Oxygen levels

Chad_ch wrote: ↑

Sat Apr 07, 2018 7:23 pm

I have attached two of them. I was on an auto CPAP for the first 7 months but this last week I asked to have it at a fixed rate to see how it would do. So I have put both on here.

Thanks

I'd try min 10 max 20 and see how that goes.
Then try min 11 and min 12, I don't think you will need 12 going by your charts and I think 10 will be close.

ajack wrote: ↑

Sun Apr 08, 2018 7:02 am

cpap626 wrote: ↑

Sat Apr 07, 2018 5:14 pm

Have you seen what your 02 looks like when the cpap is not in use? My cpap actually was causing which I think was central apneas and made my 02 level worse. I am curious what most peoples 02 levals are throughout the night when they are using the cpap machine. How many AHI did you machine say you had?

Here are some of my charts. The first one was with me not using cpap machine. the second chart was with me using a cpap for the rest of the night. Notice how the 02 dropped so much with the machine.

Your signature says you have an ASV. It isn't set up right, is my guess. Are you under the care of a doctor?

He just got the S9 Adapt and for right now trying to use in CPAP mode and learn to even sleep with cpap.
His OSA diagnosis was mild OSA from a home study that was questionable because of not much sleep.
He originally got a non data S9 Escape but his O2 levels dropped more with cpap than without.
Got a chance to get a good deal on a full data machine...just happened to be the Adapt but we knew it could be used in cpap mode.
Right now not even able to sleep with it and it's worse in ASV mode...and all that stuff...to be able to evaluate anything.
Insurance or doctors not involved at the present time. Kaiser is his insurance and will be changing insurance in July and at that time the plan is a new sleep doctor and a real in lab sleep study.

Kaiser doesn't do in lab anything unless all other options have been tried and failed.

Pugsy wrote: ↑

Sun Apr 08, 2018 7:24 am

ajack wrote: ↑

Sun Apr 08, 2018 7:02 am

cpap626 wrote: ↑

Sat Apr 07, 2018 5:14 pm

Have you seen what your 02 looks like when the cpap is not in use? My cpap actually was causing which I think was central apneas and made my 02 level worse. I am curious what most peoples 02 levals are throughout the night when they are using the cpap machine. How many AHI did you machine say you had?

Here are some of my charts. The first one was with me not using cpap machine. the second chart was with me using a cpap for the rest of the night. Notice how the 02 dropped so much with the machine.

Your signature says you have an ASV. It isn't set up right, is my guess. Are you under the care of a doctor?

He just got the S9 Adapt and for right now trying to use in CPAP mode and learn to even sleep with cpap.
His OSA diagnosis was mild OSA from a home study that was questionable because of not much sleep.
He originally got a non data S9 Escape but his O2 levels dropped more with cpap than without.
Got a chance to get a good deal on a full data machine...just happened to be the Adapt but we knew it could be used in cpap mode.
Right now not even able to sleep with it and it's worse in ASV mode...and all that stuff...to be able to evaluate anything.
Insurance or doctors not involved at the present time. Kaiser is his insurance and will be changing insurance in July and at that time the plan is a new sleep doctor and a real in lab sleep study.

Kaiser doesn't do in lab anything unless all other options have been tried and failed.

As you would know, the ASV mode can be choked down and used as an apap, with limited pressure. I couldn't find a thread. Is someone helping on a PM, or I missed it? I think open forums are better and ask anyone who sends me a PM to post a thread on the forum and I will answer. There is enough bad advice going around, even from some with large post counts. To show why PM advice can end in tears.

ajack wrote: ↑

Sun Apr 08, 2018 8:02 am

As you would know, the ASV mode can be choked down and used as an apap, with limited pressure. I couldn't find a thread. Is someone helping on a PM, or I missed it? I think open forums are better and ask anyone who sends me a PM to post a thread on the forum and I will answer. There is enough bad advice going around, even from some with large post counts. To show why PM advice can end in tears.

Yes, I know ASV can be dumbed down and function more or less like APAP except he has the 36007 model and it can't be dumbed down as much as the Auto ASV model can. Bummer but a fact of life.

And as soon as he has any asleep data to post...he will post it if he wants to but it's useless until he actually can get more than 20 minutes of sleep. That's up to him though....and maybe he doesn't want to go public...and maybe, just maybe someone with a high post count might actually have some years experience with that model machine and maybe, just maybe...won't be giving bad advice.

