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[Treatment] New Member seeking help with Resp. settings
#21
RE: New Member seeking help with Resp. settings
By the way, I don't expect a diagnosis on this necessarily but I'm just wondering if perhaps it's something you may have encountered before. It could even be common for all I know.
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#22
RE: New Member seeking help with Resp. settings
Well, here are the latest results with your new suggested settings, dmeRT. I couldn't be happier! This was especially wonderful to find after writing my last post and spending that night awake watching my father sleep. He was apparently very overtired despite the sleep improvements.

I will see if I can attach both 6/1 and 6/2. If not, I'll just post last night's 6/2.

Again, thank you both, and I hope I haven't lost you with my ramblings.

Does the breathing rate seem high to you?


Attached Files Thumbnail(s)
   
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#23
RE: New Member seeking help with Resp. settings
Hi BrettC, 

Download is looking good, especially with the CA's.  The respiratory rate is what it is, just don't set the backup rate that high... Big Grin .   I'd probably just keep things where they are and discuss with the doc.  good luck.
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#24
RE: New Member seeking help with Resp. settings
I'm just guessing and giving my thoughts..... The 32 bpm breathing rate may be exhausting him. His tidal volume is over 500, so it seems the bipap is getting enough air moving each breath and it is mostly spontaneous with little back up.

I'm also wondering if the reduced PS has anything to do with it? it may all be a coincidence and why I would seek medical support

He has a high minute vent of 16 and respiration of 32. Do you have a finger o2 meter? does he have a high pulse rate?
I don't think I would wait 2 weeks with this, I would get medical advice from somewhere. I'd call his doctor or an emergency department, or a walk-in doctor, tell them the numbers and ask. He may need a change in meds. supplemental o2 may be an option.

I don't know what insurance your dad has, but I have a diabetic friend in the US without good insurance, she uses walk-in blood labs for her blood tests. they could do a blood gas test. it seems they are heavily discounted
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#25
RE: New Member seeking help with Resp. settings
(06-04-2017, 12:05 AM)dmeRT Wrote: Hi BrettC, 

Download is looking good, especially with the CA's.  The respiratory rate is what it is, just don't set the backup rate that high... Big Grin .   I'd probably just keep things where they are and discuss with the doc.  good luck.

Thanks for staying with me, dmeRT. Do you have any suggestions for aerophagia? The whole reason I began making adjustments in the first place (and for joining this forum) is because of all the air my father was swallowing. I had read elsewhere online that lowering epap may help but in his case, the CA's went nuts so it wasn't a good move. So, despite the progress it looked like we were making, last night, he never slept because whenever he'd begin to fall asleep, he'd swallow a bunch of air which would wake him up. Any help or ideas you have would be much appreciated.
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#26
RE: New Member seeking help with Resp. settings
sorry, can't help with the aerophagia...

maybe use the ramp feature for when he is trying to fall asleep?
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#27
RE: New Member seeking help with Resp. settings
I don't want to cause you concern, but if you look at the chart, your dad is maxing out at 50 BPM for a significant period, not just a one off spike. If your insurance will allow, he really needs to be in hospital to be stabilised and what I expected from contact with ER or any medical doctor. Second best is to bring in what medical care you can. I think this is well past getting advice from a forum.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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