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[Treatment] PAC (Pressure Assist Control) Mode - Printable Version +- Apnea Board Forum - CPAP | Sleep Apnea (http://www.apneaboard.com/forums) +-- Forum: Public Area (http://www.apneaboard.com/forums/Forum-Public-Area) +--- Forum: Main Apnea Board Forum (http://www.apneaboard.com/forums/Forum-Main-Apnea-Board-Forum) +--- Thread: [Treatment] PAC (Pressure Assist Control) Mode (/Thread-Treatment-PAC-Pressure-Assist-Control-Mode) Pages:
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PAC (Pressure Assist Control) Mode - airbusA346 - 09-26-2019 Hi Has anyone used PAC (Pressure Assist Control) mode on a Resmed NIV (Lumis)? What is it like compared to ST and iVAPS mode? ![]() RE: PAC (Pressure Assist Control) Mode - Gideon - 09-26-2019 Why are you asking about PAC? Note what the following modes are designed to treat. Do you have Neuromuscular disease?
RE: PAC (Pressure Assist Control) Mode - airbusA346 - 09-26-2019 (09-26-2019, 02:03 PM)bonjour Wrote: Why are you asking about PAC? I'm asking because my hospital have switched my Lumis to this mode of ventilation to see if it resolves my on going issues with desaturations and drops in volumes. I have been on ST mode since March 2018 for OSA and nocturnal hypoventilation. I have never felt refreshed and am still tired. Many changes in ST didn't help and I started recording my oxygen levels in December which showed they weren't stable throughout the night. After an home oximeter study and two in hospital TOSCA studies they couldn't see and desaturations and after much pushing for them to do something. They performed a polysomnography in August which finally showed to them that my oxygen levels weren't stable on NIV (dropping to 60%). So they assigned a physiologist to sort out my issues. She studied my machine data and found my minute ventilation wasn't good, so she tried me on iVAPS with different pressures, respiratory rates and Ti Maxes over the last two weeks. They haven't helped resolve the issues, so she mentioned trying a different machine to my consultant who suggests as a last resort with this machine to try PAC mode. I have Cerebral Palsy, Right Sided Hemiplegia, Hydrocephalus, Scoliosis, OSA, Nocturnal Hypoventilation. Plus I struggle to breath while on my back and sides when not using the ventilator. I still don't know what is causing the nocturnal hypoventilation RE: PAC (Pressure Assist Control) Mode - SarcasticDave94 - 09-26-2019 I'm not familiar with PAC or know lots about Cerebral Palsy, but my guess is with you stating a struggle to breathe, this combo of information is probably the reason. Again I'm guessing as I'm not certain, you may actually need this PAC for ventilation as intended. RE: PAC (Pressure Assist Control) Mode - Sleeprider - 09-26-2019 This would be my first exposure to this therapy mode and I hope you will keep us advised of your progress. While I’m not in any position to argue the value of PAC, I wonder if it might be worthwhile to ask your physiologist to compare the merits of PAC vs ASV or iVAPS. Both of the latter intelligently target minute vent. RE: PAC (Pressure Assist Control) Mode - airbusA346 - 09-26-2019 (09-26-2019, 03:40 PM)Sleeprider Wrote: This would be my first exposure to this therapy mode and I hope you will keep us advised of your progress. While I’m not in any position to argue the value of PAC, I wonder if it might be worthwhile to ask your physiologist to compare the merits of PAC vs ASV or iVAPS. Both of the latter intelligently target minute vent. iVAPS has been tried and they've decided it's failed, so they are trying me on PAC and if that doesn't work, trying a different machine has been mentioned... not sure what machine though. RE: PAC (Pressure Assist Control) Mode - Gideon - 09-26-2019 Thanks for the history, it will help us help you. I have not heard of another PAC user on the forum, but we have users with good general knowledge. How will it feel? I don't know. My guess, based on the description, is that it will be at least similar to an ST. RE: PAC (Pressure Assist Control) Mode - SarcasticDave94 - 09-27-2019 Certainly keep us posted. We'll do whatever we can to help out. Best wishes this is successful. RE: PAC (Pressure Assist Control) Mode - airbusA346 - 09-27-2019 So PAC mode was a partial success! My volumes are more stable through the night but I'm still getting desaturations. They've decided that PAC mode is the best one for me, but I've maxed the Lumis out. So the consultant will be arranging an admission where I'll be tried on a Resmed Stellar 150 ventilator. They will also look at adding oxygen while I'm there. They won't trial it at home, because they can't monitor my CO2, whereas at the hospital they can use TOSCA. RE: PAC (Pressure Assist Control) Mode - Sleeprider - 09-27-2019 Yours is an interesting and unique case. Thanks for keeping us posted here at its a new approach. The more we know about what leads to this recommedation, the more helpful this will be to someone that may have a similar problem in the future. Thanks for sharing. |