(02-03-2019, 04:59 PM)bonjour Wrote: Without question, you do not qualify for an ASV based on your numbers. A favorable Doctor may be able to manipulate the system to get one. But before that is considered let's complete this. If the PS of 4 is tolerated I'd be tempted to extend the experiment to a PS of 5. Note that PS of 4 is considered normal for BiLevel.
Pressure Support is intended to treat Flow Limits and Hypopneas, It is real hard to have RERAS without flow limitation.
Again with good numbers how one feels is by far more important.
Fred
oh i know, the DME gave me such a hard time to get me the aircurve 10 vauto looking at my low AHIs. i had to fight for it. i'm asking your opinion if ASV is really better than bilvevel vauto in elminating RERAs even i have to buy a used one out of pocket. that is why i was asking your opinion.
I will definitely follow the plan you wrote me first before anything, and thanks for the PS information, what is weird is last night my PS was only 1, and i see little higher flow limitations spikes in REM but i almost feel i slept better then these 2 other night where my PS was 4, and 6 ( below screenshots) but i was waking up a lot more often and was very sleepy through the day. That is why i don't understand how this works.. shouldn't the pressure increase eliminate flow limits and then less RERAs happen ? that is not how my body is responding..
it is struggling to breath, almost like it doesn't matter if pressure is 5, 7 or 11.
PS 4, EPAP:4, IPAPmax: 12
PS 6, EPAP:5, IPAP max:13