Looking to buy used Redmed Aircurve Vauto for UARS

[gobucks]

Hi everyone I am new here.

I am looking to purchase a gently used Resmed Aircurve Vauto.

It is going to be months before I can get in to see a sleep specialist for an official UARS diagnosis and I can no longer deal with the daytime fatigue.

here is my Watchpat report if anyone is curious: https://imgur.com/a/DbAbWZX

If anyone has any other thoughts or suggestions let me know! I also considered using an online company to get a prescription for like $90 or something. Would I get one with these test results?

Thanks so much!

-John

[Pugsy]

Contact forum member LSAT.

He had an AirCurve 10 VAuto for sale the other day...I can't find it now which usually means it got sold but you can get him to keep an eye for another one.
memberlist.php?mode=viewprofile&u=35445.

Your sleep report....
Overall AHI was 4.6 and that is below the usual criteria for the OSA diagnosis which is probably why you are thinking UARS
BUT...your REM AHI was a little over 15....and that is definitely diagnostic of OSA.
And it's quite common for OSA to worsen in REM. You have OSA at least when in REM.
I doubt that these results will get you a RX for a bilevel machine like the VAuto.
You might try secondwindcpap.com...call them up and speak to Mark who is one of the RT owners of the business...and ask if you could get a bilevel with this sleep study results.

REM dependent OSA does make for an OSA diagnosis...probably not enough to get insurance to pay when the rest of the night isn't diagnostic but you definitely have more than UARS at least in REM.

[gobucks]

Contact forum member LSAT.

He had an AirCurve 10 VAuto for sale the other day...I can't find it now which usually means it got sold but you can get him to keep an eye for another one.
memberlist.php?mode=viewprofile&u=35445.

Your sleep report....
Overall AHI was 4.6 and that is below the usual criteria for the OSA diagnosis which is probably why you are thinking UARS
BUT...your REM AHI was a little over 15....and that is definitely diagnostic of OSA.
And it's quite common for OSA to worsen in REM. You have OSA at least when in REM.
I doubt that these results will get you a RX for a bilevel machine like the VAuto.
You might try secondwindcpap.com...call them up and speak to Mark who is one of the RT owners of the business...and ask if you could get a bilevel with this sleep study results.

REM dependent OSA does make for an OSA diagnosis...probably not enough to get insurance to pay when the rest of the night isn't diagnostic but you definitely have more than UARS at least in REM.

Thanks so much for the reply.

I will send LSAT a message.
I appreciate the insight into my sleep report. I will call up Mark at secondwind CPAP and see what he thinks I can get.
I would like a prescription but honestly all I want is a good night's sleep sooner rather than later, . Ive had unexplained fatigue and daytime sleepiness for quite some time now.
Is there anything that can be done for OSA when in REM specifically?
Is the rest of my sleep study indicative of UARS? I asked on reddit and one person seemed to think so. As I understand it, RDI's can be an indicator of UARS? But RERA's in a real sleep study is the actual indicator? Sorry, I am fairly new to all this. I also realize that the watchpat is not perfect and a real in lab sleep study is the only way to truly tell. It just may take months in order to get into an in lab study.

I am really just wondering how to get the best sleep possible as soon as possible in whatever method possible I suppose and I do not know what that is.

[Julie]

IF you had at least access to an autopap (not nec. Vauto) and you used it for a couple of nights at least, and had any old SD card that you could use with Oscar - the free and fabulous software available here - you could get a really comprehensive picture of your sleep, post it here (graphs, info etc) following the instructions in the download and we'd help you interpret what was going on. What are the chances of that happening?

[gobucks]

IF you had at least access to an autopap (not nec. Vauto) and you used it for a couple of nights at least, and had any old SD card that you could use with Oscar - the free and fabulous software available here - you could get a really comprehensive picture of your sleep, post it here (graphs, info etc) following the instructions in the download and we'd help you interpret what was going on. What are the chances of that happening?

I could probably track one down. I don't think I know anyone to borrow one from temporarily. I imagine I could buy one for a reasonable price and resell it if I don't end up using it after those few nights. Are there any models you recommend that wouldn't break the bank?
Thanks so much for your reply. You all have been very helpful so far.

[Julie]

Well, you can get the card from Walmart or anywhere else, the machine... member LSAT has various ones at various times, you might want to PM him and ask, or Secondwind.com is a great place to find slightly used (and rehabbed) ones at much better prices than new... and they're very reliable and good to deal with. Hard to suggest models just on that basis, but Resmed's Airsense 10 autoset (and the 'for her' model which is NOT just 'for her' but is excellent), or older Resmeds (ask at Secondwind or read honest feedback at Cpap.com on lots) but I'd be a bit leery of the Respironics ones, the Dreamstation, etc. as they can be problematic. The older Resmed S9s are great too, especially if you're 'just testing'. But if you find something and can post here first re compatibility with Oscar, do that so you don't end up with one that won't do the software.

[Pugsy]

Is there anything that can be done for OSA when in REM specifically?

Actually people treat it just like they would if you met diagnosis criteria for non REM sleep stages.....cpap/apap machine of some sort.
Normally REM makes up around 20 % of the night and it's needed and important....Your REM was a little reduced in terms of how much REM you had but that could be from just not sleeping enough in REM because the REM events caused wake ups or arousals that you may or may not remember.

It's really hard to make a diagnosis of UARS from an ordinary sleep report because the subtle changes that go along with UARS that cause the arousals aren't always seen or flagged on the sleep study. We can sort of infer the UARS presence by looking at the RDI but it's not always the gospel or a clear cut diagnosis to make. RERAs are needed to really make one think about UARS.

But....since you for sure have OSA in REM...and the treatment is cpap....if you do have UARS the treatment is also cpap.
Why not just treat the for sure OSA you have and it will take care of the UARS as well? That's what I would be doing if I was in your shoes and I wouldn't worry too much about whether or not I had UARS.
You need the cpap anyway...and if you can get a bilevel machine then that is all the more better because it has more options available to make it easier to deal with the therapy and UARS if you find you need it.

Though the ResMed AirSense 10 AutoSet can be made to act like a limited bilevel machine by using the EPR feature. EPR set to 3 is essentially the same exhale relief as the pressure support setting of 3 on a bilevel machine. Of course a real bilevel will go higher than 3 in terms of pressure support but you might find that you do well with the 3 cm pressure support that the AutoSet offers.

[gobucks]

Well, you can get the card from Walmart or anywhere else, the machine... member LSAT has various ones at various times, you might want to PM him and ask, or Secondwind.com is a great place to find slightly used (and rehabbed) ones at much better prices than new... and they're very reliable and good to deal with. Hard to suggest models just on that basis, but Resmed's Airsense 10 autoset (and the 'for her' model which is NOT just 'for her' but is excellent), or older Resmeds (ask at Secondwind or read honest feedback at Cpap.com on lots) but I'd be a bit leery of the Respironics ones, the Dreamstation, etc. as they can be problematic. The older Resmed S9s are great too, especially if you're 'just testing'. But if you find something and can post here first re compatibility with Oscar, do that so you don't end up with one that won't do the software.

I will keep an eye out for Resmed Airsense 10 autosets or Resmed S9's. Seems like LSAT is the go to guy for machines.
Thanks for your help.