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Oscar Data ?/ switch from APAP to Resmed Bipap or ASV?
#11
RE: Oscar Data ?/ switch from APAP to Resmed Bipap or ASV?
Could not find how to set the EPR to 3 on Dreamstation APAP.  If Should I order the manual? If its not a feature any other work arounds?
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#12
RE: Oscar Data ?/ switch from APAP to Resmed Bipap or ASV?
EPR is only found on Resmed CPAP machines. Philips has the Flex setting, which is as close as you will get to the EPR setting. However, it is not directly comparable to it.
Crimson Nape
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#13
RE: Oscar Data ?/ switch from APAP to Resmed Bipap or ASV?
Yep, Respironics will have Flex as mentioned. I've seen several not so pretty charts from others while trying Flex 3 so maybe keep it at a Flex 2 level.
Dave

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#14
RE: Oscar Data ?/ switch from APAP to Resmed Bipap or ASV?
I think Centrals may be treatment emergent since one Dr raised my pressurer ange on the Dreamstation when the data showed an average of 9.4 ish.
I reset the auto to 7-14 and my 90% pressure and average dropped down between 8-10cm.  My AHI is a bit lower, still not always 5 or less.
Can centrals reverse? I will download data after two weeks on the new settings...

The EPR concept is good to know before asking for a Bipap maybe the Resmed Air sense 10 for her with a EPR setting would be good to try...trying to kow what to ask for...

For now on the Dreamstation:
Should I try to set the AFlex to 2?
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#15
RE: Oscar Data ?/ switch from APAP to Resmed Bipap or ASV?
On Central Apnea (CA) there's 3 types, treatment emergent that's caused by a PAP increasing the removal of CO2 above what the brain has calculated to be normal for you in the past. This is actually below normal it seems due to Apnea. The brain has to take time to recalculate this, within 3 months of starting PAP therapy is acceptable and expected.

If your diagnostic sleep study showed 50% Apnea to consist of Centrals then I call the pre-existing or predominently CA. This typically needs an ASV as BPAP will almost certainly increase CA and in some a CPAP can avoid them, note that this is sometimes this way.

There's a third type, idiopathic CA meaning unknown medical cause. This can be treated via CPAP by avoidance of ASV to actually treat.

A key to define CA is were they in your diagnostic and how do they react to PAP pressures.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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