I wouldn't, but lets hope it works out for him. From memory and I'd have to check, I think the cpap mode in ASV doesn't have EPR?
He may be better off with ASV fixed epap and a bit of PS if he is having pressure issues. epap4 psmin 1.8 psmax 2 for a start

ajack wrote: ↑

Sun Apr 08, 2018 10:20 am

I wouldn't, but lets hope it works out for him. From memory and I'd have to check, I think the cpap mode in ASV doesn't have EPR?
He may be better off with ASV fixed epap and a bit of PS if he is having pressure issues. epap4 psmin 1.8 psmax 2 for a start

EPAP can't be fixed on this model and PS max won't go below 5 and PS min won't go below 3.
Right now the pressure changes are causing more disruptions than fixed CPAP is causing. So the lack of EPR doesn't really matter...he doesn't seem to care for the difference because he's having difficulty with it just being different.
You don't get the same options in ASV mode with the 36007 that you do with even the 36037. It sucks but it is what it is.
I had 3 years or more with this very same 36007 model in ASV mode. I know this machine inside and out.

He really, really, really needs an in lab sleep study because of desats and the questionable home study.
That's a certainty on the books as soon as insurance can be changed to something where he can get what he needs.
Kaiser won't do it.

I am not even so sure he has OSA. At the top of the list....a real sleep lab sleep study for both diagnosis and treatment if needed.
That is NOT going to be bypassed. What is going on with this guy just doesn't make logical sense.

He just got the machine....like maybe Thurs or Friday last week.
It's a lot to ask someone who never ever used cpap to go straight to ASV...heck it's hard enough for cpap veterans sometimes.
He wasn't able to sleep with the Escape either.

Given his o2 levels are okayish without cpap and they don't drop to the gutter. It's not critical he uses a cpap. He still needs to get use to the pressure, so he can be titrated, if the second sleep study confirms OSA. That too can be done later.

Even though you had the machine. I think you have forgotten you had to manually adjust the epap for the OA. Or you may have just left it on epap5, probably also the default out of the box? It would have had a manual adjustment up to epap 15cm
Do you have old sleepyhead charts, I think you will find the epap stayed the same.

I think you will find it is the auto asv that has the variable epap and PS, the asv nonauto has a fixed epap and variable PS. I haven't used nonauto asv to confirm this. It does make sense though or both modes would work the same way. I'm sure enough not to go through the exercise.
I just had a look at my 36037A, in nonauto asv mode I can dial epap4 and min ps0 and the lowest max PS of 5, I do now recall that when I was looking, the older model had different minimums, I thought it was just on PS and both epap went to 4? it was talked about on apneaboard. I know I was careful to get the right model number.

so epap5 PS3-5 is the pressure it seems he would most likely get. I'd give it a try and find out if he likes it better than fixed cpap There is very little breathing effort with 5/PS5. Either way, he has to keep the mask on when he lying down or it will take a long time to get use to it. Exhaustion after a couple of nights of waking up every 90 minutes, makes for getting use to the pressure in a hurry and sleeping for longer at a time. I got use to pressure in a week, it was the leaks that were waking me up, till a mask that fitted. It took about 2-3 months to fully adjust to cpap. I was running 15-20 on apap

ajack wrote: ↑

Sun Apr 08, 2018 12:17 pm

Given his o2 levels are okayish without cpap and they don't drop to the gutter. It's not critical he uses a cpap. He still needs to get use to the pressure, so he can be titrated, if the second sleep study confirms OSA. That too can be done later.

Even though you had the machine. I think you have forgotten you had to manually adjust the epap for the OA. Or you may have just left it on epap5, probably also the default out of the box? It would have had a manual adjustment up to epap 15cm
Do you have old sleepyhead charts, I think you will find the epap stayed the same.

