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New User Problem with BiPAP AVAPS - Part 1
#31
RE: New User Problem with BiPAP AVAPS - Part 1
Drop a link to that album and let me see what I can do.
Sleeprider
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#32
RE: New User Problem with BiPAP AVAPS - Part 1
Sorry, think I screwed up. I deleted the files uploaded to Imgur thinking my account there was getting too cluttered. I should say without thinking, that you could no longer access them via the Forum. Takes me a lot of mistakes to learn anything. I'll have to redo them. I'll try to get a sampling through the night instead of all.

page 1
[Image: Tm2HZkcl.jpg]

page 2
[Image: Tm2HZkcl.jpg]

page 3
[Image: kSIHq4kl.jpg]

page 6
[Image: o6mlS7gl.jpg]

page 10
[Image: nN6nEwMl.jpg]

page 17
[Image: jBeHdxbl.jpg]

Not sure if I got an "Album" successfully created ... if so it is here:
http://jmayer180.imgur.com
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#33
RE: New User Problem with BiPAP AVAPS - Part 1
Say, that worked out well! Page 1 was posted twice, so we are missing a summary. The hypopnea are indeed volume reductions and don't appear too bad as there is still a fair amount of air movement. Things started off pretty rough, but you have some nice quiet periods in page 6 waveform. I'm a bit perplexed by the pressure line. It shows very little response, even to CA events, where I would expect to see a significant increase in pressure to induce a breath, and similarly I don't see much response in the hypopneas or periodic breathing to even out flow. In fact pressure appears to be staying very close to 14/10 most of the night. What do the statistics say?
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
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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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#34
RE: New User Problem with BiPAP AVAPS - Part 1
I'll try to get days averages and machine setting posted ....

Settings
[Image: Y1UYGaDl.jpg]

Summary 25 Nov 16
[Image: qJWZaedl.jpg]

Where can I find some references (i.e., Idiot's Guide) to waveforms?
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#35
RE: New User Problem with BiPAP AVAPS - Part 1
For interpreting waveforms, follow the link in my signature to robysue's begginer guide to SleepyHead. It will work for Encore as well. My guess was correct that you are staying very close to the minimums across the board asn shown by the averages. Your 90% pressure support was 6.0. If you look on the flow line, there are a number of red hash marks that correspond to periods of hypopnea and CA events. Those are increased pressure support pulses, however, they do not appear to be increasing IPAP pressure as much as I would expect. The Resmed ASV is much more aggressive with these.

In conventional BiPAP titration, EPAP is used to resolve OA. This seems to be effectively treated based on your graphs above. Pressure support is normally increased to treat hypopnea. If your doctor is looking at what I'm seeing, he would recommend you begin to increase PS-min until the hypopnea is <5/ hour. If you choose to do this on your own, then I would change it by 1-cm increments, and wait several days between changes.
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.
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#36
RE: New User Problem with BiPAP AVAPS - Part 1
Vielen danke, Sleeprider.
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