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Self Titrating UARS - Need Help
#11
RE: Self Titrating UARS - Need Help
Sorry, don't see how to edit my post. Wanted to add that my Mean SpO2 was 95.5%, and % time snoring was 2.1%.

[Edit: Funny, I can edit this post, but not the other one (no edit button on that one). Maybe because it's my first post? Anyway, thanks for your patience as I learn my way.]
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#12
RE: Self Titrating UARS - Need Help
(02-16-2019, 08:39 PM)JMB73 Wrote: Hi. I'm so new to CPAP that I haven't even started yet! I've ordered my equipment, hoping to receive next week. I've been doing a lot of reading, trying to learn as much as I can. This thread interests me because I may have UARS. From my home sleep test:

AHI: 3  RDI: 6

I have restless sleep, lots of arousals. No headaches, or dry mouth, but wake up (for last time) tired/exhausted, and chronic fatigue during day.

It sounds like I may end up having to look into a bi level machine, which is a bummer, because they are a lot more expensive, and I'm paying out of pocket. And I just bought an auto CPAP. My question is: once I start with the Resmed Airsense, and try different settings, how will I know if a CPAP just won't work and a bi level is needed? Will something show on the charts? Or is it a matter of how I feel? I guess the question is: how will you know if you need a bi level?

The Resmed Airsense 10 Autoset CPAP machine is the first choice for your situation.  As mentioned above, it provides limited bilevel pressure that normally resolves UARS for most people.  Please feel free to start your own therapy thread, and we can help. Meanwhile try to advocate to get a Resmed machine rather than a Philips Dreamstation.
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#13
RE: Self Titrating UARS - Need Help
I have a Resmed Airsense 10 Auto For Her on the way. I'll likely start my own thread once I start my therapy, but I thought the answers to my questions could add to the discussion in this thread.
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#14
RE: Self Titrating UARS - Need Help
Sleeprider Wrote:Nicko, if you are self-funding a PAP machine, consider getting the Resmed Aircurve 10 Vauto. The true bilevel machine will fully resolve your UARS, while the Airsense 10 CPAP with EPR will likely help, but is limited to 3-cm of pressure support.  I have dealt with hundreds of members with the same problem you are experiencing, and can nearly always achieve much better comfort and results using pressure support, than using CPAP pressure.  I think a doctor that is not aware of the much greater efficacy available through bilevel pressure should reconsider advising UARS patients.  The worst machine for you is a Philips CPAP.  Your AHI would bloom with numerous hypopnea events and you would feel a lack of sync to your breathing rate.

Got a low hour Resmed AirCurve VAuto off of craigslist coming in 2-3 days.  Thanks for the SearchTempest tip

Back on Auto after 3 horrible nights sleep with HST. Will post some data later this week.
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#15
RE: Self Titrating UARS - Need Help
New Data from last night, seem to still have the ugly flows.  I posted a couple instances I saw. If I'm missing anything please let me know. Any advice or just leave it at the 8-12 3 EPR setting for now....Thanks


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#16
RE: Self Titrating UARS - Need Help
Looks a lot better than without the EPR. Flow limitation is not as severe.
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#17
RE: Self Titrating UARS - Need Help
Sleeprider Wrote:Looks a lot better than without the EPR. Flow limitation is not as severe.

I'm still waking multiple times a night and still have brain fog.  Does this take a while to go away even with good pressures?

Am I correct in thinking it takes some time for the brain/body to adjust to the fact that it doesn't have to be on "high alert" and wake myself up with the possibility of my throat closing??

I currently sleep on my back (just my most comfortable position), maybe I should try switching to the side.  I started wearing one of those Dr Dakota chin pillows so that I don't tuck my chin in during sleep as well.

My AirCurve VAuto comes Monday.
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#18
RE: Self Titrating UARS - Need Help
It takes time, and just do what feels most comfortable for you. Your results are good and will improve with the Vauto. I think you're going to start at EPAP min 6.0, PS 4.0, IPAP max 16.
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#19
RE: Self Titrating UARS - Need Help
(02-20-2019, 09:42 AM)Sleeprider Wrote: It takes time, and  just do what feels most comfortable for you.  Your results are good and will improve with the Vauto. I think you're going to start at EPAP min 6.0, PS 4.0, IPAP max 16.

Finally got my vauto. Problem I have is how do you set the tmin tmax and trigger. Any idea on what to set that to? Is it based on your inspiration time? If I had to guess tmax would be 2.5 and I can keep tmin at any value below that
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#20
RE: Self Titrating UARS - Need Help
The default values are a good start. TiMin 0.3, TiMax I'm kind of partial to between 1.8 and 2.2, but I need to look at your timing. Trigger and cycle to medium until we figure out a strategy for something different. Too many variables at once gets confusing. Our first goal is to work on a pressure range and PS
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