Opinions on Settings Help Resmed VAuto

[Johnnyde94]

Hello, I have been using my resmed VAuto biap machine for around 2 years. I'm a 27Y/O male, weight of 235 hight 5ft 9 in who has recently lost weight (70lbs+ Ozempic is a life saver) and was recently diagnosed with severe asthma (on treatment for this). My OG AHI pre treatment was 85 with lowest SO2 of 73 i think.

This whole time I have had it set to EPAP 17 IPAP 25 PS 8 for nearly the entire time. Why I originally set it up like this I don't remember, other then disliking low pressures. I have never sleep the night without the machine, in fact I usually won't even nap without it on. I also sleep with a soft neck brace to prevent positional apnea. I sleep decently once i can actually get to sleep. I do take meds to help with sleep specially trazadone and clonidine. There are no issues with in regards to comfort with my setup. I'm still on Rx Stimulants (Adderall for ADHD primary and Nuvigil for OSA) and still struggle with energy, however, I do have other hormonal issues (thyroid and Test.) and take meds to cope with that. I know OSA is not the only reason for fatigue. 

I decided to do a pre and post test, as in letting my VPAP go from 4-25 (I know thats dumb) and lower the PS to 6. TN I will do min of 10-11 any sugestions on the PS? Yes I do have a AB filter, for pollen and other contaminates.  Thanks!


   




   

[Gideon]

I too dislike low pressures. What ever you do keep pressure where you are comfortable. With your numbers you can lower your min EPAP by 2 or your PS by 1 BUT only one of them at a time.

With your "Severe" asthma watch your nighttime breathing effort looking for it becoming more difficulty. And do watch for increasing numbers.

Also get a recording O2 monitor. IMHO With the additional complication of your severe asthma you should be doing this at least periodically.

[Johnnyde94]

So you’re saying from the 17-25 number? I slept bad last night with those test settings. I may get a O2 reader. Are there any suggested ones that are OSCAR compatible? 

Also why does resmed only store ~1 month of “advanced” data? Would a larger SD card store more. Wish I knew that earler I would have synced data more.

[pholynyk]

The ResMed will store many years of data on an 8 GB SD card.

I have nearly 6 years of data using less that 6 GB on my 8 GB card.

[Johnnyde94]

I honestly felt fine with my old settings. I just have to look for CA caused by the high PS but I don’t think I’m seeing that.

[Johnnyde94]

It’s odd because when I imported to OSCAR it only had around a month or graph data on it. It happened with sleep HQ too.

[OpalRose]

The SD card must be in your Pap machine while you're sleeping, otherwise there would be no detailed data.

[Johnnyde94]

The SD card has been in there the entire time lol.

[Crimson Nape]

What size card is it?

[Johnnyde94]

I work in IT and looked through the SD card archives and it seems like only a month of detailed data is there, but all of my data is there I believe. I have to look though things tomorrow for Tn I’m trying 18/25/7. I’m comfortable with the higher pressure and do not think that I’m having CA from high PS. IMHO no good reason to lower things.