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

New User Problem with BiPAP AVAPS - Part 1
#31
Drop a link to that album and let me see what I can do.
Post Reply Post Reply



Donate to Apnea Board  
#32
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
Post Reply Post Reply
#33
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?
Post Reply Post Reply
#34
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?
Post Reply Post Reply
#35
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.
Post Reply Post Reply



Donate to Apnea Board  
#36
Vielen danke, Sleeprider.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Dreamstation BiPAP S/T Adjustments kbear 4 105 05-22-2018, 05:46 PM
Last Post: kbear
  New BIPAP - Higher CA's than when on APAP Kosoku 14 337 05-22-2018, 09:43 AM
Last Post: Sleeprider
Wink [Treatment] New APAP User - Sleepyhead First Night Results amuse 5 136 05-21-2018, 07:53 PM
Last Post: tedvpap
  New Cpap User still snoring - can you help me? liftingbro 3 149 05-21-2018, 05:43 PM
Last Post: cate1898
  New APAP/CPAP User - Help with optimizing treatment battlesnore 6 152 05-21-2018, 09:44 AM
Last Post: Sleeprider
  New User trying to understand reports Davsam 5 130 05-18-2018, 09:17 AM
Last Post: gwc2795
  BiPAP advice please? GrimeyGal 33 884 05-14-2018, 06:42 PM
Last Post: Crimson Nape

Forum Jump:

New Posts   Today's Posts




About Apnea Board

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