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[Pressure] New rx for pressure setting
#1
New rx for pressure setting
I just got the results of a new sleep test in the mail and am having trouble interpreting the language. Here is the pertinent lines under Assessments:

 "3. Best therapy this night was bilevel 14/8 with back up rate 12 breaths/minute, Inspiratory time 1.5 minutes."

And then under Suggestions is this:

 "1.  BiPAP S/T therapy is recommended as described in #3, above, with a medium Eson nasal mask, as was used this night."

I not sure I understand this pressure rx and what settings need to be put on my Resmed Airsense 11. I'm thinking that the 14 is the inhale pressure and the 8 is exhale pressure, but what does the 12 breaths/ minute, Inspiratory time 1.5 minutes mean.
Exactly what numbers and settings  should be plugged into my machine with this prescription?  They are supposed to set this remotely but I want to double check the settings myself.

Any help or info about this would be greatly appreciated.  Thanks in advance.
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#2
RE: New rx for pressure setting
Your study is recommending a Bipap S/T.  That is a total different machine than the ResMed 11.  

If you would post the complete study here for review, (redacted of personal info) someone can better advise according to details on the study.
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#3
RE: New rx for pressure setting
Agreed post the whole study. The ST is a specialized BPAP with backup rate. We need to know what medical reason other than Apnea. Respiratory disease or something like that is a typical reason. If it's for Central Apnea, the ASV is a far better choice though. That's why we need the whole story.
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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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#4
RE: New rx for pressure setting
Please post a full copy of your sleep studies, your diagnostic study and the titration studies
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#5
RE: New rx for pressure setting
Thanks for responding .  Here are the first 3 pages of the sleep report.  I was not able to upload a pdf file as I was a new member.  I converted the pages to jpeg files but was only able to upload 3 files at at time.  There are 3 more pages in report if that is needed.

Well here are the last 3 pages.
Thanks again


Attached Files Thumbnail(s)
                       
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#6
RE: New rx for pressure setting
and your diagnostic study? Why? because we want to see what you had for Centrals without a CPAP.

Based on this test (Titration only) I'd recommend an ASV vs the ST. The ASV is specifically designed to treat Central/Mixed/Complex Apnea. The ST is better suited to combinations that include other respiratory issues such as COPD and Asthma.

I also recommend a recording oximeter simply because you have a history of low O2 Sats. This is just to periodically check to make sure they do not come back into the picture since CPAPs do not typically monitor O2 Sats.

Can you post charts with your AutoSet?
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#7
RE: New rx for pressure setting
I didn't receive a copy of the 1st sleep test which was about 3 months ago, but I was told I had about 60 apneas per hour in that test.  Would it help to upload my Oscar files?   They mostly show a lot of CA's and very few OA's  to average about 15 API's per hour.
I haven't  heard from the sleep doctor yet as this sleep test just came in the mail late last week.  After the weekend is over, I plan to get in touch with someone from the sleep study.  All of this information will be very helpful in discussing this with them.
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#8
RE: New rx for pressure setting
If a significant number of those 60 apneas per hour are Central that solidifies the ASV choice.
If Centrals are very few to non-existent that tends to indicate Treatment-Emergent Central Apnea which can, and often is, treated with "avoidance" for several months as the centrals slowly disappear (not always) as your body adjusts to the lower CO2 levels that are occurring.

OSCAR charts with and without EPR can indicate if your central apneas are Treatment-Emergent or idiopathic (of unknown cause).

Ask for a copy of your original Diagnostic study, as a min you want for your personal records.

BTW do you have any history of cardio, pulmonary, or neurological (strokes seizures etc) as this info can significantly affect the proper choice of machine for your treatment?
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#9
RE: New rx for pressure setting
Thank you.  I have no history of cardio, pulmonary, or neurological .  Here is an image of Oscar with EPR off.


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#10
RE: New rx for pressure setting
Why do these so called docs insist on the wrong therapy?  As I have learned, the ASV machine is the only answer with CA and complex apnea, you need to insist on the correct therapy. BTW; I went through this merry-go-round.  First a cpap machine and then a Bi-pap, both are not productive for treating CA or complex apnea!
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