I think you will find it is the auto asv that has the variable epap and PS, the asv nonauto has a fixed epap and variable PS. I haven't used nonauto asv to confirm this. It does make sense though or both modes would work the same way. I'm sure enough not to go through the exercise.
I just had a look at my 36037A, in nonauto asv mode I can dial epap4 and min ps0 and the lowest max PS of 5, I do now recall that when I was looking, the older model had different minimums, I thought it was just on PS and both epap went to 4?

so epap5 PS3-5 is the pressure it seems he would most likely get. I'd give it a try and find out if he likes it better than fixed cpap. Either way, he has to keep the mask on when he lying down or it will take a long time to get use to it. Exhaustion after a couple of nights of waking up every 90 minutes, makes for getting use to the pressure in a hurry and sleeping for longer at a time. I got use to pressure in a week, it was the leaks that were waking me up, till a mask that fitted. It took about 2-3 months to fully adjust to cpap. I was running 15-20 on apap

Geez....will you quit telling me what you think I don't know. Please... I really do have a decent understanding of all of this.
Jesus Christ what part of I used the 36007 machine for 3 years and now even have the 36037 in my hot little hands can you not grasp???

In non auto ASV mode he can't do what we can do in that same mode with the 36007.
We already tried it...won't work. Regular ASV mode (non auto) on the 36007 model is more restricted in the choices.
And I already had him try min PS of 3 and max PS of 5 with EPAP at several settings...4, 5, 6 and 7 and he simply couldn't get comfortable enough with it to sleep.
I was so hoping I was wrong with remembering the restrictions of the 36007 ASV mode...because of what we can do in non auto mode on the 36037 but it wasn't in the cards. His machine won't do what ours will in non auto mode. Bummer but fact of life.

And yeah...might surprise you but I do know that EPAP minimum needs to be where it can take care of the obstructive stuff and no...when I used it I didn't use the 4 or 5 minimum EPAP defaults....I had to set EPAP minimum up to take care of the obstructive stuff.
I really do understand this stuff...

I tell you what...I will ask him to contact you if he has a problem with my advice. Otherwise...can you please stop mucking up things?

you only had one epap setting and it had to be manually adjusted between 4/5 (not sure of the min) and 15, how is that for not being direct enough. I was trying not to be dogmatic with the I think. again, this is a good example why PM isn't a good idea and how mistakes are made.

ajack wrote: ↑

Sun Apr 08, 2018 12:36 pm

you only had one epap setting and it had to be manually adjusted between 4/5 and 15, how is that for not being direct enough.

OMG...
I know exactly what settings are available on both the 36007 in it's only available non auto ASV mode and the big brother 36037 in both non auto ASV mode and ASV mode.

And obviously you don't think I know what I know...but what you think doesn't really matter.
And back on my Foe list you go because all you want to do is nit pick and argue and tell me what I don't know so you can feel superior or whatever your reason is.

You are a waste of my time.

My apologies to Chad the OP in this thread for derailing it.
Won't happen anymore.
Please forgive me.
I am sorry but I didn't respond to you because I had nothing new to add that wasn't already mentioned.

Sorry for causing all the confusion on the board and getting everyone involved. Thanks Pugsy for trying to clear things up for me situation. I have been trying to use the the machine in cpap mode as I find it easier to use than the AVS setting.

Yes, I am really having a tough time keeping the mask on when I am sleeping and sticking with it. The most I can sleep with it is about an hour or two but then feel like I have to take it off. I know my sleepyhead reports are not good because I am usually not fully asleep so I am making it difficult for the member so help me (My fault). On my machine the min PS is 3 and the min max pressure setting is 8 and I cannot got below that even If I am at 4epap.

Last night I tried to use it in AVS Mode with an EPAP of 4 with min ps of 3 and max of 10. I could only sleep for about 2 hours and probably didn't get fully to sleep and my 02 levels went down more than without the avs unit. The first one is my 02 level with the avs on, when I get time to upload my sleepyhead I will, most of the time the pressure was up at 14 cm. but it even did this when I was awake. Boy do my lungs hurt today....

try EPAP of 4 with min ps of 3 and max of 5.
That should feel ok, you can try it awake.

can you confirm that the epap stays at 4 all night. On the sleepyhead charts you have used asv on, please.

On my machine the lowest the max pressure goes to is 8 I was hoping it would go down more but that is how the machine was. It started going from 4-8, then once I went to sleep for a little bit, only about and hour. So the SH report probably isnt too good. I need to get better at trying to get to sleep and staying alseep with it on.

How about we take cpap626 posts and discussion to his (cpap626) thread and not continue to hijack Chad's thread???