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Machine and Issues regarding ASV support
#11
They can be a bit of a pain to get used to. And like Robert says, be sure you have a tech who is well experienced in titrating them.

First off, because it changes pressures automatically instead of responding to your own inhalation (because it tries to maintain a steady breath rate). That can make it feel as though the machine is trying to control your beathing - which it pretty much is. However, if you breathe over it, it will adapt to you, since it tries to replicate your past few breaths. So if it tries to increase the pressure while you are exhaling, for example, keep exhaling and it will quickly adapt and back down the pressure a bit when it recognizes what you are doing. It's like learning to dance together. Adjustments to the breath rate are critical for this. Mine is now on auto, since my breathing tends to be erratic and slower than the minimum timed setting on the ASV.

Also, pressure increases can be VERY rapid and dramatic when the machine is trying to stimulate inhalation. I have minimum PS (Pressure Support = the increase of pressure when you inhale) of 0, so it only kicks in when needed. Most nights, then, there is a constant pressure while I'm falling asleep. The change from a steady pressure when there is no pressure support switching to a very sudden increase in pressure used to wake me up; but my brain/body has gotten used to it now.

The machine makes a real cool noise when you scream into it from frustration while learning to adapt. Just sayin'.
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#12
[i]" The machine makes a real cool noise when you scream into it from frustration while learning to adapt. Just sayin'. [/i]"

OH, wow - I just so have to try that !!! Laugh-a-lot
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#13
Sleeprider can you please take a look at some charts of mine for comment.

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#14
Sure, what'cha got?
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#15
well I am currently struggling to place attachments. When I select the file using browse, and then activate the icon labled add attachment, I keep getting that I have met my quota when in fact I haven't even been able to make the attachment. So not sure what is going on. very frustrating
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#16
ckingzzzs,
I gave you the links for posting attachments and using imgur.com in the other post you started. Also see at bottom of this post.

http://www.apneaboard.com/forums/Thread-...a-problems



OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

http://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

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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#17
Opalrose, I took a snapshot of my charts on sleepyhead and saved those as a word document. Is there an easier way to save images directly from sleepyhead without have to printscreen or take a snapshot picture??
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#18
(12-26-2016, 11:48 AM)ckingzzzs Wrote: Opalrose, I took a snapshot of my charts on sleepyhead and saved those as a word document. Is there an easier way to save images directly from sleepyhead without have to printscreen or take a snapshot picture??

Under view on your computer, click on F12 to take a screenshot. Your computer should automatically create a file that says screenshots.

Look under "my computer" for the file for Sleepyhead screenshots.
OpalRose
Apnea Board Moderator
www.ApneaBoard.com

How to Organize and Post ScreenShots

http://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

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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#19
okay Sleeprider, thanks to Opalrose and justmongo's help I think I got it.

Can you please take a look at the following URL to see my charts on Imur please at your convenience. I am looking at possible comments. I gave some of the worse night readings, but if you woul like to see some of my better ones just let me know. with thanks.

http://imgur.com/a/xjfcF
this may be a duplicate to a previous message I just sent.

http://imgur.com/a/xjfcF
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#20
Sorry to be late to the game. The links in my signature are the method for organizing and posting charts using Imgur rather than as attachments. Unfortunately attachments are very limited due to server limitations. Sleepyhead creates a folder for Screenshots taken using the F12 key in your Documents/Sleepyhead folder. Those don't need to be converted, and can be emailed or uploaded directly to Imgur. You are using an old version of SleepyHead that does not properly display your machine settings. This link to SleepyHead should be the newer 1.0. Beta 2 version. You are using 0.9.8-1. As you can see in the chart, your settings are not correctly displayed, and the pressure line is missing the EPAP line. It would help if you upgraded.

Your charts continue to show an abundance of CA and H events. With an AHI of nearly 13 n the present example, this is pretty significant and needs to be dealt with. As I recall you had an Airsense 10 Autoset when you joined the forum, and you were having a lot of central events. Last year you were issued an Aircurve 10 Auto bilevel. If this chart is now typical, your event rate is higher than when you first started. Your Aircurve 10 Auto is not capable of treating central apnea and hypopnea. It appears you are already scheduled for a titration for adaptive servo ventilator ASV.

As a last ditch effort to minimize these central events, I recommend changing your settings to EPAPmin 6.0, IPAPmax 8.0 and PS 0. Alternatively, just set the machine to CPAP mode and use a pressure of 8.0. Really, we need this simple baseline to see where we stand.We will consider this a success if we see a significant reduction in CA without an increase in OA. If we don't see a lot of improvement, you are moving to ASV.

It would help if you filled in the blanks about what past sleep studies and titration studies have shown. Also, upgrade your software.

[Image: xzcv2Qh.png]
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