breaths?
Post Reply Post Reply
#50
RE: UARS, data interpretation OSCAR, what to do?
It's a manual process developed over time. Look in The Guide and optimizing therapy wiki articles for commented examples,. I'm always adding more.
Post Reply Post Reply






Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  [Equipment] UARS diagnosis - Which machine should I get? cinematic6436 89 1,915 24 minutes ago
Last Post: SarcasticDave94
  [Treatment] Koala1 - oscar data, first impressions koala1 58 1,031 1 hour ago
Last Post: SarcasticDave94
  [Treatment] struggling, help interpreting OSCAR data and possible adjustments? manganCPAP 18 249 Yesterday, 12:58 PM
Last Post: Ratchick
  NEED HELP INTERPRETING OSCAR DATA JoeyC 50 699 06-20-2021, 10:33 AM
Last Post: JoeyC
  [Diagnosis] On cpap for 3 years with low AHI..but still waking at least 8+ times (Oscar Data) Metalsymphony 11 324 06-17-2021, 08:38 PM
Last Post: SarcasticDave94
  UARS, PAP-choise for paradoxical breathing MariaKA 4 91 06-15-2021, 04:06 PM
Last Post: SarcasticDave94
  Need help with Oscar data! sc2neans 11 302 06-13-2021, 08:07 PM
Last Post: SarcasticDave94


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.