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[Equipment] UARS diagnosis - Which machine should I get?
#71
RE: UARS diagnosis - Which machine should I get?
Regarding a titration test from CPAP to ASV, the CNP who oversaw my two sleep studies recently said "Your insurance will not likely pay for a PAP Titration without a sleep apnea diagnosis." When I tried to send her some Oscar data (she couldn't open the links) and told her what settings I was using (Vauto mode, Min EPAP =6 Max IPAP =15 PS =0), she said "Your machine may be blowing off too much carbon dioxide and causing the central events." Without looking at the data, does that sound like a reasonable interpretation to anyone?


Regardless, when I finally get an AirCurve 10 ASV, what should my initial settings be after a factory reset? I know on 06/08 Sleeprider said "EPAP min 6.0, EPAP max 8.0, PS min 3.0, PS max 12" -- is that all I need to know for my first night? Should I set it to ASV or ASVauto?
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#72
RE: UARS diagnosis - Which machine should I get?
If you're going to consider something like the example Sleeprider mentioned, it must be ASV Auto mode. The difference between modes ASV and ASV Auto is an EPAP range. Mode ASV is a static EPAP, single pressure, ASV Auto mode is EPAP Min/Max. range.

You could try that pressure set or a slightly modified ResMed ASV titration, 6-15 EPAP and 3-15 PS. Keeping 6 as min EPAP so you're not air starved.

I myself didn't like or use ASV mode, but ASV Auto mode due to that significant difference.

ResMed AirCurve 10 ASV titration protocol shot

   
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.
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#73
RE: UARS diagnosis - Which machine should I get?
Thanks for the great info (as usual). Have you used both the Vauto in addition to the ASV? What were your experiences like with one compared to the other? I hope I can acclimate myself to the machine breathing for me when I'm apparently not doing it myself. I hope it doesn't repeatedly wake me up when it's trying to help me...
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#74
RE: UARS diagnosis - Which machine should I get?
I've never had a VAuto as my CA and COPD combo would never play well with one.

My take is the ASV responds faster than others. And I'd say that's by design to kick your lungs when a CA occurs. You'll need to be aware of an occasional miscue from the ASV, typically soon after you've started ASV rather than later on. The ASV will kick right as you drift off, blowing your socks off. OK, when you calm down a bit, just Blow Back. Literally blow back moderately forceful into the mask and Mr. ASV will get back in line.
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.
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#75
RE: UARS diagnosis - Which machine should I get?
Lets step back for a second. What symptoms are you hoping will be treated by treating your UARS? What makes you think that sleep disturbed breathing is your main cause of these symptoms?

Also if you haven't already tried it try increasing trigger sensitivity to very high to see if that has any effect.
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