RE: Day 2 of VAuto
When I talked to the sleep technician at my sleep clinic she said that she has had a lot of success with VAuto in treating centrals. I also talked to another person who is Respiratory Therapist not affiliated with my clinic. She said that she would start with VAuto cause my Centrals are mild. Both of them said that the ASV is usually for moderate to high centrals. When I mentioned that the apnea board and resmed website only mentions the use of ASV for Centrals they just don't agree with it. What should I say or information do I need to know to argue my need for a ASV tiration or at least another sleep study?
06-14-2020, 12:12 PM
(This post was last modified: 06-14-2020, 12:14 PM by SarcasticDave94.
Edit Reason: typo
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RE: Day 2 of VAuto
I'd think that ResMed knows what they're talking about when they say the ASV is to treat CA. Sorry but those "experts" are wrong that say the VAuto is the right machine for treating CA. Below is a screenshot from the ResMed product list. There's another one out there that compares each model. If I find it, I'll post it as well. Anyway, see what is said of the ASV on the right by the manufacturer.
[attachment=23812]
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.
RE: Day 2 of VAuto
I think what will need to happen is you will need to endure the torture of the VAuto not addressing CA events, you will need to document a symptom/complaint diary, and then you will need a face to face visit with the doctor and state plainly that CA events are not addressed with the VAuto. You may need prints of OSCAR showing events. You need to bring your complaint of symptoms out, to convey it in such a way that is both respectful and firm, stating you need better therapy. You will likely need an ASV oriented sleep study. I think you need more info and data than just telling these experts. Go to ResMed's website and get the ASV PDF and print it. Show them what ResMed states the ASV and VAuto are for. Again I use the word respectful; present it firmly that you will not take NO for an answer but be respectful while doing it. I had to do this myself so I know what it takes. Admitted my CA were likely a lot higher, however if you document and present that your CA are disrupting sleep, they must listen or they don't do their job well.
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.
RE: Day 2 of VAuto
VAuto is the right machine for something like Treatment-Emergent Central Apnea where the central apneas go away over 2-3 months as your body readjusts and the central apnea disappears and the VAuto can do what it does best, treat OSA.
In other words, if Father Time can treat the central apneas, the VAuto will do just fine.
With a VAuto, all you can do is avoid the central apneas, not treat them. There is a difference.
06-14-2020, 05:48 PM
(This post was last modified: 06-14-2020, 05:49 PM by optimalsleep.)
RE: VAuto Journey
click on the event bar above the orange bar with the AHI and number. Then double click on central apneas..... and so on down the event list with the time.
You'll be able to see which ones are legit and the ones that aren't.
Post a few on you thread for the "experts" to see.
RE: VAuto Journey
What setting should my trigger sensitivity and Ti control be?
RE: VAuto Journey
Your are dealing with relatively high CA. Change trigger sensitivity to high or very high, and cycle can stay at default Medium. Ti Controls are fine at defaults of 0.3 min and 2.0 max.