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+--- Thread: Dalemazkour - Therapy Help (/Thread-Dalemazkour-Therapy-Help)
Dalemazkour - Therapy Help - Dalemazkour - 04-21-2024
I am attempting to go back to my BiPAP machine as the Insoire sleep device surgery I had from being intolerant to pap machines has been a miserable failure for me. I have given them a year to figure out how to make it work and it doubled my ahi from 50s to 97 an hour after getting the new sleep report with the device on. Going back to BIPAP have a heck of a time keeping the mask on long enough to get good data and wanted to know if I changed the settings first night and got 1.5 hours of usage and then changed settings again the second night and got 2.5 hours of use can someone one guide me on dialing in the right settings with whatever program? Read about OSCAR but I am new to all
this.
RE: Inspire failed trying pap again - UnicornRider - 04-21-2024
Dale post an OSCAR Report and the forum members will be able to assist you in dialing in your therapy pressures and other settings.
Oscar details - Dalemazkour - 04-21-2024
I couldn't attach as a file no matter how hard I tried! Heres the data below again only able to use 2.5 hours last night and an 1 hour the prior night. Please help with settings as my $40000 Inspire device has been a big issue for me. Trying to use Bipap again as last ditch. Just need proper settings to keep it on god willing. My cell is 4803296870 and I appreciate any help at this point.
CPAP Statistics
The reporting period is 366 days between Fri Apr 21 2023 and Sat Apr 20 2024
Database has 16 days of CPAP Data, between Fri Oct 7 2022 and Sat Apr 20 2024
Details
Most Recent
4/20/2024
Last Week
4/14/2024 - 4/20/2024
Last 30 Days
3/22/2024 - 4/20/2024
Last 6 Months
10/21/2023 - 4/20/2024
Last Year
4/21/2023 - 4/20/2024
CPAP Usage
Total Days
1
7
30
183
366
Used Days
1
3
3
3
3
Days Not Used
0
4
27
180
363
Used Days >= 4 hrs/day
0
0
0
0
0
Used Days < 4 hrs/day
1
3
3
3
3
Percent Total Days >= 4 hrs/day
0.00%
0.00%
0.00%
0.00%
0.00%
Percent Used Days >= 4 hrs/day
0.00%
0.00%
0.00%
0.00%
0.00%
Average Hours per Night
02:24
01:33
01:33
01:33
01:33
Median Hours per Night
02:24
01:20
01:20
01:20
01:20
Therapy Efficacy
AHI
8.75
5.37
5.37
5.37
5.37
AHI Median
8.75
3.27
3.27
3.27
3.27
Obstructive Apnea (OA) Index
2.92
1.93
1.93
1.93
1.93
Hypopnea (H) Index
5.42
3.22
3.22
3.22
3.22
Unclassified Apnea (UA) Index
0.42
0.21
0.21
0.21
0.21
Clear Airway (CA) Index
0.00
0.00
0.00
0.00
0.00
95% Flow Limitation
0.18
0.03
0.03
0.03
0.03
Leak Statistics
Average Leak Rate
3.32
7.20
7.20
7.20
7.20
95% Leak Rate
14.40
33.60
33.60
33.60
33.60
% of time above Leak Rate threshold
1.02%
6.96%
6.96%
6.96%
6.96%
Pressure Statistics
Average Pressure
7.93
8.12
8.12
8.12
8.12
Min Pressure
7.00
6.02
6.02
6.02
6.02
Max Pressure
12.00
16.52
16.52
16.52
16.52
95% Pressure
12.00
12.00
12.00
12.00
12.00
Average EPAP
4.93
4.84
4.84
4.84
4.84
Min EPAP
4.00
4.00
4.00
4.00
4.00
Max EPAP
9.00
12.52
12.52
12.52
12.52
Changes to Device Settings
