Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

VAuto Journey
#81
RE: VAuto Journey
My AHI was a little worse last night at 3.1. I increased my PS from 3.0 to 3.4. What should I do? I’ve also noticed that since being on the VAuto that my centrals have been better. The average is around 1 to 1.5. If the VAuto doesn’t help with centrals why are my centrals so low?
Post Reply Post Reply






Donate to Apnea Board  
#82
RE: VAuto Journey
You are on the right track assuming you need to treat hypopnea. It might be worth taking a closer 2 or 3 minute view of events.
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.
Post Reply Post Reply
#83
RE: VAuto Journey
The trigger sensitivity helps with centrals, and your body could be somewhat adapting. That and we always see some differences between machines.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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.
Post Reply Post Reply
#84
RE: VAuto Journey
(07-09-2020, 11:10 AM)bonjour Wrote: The trigger sensitivity helps with centrals, and your body could be somewhat adapting.  That and we always see some differences between machines.

My Central to Hypopnea ratio has changed since being on VAuto. My AHI is low, but my hypopneas are more than my centrals. How do I lower my hypopnea while keeping my centrals low? Also, what do you mean by my body may be adapting? I’ve been on VAuto for 27 nights with an average AHI at around 3. I also average 8.5 hours of sleep. I should be feeling awake when I wake up. I still don’t and my sleepiness has actually increased over the last couple days!
Post Reply Post Reply






Donate to Apnea Board  
#85
RE: VAuto Journey
For some/most PAP users, the body can adjust its own sensitivity to the CO2 washout scenario that occurs and causes treatment emergent centrals. That adjusting or "adapting" is very likely what bonjour is referring to.
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.
Post Reply Post Reply
#86
RE: VAuto Journey
To reduce hypopneas, try increasing your EPAP pressure. Looking at your graphs, I'd try 10 cm to see what happens.
Crimson Nape
Apnea Board Moderator
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Beginner's Guide to Sleepyhead and OSCAR
Apnea Helpful Tips

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.
Post Reply Post Reply
#87
RE: VAuto Journey
I suppose increasing pressure will tell us or at least give us a hint, but has anyone had a close look at the hypopnea to try to determine if obstructive or central? it kind of sounds like the very high trigger setting may have reduced his ca to central hypopnea.
Post Reply Post Reply






Donate to Apnea Board  
#88
RE: VAuto Journey
(07-09-2020, 02:49 PM)sheepless Wrote: I suppose increasing pressure will tell us or at least give us a hint, but has anyone had a close look at the hypopnea to try to determine if obstructive or central?  it kind of sounds like the very high trigger setting may have reduced his ca to central hypopnea.

What is central hypopnea?  What can I do about that?
Post Reply Post Reply
#89
RE: VAuto Journey
just as there's obstructive and central apnea, hypopnea can be obstructive or central. or mixed. raising pressure helps obstructive but tends to make central worse and vice versa. as you know, neither cpap/apap nor bilevel is designed to treat central events. if central events are your dominant apnea type, not treatment emergent, and you aren't satisfied with how you feel, the next step would be asv. but that's a bit premature yet. your under 5 ahi is quite reasonable for vauto so you won't get much assistance from the system.
Post Reply Post Reply
#90
RE: VAuto Journey
Please see my post#82 asking for a closer look.
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.
Post Reply Post Reply






Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  Resmed Aircurve 10 VAuto SD card type happydreams 9 128 10-23-2020, 02:24 PM
Last Post: SarcasticDave94
  [CPAP] Newbie would like some advice (Aircurve 10 VAuto) leancomfort 8 198 10-19-2020, 04:48 PM
Last Post: leancomfort
  What settings should I start with? (Self titrating a Resmed AirCurve 10 Vauto) sleepy331 6 146 10-17-2020, 02:40 PM
Last Post: bonjour
  Resmed 10 vauto or resmed 9 vpap? Beaumont1124 5 160 10-05-2020, 02:50 AM
Last Post: holden4th
  New VAuto, need help with settings nininho 22 962 10-04-2020, 07:35 AM
Last Post: nininho
  My Journey from BiPAP Auto to Aircurve 10 Vauto staceyburke 202 5,602 10-03-2020, 09:23 AM
Last Post: Sleeprider
  Inspire Implant : My Journey Malloc 23 3,655 10-02-2020, 08:59 PM
Last Post: Malloc


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.