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Too many clear airway events, need help
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07-14-2019, 10:17 PM
Too many clear airway events, need help
What is the ideal min/max pressure?
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07-14-2019, 10:36 PM
RE: Too many clear airway events, need help
Welcome to the forum. I think turning of EPR may help a little and you probably would do better with a fixed pressure. There are others on the forum who have much more experience and expertise on dealing with the issues you are having. One of them will probably respond before too long.I just want you to know that you will get knowledgeable help.
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07-14-2019, 10:49 PM
RE: Too many clear airway events, need help
As you have increased pressure your Centrals have gotten worse.
Try min and Max pressures set at 6 Then set PS =2 the next night Then set PS=0 the next night Then set max and min = 5 the next night Finally set max and min =4 Decreasing both pressure and pressure variance should reduce your Centrals Another possibility is to use an ASV machine.
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07-14-2019, 11:40 PM
RE: Too many clear airway events, need help
(07-14-2019, 10:49 PM)bonjour Wrote: As you have increased pressure your Centrals have gotten worse. What is PS?
07-15-2019, 06:03 AM
RE: Too many clear airway events, need help
heartsick,
Welcome to Apnea Board! Your PS (Pressure Support) is currently set at 4. Follow bonjour’s suggestion and see if that makes a difference for you. If you need a Clinicians Manual for your machine, order it here: https://www.apneaboard.com/adjust-cpap-p...tup-manual
OpalRose
Apnea Board Administrator www.apneaboard.com _______________________ OSCAR Chart Organization How to Attach Images and Files. OSCAR - The Guide Soft Cervical Collar Optimizing therapy OSCAR supported machines Mask Primer 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.
07-15-2019, 07:19 AM
RE: Too many clear airway events, need help
Here is another possibility; you have been provided a Resmed Aircurve 10 Vauto by your doctor because you have complex or central apnea, and he knows it. The Vauto cannot treat central apnea, and can make it worse than CPAP. You probably need to discuss this with your doctor and ask if it is time to consider the ASV (adaptive servo ventilator), which does treat central apnea, periodic breathing as well as any obstructive apnea you may have. It is possible, you will achieve better results in CPAP mode at low pressures without the bilevel pressure support (PS is the difference between IPAP-EPAP).
The bilevel Aircurve 10 Vauto is not provided to patients without a medical need or intolerance for CPAP in the U.S. I don't know how it works in China. You may have failed CPAP previously, or show indications of central apnea in your sleep test or titration. This problem will not go away until you receive the correct therapy, ASV. Talk to your doctor, and read the Wiki on Justifying Advanced PAP Machines: http://www.apneaboard.com/wiki/index.php...P_Machines
Sleeprider
Apnea Board Moderator www.ApneaBoard.com ____________________________________________ Download OSCAR Software Soft Cervical Collar Optimizing Therapy Organize your OSCAR Charts Attaching Files Mask Primer 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.
07-15-2019, 07:19 PM
RE: Too many clear airway events, need help
Thank you so much, I set the min and max pressure at 6 and PS at 2, and the AHI is back to normal after last night's sleep, will do as you said tonight and post the result.
07-15-2019, 07:25 PM
RE: Too many clear airway events, need help
I just realized I made a mistake and set the PS to 0 directly last night......
07-16-2019, 07:17 PM
RE: Too many clear airway events, need help
I set the min/max pressure at 5, and the ahi reduced to 3.89
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