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VAuto Journey
RE: VAuto Journey
   
   
   
This is the highest my AHI has been since having my trigger setting on very high and being on VAuto.  What does this mean if anything?
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RE: VAuto Journey
We are getting caught between a rock and a hard place with these results because it is a mixed signal of obstructive and central. This simply doesn't fit conventional titration protocols and moves us closer to ASV. To limit obstructive events and minimize pressure variations, let's increase EPAP min to 9.0, and we are going to cap it at EPAP max 10.0 to prevent CA. You are at PS 3.0 and I don't think we can increase that a lot without increasing the CA, but we want to provide support for hypopnea. Let's set PS to 3.2 and see how it goes. All of this points to more of a central problem than obstructive.
Sleeprider
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RE: VAuto Journey
   
   
   
Best AHI I've had since being on VAuto. The night before was my worst.  The only thing I changed before bed last night was increasing my PS to 3.2. Dont-know
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RE: VAuto Journey
The consistently inconsistent CA have disappeared for this sleep session. Let's see what pops up next time. Did comfort improve or otherwise change in any way?
Dave

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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RE: VAuto Journey
   
   
The last two nights. How do I get these hypopneas down?
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RE: VAuto Journey
Higher pressure support. It looks like your CA has adapted to using the current level. Just start taking it up to 3.6 then 4.0 as needed and tolerated.
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.
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RE: VAuto Journey
   
   
   
What else could I do to try to consistently lower my AHI?  It's not bad, but I do notice I feel a little better when it's close to 2.0 or lower.  Keep increasing my PS? Or is there anything I can do?
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RE: VAuto Journey
It appears that you've not bumped EPAP from 8 to 9 that was suggested by Sleeprider on 7/15. Had you tried that yet?
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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RE: VAuto Journey
(07-28-2020, 11:11 AM)SarcasticDave94 Wrote: It appears that you've not bumped EPAP from 8 to 9 that was suggested by Sleeprider on 7/15. Had you tried that yet?

I had it at 9 on June 9th.  I had an appointment with the NP at my sleep facility and she lowered it to 7.  I stayed on 7 on June 10th and 11th. I raised it back to 8 on the 12th and haven't changed it since.
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RE: VAuto Journey
It's possible a bit more EPAP may be needed. See what the others say, but I think the change from 8 to 9 referred to is still valid.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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