First
Last
Days
AHI
FL
Device
Pressure Relief
Mode
Pressure SettingsSat Apr 20 2024
Sat Apr 20 2024
1
8.75
0.00
AirCurve 10 VAuto (37094)
None
VPAPauto
PS 3.0 over 4.0-12.0 (cmH2O)
Fri Apr 19 2024
Fri Apr 19 2024
1
3.27
0.00
AirCurve 10 VAuto (37094)
None
VPAPauto
PS 3.0 over 4.0-25.0 (cmH2O)
Thu Apr 18 2024
Thu Apr 18 2024
1
0.75
0.00
AirCurve 10 VAuto (37094)
None
VPAPauto
PS 4.0 over 4.0-25.0 (cmH2O)
Sat Oct 8 2022
Sat Dec 17 2022
12
0.19
0.00
AirCurve 10 VAuto (37094)
None
CPAP
Fixed 6.0 (cmH2O)
Fri Oct 7 2022
Fri Oct 7 2022
1
0.77
0.00
AirCurve 10 VAuto (37094)
None
CPAP
Min 5.0 Max 12.4 (cmH2O)
Device Information
Brand
Model
Serial
First Use
Last Use
ResMed
AirCurve 10 VAuto (37094)
23202092225
Fri Oct 7 2022
Sat Apr 20 2024
This report was prepared on Sun Apr 21 2024 12:10 by OSCAR 1.5.2+master-2e98100b
OSCAR is free open-source CPAP report software
RE: Oscar details - Crimson Nape - 04-21-2024
Members can find many helpful topics in the Forum Account Help section. The How Do I... thread has several topics that are very common here. Here are the links to the main portion of the thread and one directly in inserting attachments.
HOW DO I...
Insert an attachment (images & files relating to sleep apnea)
Apnea Board Wiki: Attaching Images and Files on Apnea Board
- Red
RE: Inspire failed trying pap again - Sleeprider - 04-21-2024
Be glad to help. Post your last useful pressure range and maybe we can get you dialed in quickly.
RE: Inspire failed trying pap again - Dalemazkour - 04-21-2024
Can you guys see the data I copy and pasted from Oscar? It won’t let me attach but I would be glad to email anyone on here that can help me dial it in based on the last 3.5 hours of use over two nights. I haven’t had a good range that’s why I changed from first night of reusing for an hour to last night. Can you guys see my Oscar details I posted? I can’t see it like I thought it would go along with this thread. I remember when I first got it setting the pressure at 1 was more tolerable but I doubt that’s effective. Not sure on anything with this device besides I know I need to try my best and use it given the failure of all other devices and surgical implants.
RE: Inspire failed trying pap again - Dalemazkour - 04-21-2024
CPAP Statistics
The reporting period is 366 days between Fri Apr 21 2023 and Sat Apr 20 2024
Database has 16 days of CPAP Data, between Fri Oct 7 2022 and Sat Apr 20 2024
Details
Most Recent
4/20/2024
Last Week
4/14/2024 - 4/20/2024
Last 30 Days
3/22/2024 - 4/20/2024
Last 6 Months
10/21/2023 - 4/20/2024
Last Year
4/21/2023 - 4/20/2024
CPAP Usage
Total Days
1
7
30
183
366
Used Days
1
3
3
3
3
Days Not Used
0
4
27
180
363
Used Days >= 4 hrs/day
0
0
0
0
0
Used Days < 4 hrs/day
1
3
3
3
3
Percent Total Days >= 4 hrs/day
0.00%
0.00%
0.00%
0.00%
0.00%
Percent Used Days >= 4 hrs/day
0.00%
0.00%
0.00%
0.00%
0.00%
Average Hours per Night
02:24
01:33
01:33
01:33
01:33
Median Hours per Night
02:24
01:20
01:20
01:20
01:20
Therapy Efficacy
AHI
8.75
5.37
5.37
5.37
5.37
AHI Median
8.75
3.27
3.27
3.27
