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New on Bipap ASV, have a few questions
#41
RE: New on Bipap ASV, have a few questions
From your graph zoom it looks like your CAs have mutated to hypopneas as the asv is causing some breath flow but not enough when you decide not to breathe. More pressure support max ipap is required I think
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#42
RE: New on Bipap ASV, have a few questions
I think your current H events are inadequately treated CA. The Philips Auto SV is unfortunately less responsive with pressure than the Resmed Aircurve 10 ASV. We can see that where hypopnea is flaged, that the pressure support was only about 3 to 4 cm, but subsequent breaths more pressure support was applied and it takes about 3 breaths for pressure support to match your need and normalize the respiration volume. This is fairly typical for Philips, and the only solution I know of is to increase the minimum PS. Very good screenshots, that help us understand better what is going on. While there is flow limitation, it does not look so much like positional apnea.

[Image: attachment.php?aid=15696]
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#43
RE: New on Bipap ASV, have a few questions
I'm thinking about trying the same tonight but with BPM off (or auto)

I can also increase the min PS, what value would you try ?
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#44
RE: New on Bipap ASV, have a few questions
I think you need BPM on Auto. It might be interesting to increase PS min to 4.0.

You are on the correct machine. The ST is not going to treat this as comfortably or effectively. It would be great to get you to a point where efficacy is indisputable.
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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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#45
RE: New on Bipap ASV, have a few questions
I haven't had a chance to review your charts, I'm on my phone, but I'd try auto and min PS of 4. The only reason I didn't start you there is I wanted to try the recommended default first. We may need to increase further
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter

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#46
RE: New on Bipap ASV, have a few questions
> I haven't had a chance to review your charts

No worries, you are already much more responsive than my Dr and DME, I don't get to try new settings until night time anyway Smile 

You are on the correct machine. The ST is not going to treat this as comfortably or effectively. It would be great to get you to a point where efficacy is indisputable.

Yeah I'll drag my feet a bit to return it, It would be great to get a good result set so that if they put me on the ST and it's bad (probably), I can show them this data as a proof this worked better, assuming it does and they are willing to listen.
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#47
RE: New on Bipap ASV, have a few questions
Ithinkeenred2or 3 more nights
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter

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#48
RE: New on Bipap ASV, have a few questions
(09-24-2019, 02:57 PM)bonjour Wrote: Ithinkeenred2or 3 more nights

As we approach Fall and Winter, Fred has some very powerful beers on tap. Prost!
Sleeprider
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____________________________________________
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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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#49
RE: New on Bipap ASV, have a few questions
Smile 
OK tonight using same settings but 4 min pressure and auto bpm.
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#50
RE: New on Bipap ASV, have a few questions
I am surprised at how slow this machine works. I'm going to slightly disagree with SleepRider on which machine is best for you. The BEST machine for you is the ResMed AirCurve 10 ASV. It reacts faster than the PR models.
Increase the Max IPAP to machine max. Just to allow it because we are starting with a higher PS, I doubt you will use it.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter

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