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Reluctance to sell a ASV machine
#11
RE: Reluctance to sell a ASV machine
My opinion is also some docs don't like the extra work involved in helping patients fight the insurance to get the proper tools needed. That's why self advocacy is so important.
Dave

I'm not a doctor in real or fictional life. My posts include opinions based upon user experience and researched info regarding CPAP therapy and should not be considered medically professional directions or advice.


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#12
RE: Reluctance to sell a ASV machine
I had a dreamstation and my sleep study doc decided that I needed a resmed aircurve 10 vauto They set it up in S mode at 6 and 10 with 4. I slept last night pretty well surprisingly but ended with a 5.5 total AHI. This machine felt more comfortable but it was strange to me. The numbers on the dreamstation were in the low 2s  With the settings given how do i correlate the dreamstation settings into the resmed Vauto mode?
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#13
RE: Reluctance to sell a ASV machine
I don't know what your earlier settings were, but Resmed has a translation guide.

https://onlinestore.resmed.com/images/pr...017278.pdf

Based on what the doc did, I would switch to vauto mode, min EPAP of 6, PS 4, max IPAP of 25, and see what the results look like (as in, post them).
Caveats: I'm just a patient, with no medical training. And my first experience with xPAP was fairly recent. So I'm somewhere along the path of a steep learning curve.
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#14
RE: Reluctance to sell a ASV machine
Latest view from the RESMED any help would be welcomed!!!!
   
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#15
RE: Reluctance to sell a ASV machine
So definitely switch to VAuto mode, and maybe modify my suggested min EPAP to 8 or 10.

You need to get those obstructive apneas under control, and that should help.
Caveats: I'm just a patient, with no medical training. And my first experience with xPAP was fairly recent. So I'm somewhere along the path of a steep learning curve.
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#16
RE: Reluctance to sell a ASV machine
Good chart. Your events are entirely obstructive, which makes the fix pretty easy. The OA events are heavily clustered, which suggests a positional or chin-tucking component. If you read the soft cervical collar wiki in my signature links, you can see how others have resolved the problem of clustered apnea very effectively using an aid that prevents the chin from tucking toward the chest. The snoring and apnea all point to a need for higher EPAP pressure, so I agree with the advise to change to Vauto Mode with a minimum pressure of 6 and maximum pressure of 20 with PS at 4.0 and we can see where the events resolve. Note higher pressure may not resolve positional apnea but the automatic pressure will let us see.

There is some additional fine-tuning we can do once we see how your do on Vauto mode.
Sleeprider
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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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#17
RE: Reluctance to sell a ASV machine
latest one from my dreamstation that I had cant find my sd card so not the latest
   
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#18
RE: Reluctance to sell a ASV machine
Your median pressure is nearly 12/8 cm and the 95% is 15/11 cm. That is the heart of the range you should be targeting with the new machine. So a minimum EPAP pressure of 7.0, maximum pressure of 17 and PS 4 makes a lot more sense than fixed pressure at 10/6.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files

How To Deal With Equipment Supplier


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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#19
RE: Reluctance to sell a ASV machine
Thank you i will try that tonight and post again tomorrow
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#20
RE: Reluctance to sell a ASV machine
My latest report any ideas on why Im still tired around 2:00pm

   
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