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xPAP replacement
#1
xPAP replacement
Hello everybody,

Hope you’re surviving the latest flavors of reality.

Five months after it was stolen, my DME said they had
a new machine for me. Used it for three nights without
changing either the DME’s or sleep doc’s settings.
Here’s what I found:

-- Both “Smart” settings are on. The pressure bug
   (pressure goes to zero rather than to previous value)
   is still present.

-- Sleep doc’s pressure range is 11 to 16.

-- Other settings that may have been changed:

   * Ramp: Auto
   * Pressure Relief: Off
   * Autoset Response: Standard
   * EPR: On
   * EPR Type: Full Time
   * EPR Level: 3

Summary of last night:

Used Hrs.: 7.9
Pressure: 15.8
Leak: 37 L/min.
AHI: 25.6
Total AI: 25.3
Obstructive AI: 2.0
Central AI: 7.2

My Windows machine has a network issue. It doesn’t see any servers.
It’s not a browser issue. This post is via my old Mac.

I’ll continue to use the xPAP, with an SD card, and run OSCAR, to
collect charts to post when the Win machine is working again.

A stolen machine is an exception to Medicare’s procedures, so it
may decide not to pay for the replacement machine. Fingers crossed.
I may have to appeal.

Best to everybody, and glad to be back.

Harv (aka midwestguy)
Thanks to everyone who helps us get a better night's sleep.

Anything I post here or elsewhere on these forums is my opinion, not medical advice. Medical advice comes from a doctor.
An Advisory Member is a member of the Advisory Committee which helps shape Apnea Board's rules & policies.
Such membership does not imply medical expertise or qualifications for advising sleep apnea patients about their treatment.

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#2
RE: xPAP replacement
Something doesn't seem to add up. Above post reports central index of 7.2 and obstructive index of 2.0, which would seem to indicate an Apnea Index of 9.2; yet the post reports apnea index of 25.3. What's up with the data?
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#3
RE: xPAP replacement
if you ask me i dont feel good about your setting
ramp should be turn to manual and not more than 15-20 min/turn ramp off all together
epr on full time but not more than 2, i think your epr at 3 may be triggering your central apnea
if you have an ahi of 25.6 from which 2.0 oa and 7.2 ca then rest must be hypopneas or reras
and yes the apnea index doesn't add up cuz apnea index= obstructive apnea + central apnea leaving out hypopneas, reras ETC
i think you have a leak problem too but it cannot be confirmed without oscar data
how is pressure relief is off but epr on i think i am less qualified to solve this problem
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