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What factors to be concerned about with resmed aircurve 10
#1
I have been using the resmed aircurve 10, vauto now since Jan 2, 2016. I reviewed my results today and was not too impressed. The results provides various information including:

respiratory rate
minute ventilation
Tida volume
I:E ratio
IPAP
EPAP

Should I be concerned about any of the above-noted values and if so which ones???
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#2
The data we usually review in Sleepyhead is mainly events, flow, pressure, snores, flow limitation and machine settings. This link shows how to organize your daily detailed data to get the most out of it. You're welcome to submit a screenshot as shown in the tutorial, and some of us may be able to help you make more sense of it. https://sleep.tnet.com/resources/sleepyhead/shorganize
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#3
[attachment=2156]
(02-15-2016, 01:28 PM)Sleeprider Wrote: The data we usually review in Sleepyhead is mainly events, flow, pressure, snores, flow limitation and machine settings. This link shows how to organize your daily detailed data to get the most out of it. You're welcome to submit a screenshot as shown in the tutorial, and some of us may be able to help you make more sense of it. https://sleep.tnet.com/resources/sleepyhead/shorganize

please see attached shots, are they large enough


[attachment=2157]

[attachment=2158]

[attachment=2161]
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#4
[attachment=2160]
(02-16-2016, 10:36 AM)ckingzzzs Wrote:
(02-15-2016, 01:28 PM)Sleeprider Wrote: The data we usually review in Sleepyhead is mainly events, flow, pressure, snores, flow limitation and machine settings. This link shows how to organize your daily detailed data to get the most out of it. You're welcome to submit a screenshot as shown in the tutorial, and some of us may be able to help you make more sense of it. https://sleep.tnet.com/resources/sleepyhead/shorganize

please see attached shots, are they large enough

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#5
Those look great! Well done. Your problem with CA is far greater than your OA at this point. Have you ever tried capping the max pressure at 11.0? It might result in some trade-off, but better to lose some of that CA. In fact it might be worth trying max 10.5 and turn down the EPR a bit to 2.0 so as not to lose too much obstructive therapy. Many complex patients do well with a bilevel pressure support of 2.0 and lower pressures overall, then letting the servo deal with the residual CA and H. In your case, there will still be some centrals, but lower pressures may minimize them, and not dropping your EPAP so far could help prevent OA. Do you follow my logic?
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#6
(02-16-2016, 11:11 AM)Sleeprider Wrote: Those look great! Well done. Your problem with CA is far greater than your OA at this point. Have you ever tried capping the max pressure at 11.0? It might result in some trade-off, but better to lose some of that CA. In fact it might be worth trying max 10.5 and turn down the EPR a bit to 2.0 so as not to lose too much obstructive therapy. Many complex patients do well with a bilevel pressure support of 2.0 and lower pressures overall, then letting the servo deal with the residual CA and H. In your case, there will still be some centrals, but lower pressures may minimize them, and not dropping your EPAP so far could help prevent OA. Do you follow my logic?

sleeprider, are we looking at the same graphs as I dont see it as great. I am using a resmed aircurve 10 vauto, where is the EPR setting?? when you say capping the max pressure do you mean the IPAP max pressure.

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#7
(02-16-2016, 11:48 AM)ckingzzzs Wrote: sleeprider, are we looking at the same graphs as I dont see it as great. I am using a resmed aircurve 10 vauto, where is the EPR setting?? when you say capping the max pressure do you mean the IPAP max pressure.

Aircurve 10 vauto doesn't have a EPR setting which is available for Airsense 10. EPR or exhaust pressure relief can only be adjusted to a narrow range VS a much wider range on a bilevel machine like Aircurve 10 Vauto.

Aircurve 10 Vauto detects both obstructive and central sleep apnea. CSA is detected by forced oscillation technique. which adds 1 cm pressure @4hz when an apnea is detected, then results are interpolated to measure airway patency.

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#8
attachments are gone, so I'm not sure exactly what I was responding to. It seems CA was greater than OA in the attachments, and a suggestion was made to lower the pressure support. I should not have used the terms EPR or maximum PS in discussing an Aircurve 10 Vauto...sorry.
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