3.27
Obstructive Apnea (OA) Index
2.92
1.93
1.93
1.93
1.93
Hypopnea (H) Index
5.42
3.22
3.22
3.22
3.22
Unclassified Apnea (UA) Index
0.42
0.21
0.21
0.21
0.21
Clear Airway (CA) Index
0.00
0.00
0.00
0.00
0.00
95% Flow Limitation
0.18
0.03
0.03
0.03
0.03
Leak Statistics
Average Leak Rate
3.32
7.20
7.20
7.20
7.20
95% Leak Rate
14.40
33.60
33.60
33.60
33.60
% of time above Leak Rate threshold
1.02%
6.96%
6.96%
6.96%
6.96%
Pressure Statistics
Average Pressure
7.93
8.12
8.12
8.12
8.12
Min Pressure
7.00
6.02
6.02
6.02
6.02
Max Pressure
12.00
16.52
16.52
16.52
16.52
95% Pressure
12.00
12.00
12.00
12.00
12.00
Average EPAP
4.93
4.84
4.84
4.84
4.84
Min EPAP
4.00
4.00
4.00
4.00
4.00
Max EPAP
9.00
12.52
12.52
12.52
12.52
Changes to Device Settings
First
Last
Days
AHI
FL
Device
Pressure Relief
Mode
Pressure Settings
Sat Apr 20 2024
Sat Apr 20 2024
1
8.75
0.00
AirCurve 10 VAuto (37094)
None
VPAPauto
PS 3.0 over 4.0-12.0 (cmH2O)
Fri Apr 19 2024
Fri Apr 19 2024
1
3.27
0.00
AirCurve 10 VAuto (37094)
None
VPAPauto
PS 3.0 over 4.0-25.0 (cmH2O)
Thu Apr 18 2024
Thu Apr 18 2024
1
0.75
0.00
AirCurve 10 VAuto (37094)
None
VPAPauto
PS 4.0 over 4.0-25.0 (cmH2O)
Sat Oct 8 2022
Sat Dec 17 2022
12
0.19
0.00
AirCurve 10 VAuto (37094)
None
CPAP
Fixed 6.0 (cmH2O)
Fri Oct 7 2022
Fri Oct 7 2022
1
0.77
0.00
AirCurve 10 VAuto (37094)
None
CPAP
Min 5.0 Max 12.4 (cmH2O)
Device Information
Brand
Model
Serial
First Use
Last Use
ResMed
AirCurve 10 VAuto (37094)
23202092225
Fri Oct 7 2022
Sat Apr 20 2024
This report was prepared on Sun Apr 21 2024 12:10 by OSCAR 1.5.2+master-2e98100b
OSCAR is free open-source CPAP report software
RE: Inspire failed trying pap again - Sleeprider - 04-21-2024
Dale, copy and past won't work, but here is the tutorial on organizing charts http://www.apneaboard.com/wiki/index.php?title=OSCAR_Chart_Organization
All new users can attach files: http://www.apneaboard.com/wiki/index.php?title=Attaching_Images_and_Files_on_Apnea_Board
You now have enough post and Member status to post links to places like Imgur.
Based on the data you listed manually, start your Aircurve 10 vauto with the following settings:
EPAP min: 6.0
IPAP max 16.0
PS: 4.0
I'm going to need to see an actual chart to help refine settings.
Ti min: 0.3
Ti max 2.6
Trigger sensitivity: Med
Cycle sensitivity Med
RE: Inspire failed trying pap again - Dalemazkour - 04-21-2024
Here is the data you requested. Please let me know
RE: Inspire failed trying pap again - Sleeprider - 04-22-2024
This appears to be a continuous obstruction with recovery breaths. The chart shows a high flow limitation but I need to get zooming in on a 2-3 minute segment of the flow rate. It seems clear you need higher EPAP min. In the chart, you are using 4.0, and I suggested 6.0. We use the EPAP pressure to keep the airway patent against obstruction and it's clear 4.0 is not enough, and I'm guessing 6.0 won't be enough. As I recommended previously:
Based on the data you listed manually, start your Aircurve 10 vauto with the following settings:
EPAP min: 6.0
IPAP max 16.0
PS: 4.0