Please help. I must quickly, accept or reject an unfamiliar VAuto by 3PM PDT, Sun 5/5

[ardenum]

trigger and cycle are more of a comfort settings. heres a picture that shows what each of them do.

[ajack]

You were effectively running min pressure 15, you would expect less snore and FL than the 10.4 you had on apap. If you found it more comfortable, it would be a plus reason.

[jaswilliams]

Leaks were a problem last night on your machine this coincides with the increase of Flow Limitation with the large leaks during the last two hours limited the ability of your machine to accurately measure the flow rate


I think you should reduce your EPAP you previous setting on the Resmed Autoset was min 10.4 with EPR 3 that equates to a min EPAP of 7.4 not 10, I don't see a need for an EPAP of 10 and would suggest reducing your min EPAP

[ardenum]

Can you zoom in onto the flow waveform as much as you can so we can see the highs ? I use very similar settings to you on my nasal i use 10 EPAP 15 IPAP, and your ahi seems legit under <0.5, that's just great. If you're comfortable with these settings its time to hit ti control trigger and cycle.

[ajack]

I agree with jas that you should reduce. I think you will need more than bonjour suggested, being your effective apap setting to start you off. It is going to be between the two somewhere. It might even be what I suggested, it's test and review the results.

[Gideon]

I only suggested a start at the old settings. Not to stay there.

[ajack]

Yes, I thought that and why I said to start you off "bonjour suggested, being your effective apap setting to start you off."

[2SleepBetta]

Can you zoom in onto the flow waveform as much as you can so we can see the highs ? I use very similar settings to you on my nasal i use 10 EPAP 15 IPAP, and your ahi seems legit under <0.5, that's just great. If you're comfortable with these settings its time to hit ti control trigger and cycle.

Do you want to zoom a segment with and around a spike? Please clarify that. That somewhat high level of pressure you mention does not bother me, unless, it relates to the LL toward the end of sleep, something seeming more recent and to be checked. However, my long term pressure, 95%, is 12.4 and I think that is what the AirCurve reports for these first three nights. 

Meanwhile, until tonight when I'll post some SH graphs, many thanks to you and to ajack and jaswilliams (and to anyone else posted just above and not yet read) for their helpful responses. I immediately followed bonjour's specification of levels and have been amazed, both before and after resetting, at the much lower levels of snore and FL I've seen from the AirCurve. Thanks, bonjour, for giving me those settings to emulate those for the Autoset (for a year?). 

I use the same climateline hose and mask so it is a difference in machines delivering a much improved result, I'd say.

Indications of snores (negligible now with the AirCurve) at the awake moments immediately after turn-ons of pressure seem to indicate not all AutoSet/SH-reported snore is actually snore. As I understood it, one of the reps at vendor #2 suggested long ago that ResScan presents a more accurate picture of the nature or level of FL and Snore than SH if one is preoccupied (as I admit being) with those two RD's. Dunno, but suspect turbulence and settling-in explain the immediate startup bursts indicated as snore, but can't understand why the difference during sleep. Is it a therapeutic difference, an inherent machine/algorithm difference or new-to-me placebo effect?

Off topic, but delays (last night) arising from an old computer motivate immediate installation of SH on a newer computer where I also have a larger monitor setup. I see the profiles in the Directory folder, but where are data? The profile looks too small to hold everything. I looked for and at posts explaining migration and was not yet seeing the pathway clearly, nor was I ready to make any change and download OSCAR.

2SB

PS. I kept the AirCurve as expected and any "fear" or  "anxiety" suggested above, if any, was from the risk in buying used machines. Was it fully functional, any possibility it had been dropped with hidden damage from water, etc., . . . ?  There were 48 hours for a VPAP-know-nothing to decide.  2SB

[Sleeprider]

Whatever the Autoset does, the Vauto can do better. You can't go wrong with this therapy, and it's just a matter of getting dialed in.

[2SleepBetta]

First, to any new readers who began with page 2: I bought the used unit, experts here at AB helped me set it like my Autoset has been set, just during a trial period after which they will likely suggest tweaks when they see some graphics with more days of results from the AirCurve 10 VAuto . 

Below are SH results from the three May 2019 "nights" 04-05, 05-06, and 06-07: all using the settings suggested here.

I request recommendations and will zoom any areas desired.

Sorry to be slower than intended with some poor time management, but that gave me more graphics to present--fact and/or excuse as you may see it.  

2SB

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