Sleep ASV titration done on different maching

I have had the Resmed S9 VPAP Adapt machine for two years. I feel it never worked as well as their first one (the big white one) with two different tubings. I had a retitration done a few weeks ago and they used a respironics machine. My S9 was set at EPap 10, max pressure 15 and min 5 with 02 at 3 liters. Now they want to set ASV therapy pressure at 7 and 02 1.5 liters. Apria did not know how to change the settings due to the different settings between the two machines. I don't want to buy a new machine but the sleep study peopl wrote the RX for the Respironics and said the only thing they could do was GUESS at the settings for the S9. Is this possible?


DX 6 years ago: Central, obstructive and complex sleep apnea, severe. AHI 101 events per hour
Last study: EEP min pressure was 7 cmH20, reducing AHI to 0. No REM sleep.

seajay wrote:I have had the Resmed S9 VPAP Adapt machine for two years. I feel it never worked as well as their first one (the big white one) with two different tubings. I had a retitration done a few weeks ago and they used a respironics machine. My S9 was set at EPap 10, max pressure 15 and min 5 with 02 at 3 liters. Now they want to set ASV therapy pressure at 7 and 02 1.5 liters. Apria did not know how to change the settings due to the different settings between the two machines. I don't want to buy a new machine but the sleep study peopl wrote the RX for the Respironics and said the only thing they could do was GUESS at the settings for the S9. Is this possible?


DX 6 years ago: Central, obstructive and complex sleep apnea, severe. AHI 101 events per hour
Last study: EEP min pressure was 7 cmH20, reducing AHI to 0. No REM sleep.

you're missing a few numbers.

you need epap, min and max ps. the 02 doesn't factor into it at all, since that's not something the asv does.

do they just want to reduce your epap from 10 to 7?

and on the s9 adapt, there is no 'max pressure' setting there is a max ps and min ps, are those what you're trying to say when you say 'max pressure 15 and min 5?

Sorry I was so vague about the numbers. The Sleep Center sent the Rx to Apria and I don't have all the number on the RX. It does sound like the Doctor reading the tracing wanted to just change it from 10 to 7 and he referred it to a pressure setting of 7 cmH20 on the report. I'm asking if that would be the same for each different machine. Apria person saw EPAP 10, Min PS 5.0 and Max PS 15 on the S9 and 5 numbers on the RX. Apria is convinced she needs to replace 5 numbers! I get so tired of no one knowing what a VPAP is or what centrals are! Do you think I should deal with a pulmonologist about sleep studies? The Doctor who wrote the Rx did specify the Respironics and I know Apria won't go against that unless the insurance turns it down. I'm so frustrated.

Seajay

seajay wrote:Sorry I was so vague about the numbers. The Sleep Center sent the Rx to Apria and I don't have all the number on the RX. It does sound like the Doctor reading the tracing wanted to just change it from 10 to 7 and he referred it to a pressure setting of 7 cmH20 on the report. I'm asking if that would be the same for each different machine. Apria person saw EPAP 10, Min PS 5.0 and Max PS 15 on the S9 and 5 numbers on the RX. Apria is convinced she needs to replace 5 numbers! I get so tired of no one knowing what a VPAP is or what centrals are! Do you think I should deal with a pulmonologist about sleep studies? The Doctor who wrote the Rx did specify the Respironics and I know Apria won't go against that unless the insurance turns it down. I'm so frustrated.

Seajay

well, without seeing the rx and knowing what they're trying to change, we'd just be guessing.

there are some differences in the settings and the way that the 960 and the adapt work, but they both provide fine treatment.

there are plenty of comparisons here on the forum, I believe the consensus is "meh, they're both good".

if you haven't gotten sleepyhead and read your own data, you need to do that, take charge of your own treatment, nobody else is going to care about it as much as you do.

seajay wrote:Sorry I was so vague about the numbers. The Sleep Center sent the Rx to Apria and I don't have all the number on the RX. It does sound like the Doctor reading the tracing wanted to just change it from 10 to 7 and he referred it to a pressure setting of 7 cmH20 on the report. I'm asking if that would be the same for each different machine. Apria person saw EPAP 10, Min PS 5.0 and Max PS 15 on the S9 and 5 numbers on the RX. Apria is convinced she needs to replace 5 numbers! I get so tired of no one knowing what a VPAP is or what centrals are! Do you think I should deal with a pulmonologist about sleep studies? The Doctor who wrote the Rx did specify the Respironics and I know Apria won't go against that unless the insurance turns it down. I'm so frustrated.

