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

Hey Guys, Help Tweaking machine
#1
Hey Guys, Help Tweaking machine
Hey Guys,
So I'm back trying to use my asv again after some time off. I was just in a very difficult place. I did get a jaw advancement mouthpiece and am using it with my cpap. I started using my cpap about a week ago(again) and have slowly graduated to these statistics. I still do have some issues swallowing air but I'm hoping my body adjust.
My guess is i need to raise my min epap. What do you think? Last night I slept with just mouth piece and was gonna try using my cervical collar tonight to see if it helps some. Any thoughts on adjusting the machine? Thank you very much
https://imgur.com/a/85XoSPo
Post Reply Post Reply



Donate to Apnea Board  
#2
RE: Hey Guys ,,Help Tweaking machine
I don't know if you need more EPAP or more PS max. The problem looks obstructive, but it would help to look more closely at the flow line around some of the events and see if the 10 cm PS is making things move, or if obstruction is preventing air flow. At this point, I'd try a higher EPAP min and iif that does not improve things, move to the PS max.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Optimizing Therapy
Organize your OSCAR Charts
How To Attach Images And Files to your posts
How To Deal With Equipment Supplier
Mask Primer
Beginner's Guide to Sleepyhead

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
#3
RE: Hey Guys ,,Help Tweaking machine
Will do , thank you sir
Post Reply Post Reply
#4
RE: Hey Guys ,,Help Tweaking machine
Hi Guys, I have been working on trying to tolerate my asv. Still struggling with the aerophagia but I am determined. I know my machine is maxed out due to my settings. Can someone please confirm these snapshots. Are these all centrals. I think the obstructive element is gone. I can normally get about 4 or 5 hours of asv usage per night, although last night was tough. Can someone tell me at what pressure a breath is induced to overcome a central(ballpark)?
Thank You


Attached Files Thumbnail(s)
               
Post Reply Post Reply



Donate to Apnea Board  
#5
RE: Hey Guys ,,Help Tweaking machine
Your graphs seem to show what is going on.  The events highlighted here, show you take a flow-limited, larger than normal inhale, then hold your breath.  There is no exhale, and the machine hits you with higher pressure support, but there is nowhere for the air to go. You are clearly holding your breath.  The apnea ends with an exhale and normal breathing resumes.  There is no therapy for when you subconsciously go to "diver mode" and hold a breath for whatever reason.  Your respiration rate is very slow at 7.6 BPM, and is compensated by a high tidal volume of 840 which results in normal minute vent.   I think the apnea events are being scored as a result of your very slow respiration rate and these are not treatable central apnea nor obstructive, but breath-holding events.  In your case the UA events may be nothing more than your normal breathing pattern, and while the machine tries to intervene with more pressure support, there is no place for the air to go.  So from the example provided, I see neither OA or CA, but a respiratory disruption that is untreatable.

[Image: attachment.php?aid=12328]

[Image: attachment.php?aid=12328]
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Optimizing Therapy
Organize your OSCAR Charts
How To Attach Images And Files to your posts
How To Deal With Equipment Supplier
Mask Primer
Beginner's Guide to Sleepyhead

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
#6
RE: Hey Guys ,,Help Tweaking machine
I wonder if the higher pressures cause me to do breath holds, in any case I would like to show a few more for review. I also have several home sleep studies, but not sure how to submit those. I have a resmed apnea link air that I have access too also. Is it possible that the machine can cause breath holds. Will a home study show breath holds vs centrals? Just wondering if this therapy is a complete failure for me and what I should do. Huh Dont-know


Attached Files Thumbnail(s)
               
Post Reply Post Reply
#7
RE: Hey Guys ,,Help Tweaking machine
few more


Attached Files Thumbnail(s)
                   
Post Reply Post Reply



Donate to Apnea Board  
#8
RE: Hey Guys ,,Help Tweaking machine
One thing I notice on the additional charts, compared to the earlier one, is that your TV measures are lower and your respiration rates are higher. I don’t know whether this will change the expert assessment of your situation.
Post Reply Post Reply
#9
RE: Hey Guys ,,Help Tweaking machine
Change IPAPmin to 5.0 and IPAP max to 8.0. Increase PSMax to 12. I’m on a phone but want to get these changes in ASAP. I still see a breath holding in the flow chart but if there is an open airway we need more PS to trigger a breath and if obstruction is present higher EPAP should help.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Optimizing Therapy
Organize your OSCAR Charts
How To Attach Images And Files to your posts
How To Deal With Equipment Supplier
Mask Primer
Beginner's Guide to Sleepyhead

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
#10
RE: Hey Guys ,,Help Tweaking machine
Sleeprider, any typos in the recommendation? Max IPAP is currently 16, and your last sentence suggests you mean to be recommending an increase in EPAP, not IPAP.
Post Reply Post Reply



Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  machine died! Now new doctor and new machine Bjazzman 14 2,663 06-27-2019, 10:51 PM
Last Post: camper2
Exclaimation CPAP Machine Choices - read this before you accept a new machine SuperSleeper 124 115,506 06-19-2019, 12:31 PM
Last Post: Sleepster
  Do you guys unplug your CPAP after it cools down? vroomvroom 13 549 04-01-2019, 12:48 AM
Last Post: crowtor
  Just got my prescription, can you guys look it over and let me know what's up? vroomvroom 12 469 02-27-2019, 04:50 AM
Last Post: vroomvroom
Surprised Night 8, it's already Love - Hate. So glad I found you guys! FE350 120 3,539 12-06-2018, 09:56 AM
Last Post: Sleeprider
  Newbie - what can you guys tell me? dzadecta 23 1,556 04-24-2018, 05:02 PM
Last Post: fredfish
  What do you guys think? Reznik 4 405 04-15-2018, 04:09 PM
Last Post: Walla Walla


New Posts   Today's Posts






About Apnea Board

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