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[Pressure] ASV AirCurve 10 helpless with interpration
#1


First Thank you for such a great forum. I have just started reading and reading, but I would like understand the graph of my ASV treatment....

I have a complex apnoe. (weight 190pound, height 173cm, Age 46) My previous treatment with a resmed AirSense 10 AutoSet did not help (I had also still more than 10 AHI and if I remember correctly at a pressure of 12).
So I changed to ASV (Resmed) with ASVAuto-Setting and

Min EPAP: 5.2
Max EPAP: 12
Min PS: 3
Max PS: 15

->The technical person told me that the maximum pressure (Max IPAP 27) is too high (For my age and therapy). Why?

I had only a short night and after waking up I have difficulties to fall asleep again, but when I'm sleeping the sleep is now much better. So what I would like is to sleep more(Longer) of if I wake up the I would like to fall asleep again more easily.....

Any recommendation to adjust what and on which direction?

Thank's for every input, explanation and helpSmileSmile

Andy

    Hi
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#2
o.k. I see that the picture is not good. Let me upload it somewhere...
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#3
Try imgur.

Your EPAP wanders from 5.2 to 12 to treat obstructive apnea.
The IPAP spikes up to ventilate you during a central event. So, your max pressure can reach 12+15=27.
That's sounds high; but, I do not know why it would be considered too high for your age and therapy.

From what I could see on the low-res image, it appears the therapy is effective.
How were your settings determined? By a sleep study where they adjusted parameters while you slept?
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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#4
Hmm

Any idea how to post pictures?

"
•You cannot post clickable links to this forum threads and posts. Minimum post count is 8 posts. But your post count is just 2 posts.
•You are not allowed to post images in this forum."

(04-13-2016, 09:05 AM)justMongo Wrote: Try imgur.

Your EPAP wanders from 5.2 to 12 to treat obstructive apnea.
The IPAP spikes up to ventilate you during a central event. So, your max pressure can reach 12+15=27.
That's sounds high; but, I do not know why it would be considered too high for your age and therapy.

From what I could see on the low-res image, it appears the therapy is effective.
How were your settings determined? By a sleep study where they adjusted parameters while you slept?

I have a sleep study 8 years ago with a CPAP device (I have seen that the pressure was from 5-12)...
Thanks'
Andy

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#5
I use Imagebin others use imager, either way you post a link supplied from the site and the image is displayed inline.
I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
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#6
Morphin is correct. One can only do an a cpap related attachment until 8 posts are made.
Then a link to an image hosting site link imgur or photobucket can be used.
I forgot about that limit -- it's to help limit forum SPAM.

Member grades and privileges are explained here: http://www.apneaboard.com/forums/Thread-...-explained

Paula explains here how to link to an image hosted on another server:
http://www.apneaboard.com/forums/Thread-...g-an-Image

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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#7
Thanks' for the explanation. I will post more info about me....:-)
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#8
Hi Morphin,
WELCOME! to the forum.!!
Hang in there for more responses to your post and good luck getting your machine fine-tuned to meet your needs.
Much success to you.
trish6hundred
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#9
(04-13-2016, 04:31 PM)trish6hundred Wrote: Hi Morphin,
WELCOME! to the forum.!!
Hang in there for more responses to your post and good luck getting your machine fine-tuned to meet your needs.
Much success to you.

THank's

I will post a few other post until I can post links to pictures. But last night was the longest Time I ever sleeped with the maskGrin

Channel Min Med 95% Max
EPAPExpiratory Pressure (cmH2O)
W-Avg: 8.71 4.08 8.20 12.62 14.76
IPAPInspiratory Pressure (cmH2O)
W-Avg: 13.78 4.32 13.12 20.88 25.00
Minute Vent.Amount of air displaced per minute (L/min)
W-Avg: 5.49 1.12 5.38 7.00 16.12
Resp. RateRate of breaths per minute (Breaths/min)
W-Avg: 11.30 0.00 11.60 14.20 22.60
Flow Limit.Graph showing severity of flow limitations (Severity (0-1))
W-Avg: 0.01 0.00 0.00 0.00 1.00
Leak RateRate of detected mask leakage (L/min)
W-Avg: 0.39 0.00 0.00 2.40 15.60
SnoreGraph displaying snore volume (?)
W-Avg: 0.02 0.00 0.00 0.00 3.62
Insp. TimeTime taken to breathe in (Seconds)
W-Avg: 2.39 0.12 2.18 3.74 12.62
Exp. TimeTime taken to breathe out (Seconds)
W-Avg: 2.97 0.52 2.88 4.24 6.94
Target Vent.Target Minute Ventilation? (L/min)
W-Avg: 5.02 4.00 5.00 5.62 6.38
Tidal VolumeAmount of air displaced per breath (ml)
W-Avg: 494.35 0.00 460.00 740.00 1820.00

Total time in apnea 00:05:17
Time over leak redline 0.000%
Machine Settings

ModeCPAP Mode ASVAuto
Min EPAPLower Expiratory Pressure 5.40 cmH2O
Max EPAPHigher Expiratory Pressure 15.00 cmH2O
Min IPAPLower Inspiratory Pressure 8.40 cmH2O
Max IPAPHigher Inspiratory Pressure 30.00 cmH2O
PS MinPressure Support Minimum 3.00 cmH2O
PS MaxPressure Support Maximum 15.00 cmH2O
Antibacterial FilterAntibacterial Filter No
Climate ControlClimate Control Manual
Humidifier StatusHumidifier Enabled Status On
Humidity LevelHumidity Level 4
MaskResMed Mask Setting Pillows
Patient AccessPatient Access Yes
RampRamp Enable Off
Smart StartMachine auto starts by breathing Off
TemperatureClimateLine Temperature 27 ºC
Temperature EnableClimateLine Temperature Enable 2
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#10
My sleep is much better. Nevertheless I think there is room for improvments. Or maybe I have to accustom to this settings?

THank's

Andy
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