Seajay

the machine is probably an ASV advanced - do you know why they have given you a fixed EPAP setting? It has the capability to titrate itself. Maybe they found it wasn't necessary. but both machines will do the same thing...

Thanks all for your suggestions. I talked to many people and it seems if they do the ASV Titration on a Respironics, you have to us that machine. I just got it last night and had a hard time getting it to start. This morning I tried to troubleshoot it and most of the times it won't come on. I don't think its the blowers. It seems if I press the start button in the exact right place, I can get it to start. I just can't find that spot most of the time. Of course this is Saturday and no one around to fix it. BTW I could have stayed with the ResMed if I had gone back for another sleep study. Remind yourself if you are having a re-titration be sure the Rx spells out the machine you have and want the study done on.

seajay wrote:Thanks all for your suggestions. I talked to many people and it seems if they do the ASV Titration on a Respironics, you have to us that machine. I just got it last night and had a hard time getting it to start. This morning I tried to troubleshoot it and most of the times it won't come on. I don't think its the blowers. It seems if I press the start button in the exact right place, I can get it to start. I just can't find that spot most of the time. Of course this is Saturday and no one around to fix it. BTW I could have stayed with the ResMed if I had gone back for another sleep study. Remind yourself if you are having a re-titration be sure the Rx spells out the machine you have and want the study done on.

respironics machines are a bit finniky. you have to turn the knob to 'therapy' and then press it straight down. it's easy to bump it to one of the other four settings and then have it not start.

that's one more thing I like about the resmeds, separate on off button

I'd have stayed with the resmed, but that's just becase I like them better

good luck!

Two things to try:

1. Take a close look at the display. One of the blocks says Therapy. Turn the control knob until Therapy is highlighted and then press the knob. That should start the machine every time.

2. Or do what I do and get into the setup menu and set the Autostart function to on. That way, the machine will turn on when you mask up and start to breathe.

I think ResMed machine call this function SmartStart.

JDS74 wrote:2. Or do what I do and get into the setup menu and set the Autostart function to on. That way, the machine will turn on when you mask up and start to breathe.

I think ResMed machine call this function SmartStart.

correct. just the one setting on resmed handles both start and stop, vs two settings (with a little less confusing name) on the prs1.

I'm a big fan of the auto start/stop. saves me from having to flail around for the machine

Does the prs1 have an auto stop feature???

photonic wrote:Does the prs1 have an auto stop feature???

The 950/960 manual that I have only shows the Auto On feature...I don't see the Auto Off feature.
They are both present on my 760 (and all the prior models) machine but it isn't shown on the provider manual settings available screen. All I see is Auto On...so maybe it doesn't have Auto Off.
With Auto On..set to "On"...the machine should start on its own after a couple of breaths and there's no need to push a button to start the machine.

photonic wrote:Does the prs1 have an auto stop feature???

the prs1 machines that I've seen have a separate auto start and auto stop setting. so yes. they should be next to each other in the menu. however, pugsy pointed out that in the 960 manual she has, there's no indication of a auto stop... so the 950/960 machines may not offer auto stop... which I find a bit weird, but I trust the pugs.

it's much less responsive (in my experience) than the resmed auto on/off. it usually takes me several breaths to get a respironics machine to start, (older m type and PRS160) and then they run for a good long time before shutting off.

the resmeds usually start on the second breath, and stop within a few seconds of mask off... I prefer that, other folks like the PRS1 style better.

Went diving into the clinician set up menu and indeed there is no auto off feature on this machine. Too bad - might be nice.

photonic wrote:Went diving into the clinician set up menu and indeed there is no auto off feature on this machine. Too bad - might be nice.

bummer. on the other hand, as usual, pugsy is right

Thanks to all. I did set it at auto on and it works much better and no there is no off.

Does anyone know why the card is not collecting any info or what "sleep mapper" means. I read my numbers to an RT and he said they were fine but I like seeing the graphs! SleepyHead
would not download on this Computer as it is a #7 and 64 bit.

Seajay