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How to identify central or complex apneas using software
#41
RE: How to identify central or complex apneas using software
That should have been enough to titrate on the ASV, I would ask the doctor to organise another sleep study on it. As you know, you still need the leak fixed though.

"More currently sleep lab 2/2017 resulted in ResMed Air Curve 10 VAuto with results:
OA 10.4, CA 12.5, Unk 10.1, AHI 37.3"
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#42
RE: How to identify central or complex apneas using software
Thanks   I will keep you posted on developments.   Earlier I said things move like molasses and  they still are.   I'll post next week after new mask is available.
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#43
RE: How to identify central or complex apneas using software
You were on ST. You have mixed apnea, that the ST will treat, although not well. So they send you home with a Vauto in S mode. it doesn't get sillier than this. I'd dust off the old ST, till it's sorted.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#44
RE: How to identify central or complex apneas using software
Sorry, I got mixed up when you said the latest. Of course you have the ST, it says so all though this thread and your charts. I haven't really spoke about results other than the leaks, that prevent the machine holding the 14 and 23cm pressure.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#45
RE: How to identify central or complex apneas using software
From earlier:  "You were on ST. You have mixed apnea, that the ST will treat, although not well. So they send you home with a Vauto in S mode. it doesn't get sillier than this. I'd dust off the old ST, till it's sorted. "

You are right about that.   In the middle of the Mar - May 2017 situation with the VAuto I had about 3,000 miles of driving to do.   I switched back to my old S/T to get enough sleep and treatment to feel safe to drive.   After a few weeks of VAuto I felt myself going "down hill" yet I had to comply with Medicare usage.  FWIW c!
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#46
RE: How to identify central or complex apneas using software
You are going to feel a lot better once the leak is fixed and the machine can treat the OA/H and provide a backup breath for the CA.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#47
RE: How to identify central or complex apneas using software
I am sincerely looking forward to that day!   Thanks
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#48
RE: How to identify central or complex apneas using software
I am attaching charts from last night.   I was wearing the new ResMed F20 AirTouch mask (for the third night) tightened down as much as possible.  I cannot perceive if making it tighter.   I perceived that I slept very quietly last night.  I remember awakening briefly about 0715h and then falling asleep for another hour and a half.  Comments on where to go from here?   

Thanks


Attached Files Thumbnail(s)
   
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#49
RE: How to identify central or complex apneas using software
Attached are screenshots from last night (May 26, 2019)   My perception was that I slept quietly and peacefully except for a leak towards morning.   That is being delusional!


Attached Files Thumbnail(s)
   
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#50
RE: How to identify central or complex apneas using software
Biz1219 your leak rate is so high that the machine cannot detect events and you are not getting the therapy intended. Read the Mask Primer wiki in my signature links. If you have to cinch down a mask very tightly to prevent leaks, the mask does not fit. A properly fitted CPAP mask will fit with straps tight enough to hold it's position, not to smash it into your face. You need to properly fit this mask, or get one that is a size and style that fits.

If you are not treating COPD, Hypoventilation or a pulmonary disease or thoracic weakness / paralysis, you are on the wrong machine. If you need to treat central or complex apnea, get a prescription for ASV. The Resmed Titration Protocol guidelines describes the intended use of the various machines. You should read the portions of the manual that pertain to VPAP ST and ASV to understand the difference, then talk to your doctor. https://www.resmed.com/us/dam/documents/...er_eng.pdf
Sleeprider
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