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UARS Treatment [Using Philips ASV]
#21
RE: UARS Treatment [Using Philips ASV]
Bumping this to see if anyone is able to offer assistance ...
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#22
Check Oscar report for me?
Hi. A while back I posted a graph to see of anyone could have a look. Haven't seen a response yet, after a bump, so I figured I'd try a new topic to see if I can catch someone's attention.
(sorry if I'm doing something wrong)

The link below should go to the post. 

Any help would be greatly appreciated! 

https://www.apneaboard.com/forums/Thread...#pid490245
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#23
RE: UARS Treatment [Using Philips ASV]
Bump2
OpalRose
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#24
RE: UARS Treatment [Using Philips ASV]
SenatorBirch, it appears that a higher EPAP minimum pressure going to be needed to clear up the obstructive component. Philips auto algorithm for obstruction is not very good and a minimum pressure of 4.0 is clearly not resolving the obstruction, and the machine is not responding appropriately for what we see here. change EPAP min to 6.0 and be prepared to go a bit higher. I would suggest PS min 4.0, PS max 5.0 if that can be set.
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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#25
RE: UARS Treatment [Using Philips ASV]
Thanks SleepRider.  My son finally got around to trying these settings. His AHI actually increased. (from consistently under 10 to consistently over 10)

I've posted a shot again from last night.

He thinks he should focus on eliminating the centrals before trying to deal with the UARS.

Keep in mind that
(1) his original diagnosis was UARS, and
(2), he did not have centrals until he began the CPAP (& ASV) treatment

Any suggestions would be greatly appreciated !


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#26
RE: UARS Treatment [Using Philips ASV]
Hi folks. Wondering if anyone can point me in the right direction here. (see screenshot above)

Thanks
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#27
RE: UARS Treatment [Using Philips ASV]
I still see positional apnea, but the logical response to OA and H events is to increase EPAP min. We have seen events evolve from predominately central with AHI over 32 per hour with EPAP 4.0, PS 2.0-10.0; to the current 11.5 events per hour with EPAP min 6.0, PS 4-5, mainly obstructive and hypopnea. None of it makes much sense, and I'm going to suggest, friends (or parents) don't let friend (or family) use Philips devices. This is a recalled device and is not fit to be used. Get a Resmed bilevel or ASV. I think my previous advise to limit PS to minimum 4.0 and maximum 5.0 is incorrect, and a more conventional approach will be to set PS min at 3.0 and PS max at 10.0 using the backup rate to ensure breaths are delivered as needed.

Alternatively, based on your first post, your son may have been better off without therapy. This is a vary high apnea event rate and the treatment being used is not supported by the current diagnosis. I think it's time to go back to the doctor and determine if there is a problem, how severe the problem is, and what the best approach is to treat it. This self-diagnosis and treatment makes me very uncomfortable considering how badly it is going. I would not want to be responsible for subjecting anyone, let alone family to such ineffective and possibly harmful therapy. Any way I look at this, the Philips machine has failed and you should get the more competent and responsive Resmed. If you cannot get it through your health services, consider looking at Supplier #2 or DotMed for a Resmed Aircurve 10 ASV.
Sleeprider
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____________________________________________
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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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#28
RE: UARS Treatment [Using Philips ASV]
Just want to say that my heart goes out to you and your son. Though he is suffering quite a bit, he is fortunate to have you in his corner. Wishing you the best.

If he is not seeing someone currently, I highly recommend a cognitive behavioral therapist. This will not fix his disordered breathing, but there is a mountain of evidence that CBT can improve patients' subjective experience of illness. Just my two cents for a difficult situation.
Behavioral scientist who just wants some damn sleep!
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