26 y/o female w/ suspected UARS. OSCAR data help

[slowriter]

If you had a bilevel, the strategy to address the hypopneas (and other breathing disturbances associated with UARS) would be to raise the pressure support.

But you don't have a bilevel.

You could try raising the min pressure a bit and seeing if that has any positive impact?

It's really your only option, save getting a bilevil (with strong recommendation for the Resmed VAuto).

[more02]

Not fond of home sleep study for one.... and a titration would be a good idea. I have to go next month for a split CAPA/bi level titration.

[jimbud]

always open to hearing more opinions. What do you think i should do w/ regards to settings at this point?

I am not one of the experts on here. (and I have the sense to know it)

First thing is get your chart set up properly for the experts to look at.

Like this:

Capture.PNG

I have a Resmed Airsense 10 Autoset so the chart looks a little different. This is the basic layout.
They can then ask for any additional information they might need.

JPB

[sab204]

If you had a bilevel, the strategy to address the hypopneas (and other breathing disturbances associated with UARS) would be to raise the pressure support.

But you don't have a bilevel.

You could try raising the min pressure a bit and seeing if that has any positive impact?

It's really your only option, save getting a bilevil (with strong recommendation for the Resmed VAuto).

thank you. I'll look at the Resmed VAuto bilevel and consider purchasing one. in the meantime i'll up my minimum pressure and post some more graphs soon. I need to learn more about bilevel and why pressure support helps w/ UARS also. Thanks so much!

It sucks being in Canada where we are sort of a the mercy of what our doctors prescribe for tests. In lab sleep studies are almost impossible to get where i live.

[sab204]

always open to hearing more opinions. What do you think i should do w/ regards to settings at this point?

I am not one of the experts on here. (and I have the sense to know it)

First thing is get your chart set up properly for the experts to look at.

JPB

Screen Shot 2020-05-23 at 2.53.11 PM.png (158.73 KiB) Viewed 963 times

hope i did it right. Thanks!

[more02]

You need to have a titration (blood/oxygen concentration) study first before you consider a Bi level machine. The study will determine with Adapitve bilevel adjustments to see whether or not further studies need to be done.

[Dog Slobber]

Hi Sab204,

I understand completely what you're going through, I too had a deviated septum and using CPAP was prohibitive until I had a Septoplasty and Turbinate Reduction. I also understand the lack of options available because of the Canadian Health Care System. I'm in Ontario and was severely let down by the system. What province are you in?

Looking at your charts, I think we can dial it in a little bit to lower your AHI.

Initially, I wouldn't even look at your Central's (CA), they aren't horrible and many of us have a few when we're new. A little bit more pressure should help your Hypopnea's.

Because you're relatively new and have some nasal issues I wouldn't move your minimum pressure up by much. Move it from 6.5 to 7 and see how you do for a few days, we want to see fewer Hypopnea's.

I went to a BiLevel, but did so on my own by buying a used AirCurve. I love it, but don't know if you'll need one.

[Miss Emerita]

Not fond of home sleep study for one.... and a titration would be a good idea. I have to go next month for a split CAPA/bi level titration.

MoreO2, I wonder whether you are thinking of two different kinds of machine. The VAuto is a bilevel machine, meaning that it increases pressure when you inhale. This is equivalent to EPR in a regular Airsense 10 Autoset, but with the capacity to provide larger differentials than the maximum of 3 on the Autoset. This capacity can be especially useful in treating the hypopneas, RERAs, and flow limitations that can be associated with UARS.

Adaptive servo-ventilation (ASV) machines deliver a breath when too long a pause is detected. They would be used for a person who had been diagnosed with central apnea.

[sab204]

Hi Sab204,

I understand completely what you're going through, I too had a deviated septum and using CPAP was prohibitive until I had a Septoplasty and Turbinate Reduction. I also understand the lack of options available because of the Canadian Health Care System. I'm in Ontario and was severely let down by the system. What province are you in?

Looking at your charts, I think we can dial it in a little bit to lower your AHI.

Initially, I wouldn't even look at your Central's (CA), they aren't horrible and many of us have a few when we're new. A little bit more pressure should help your Hypopnea's.

Because you're relatively new and have some nasal issues I wouldn't move your minimum pressure up by much. Move it from 6.5 to 7 and see how you do for a few days, we want to see fewer Hypopnea's.

I went to a BiLevel, but did so on my own by buying a used AirCurve. I love it, but don't know if you'll need one.

Thanks for posting! I'm from Ontario originally but i live in Saskatchewan now. I will move up the min to 7 and give it a while and see how it goes. When you went to bilevel did that end up being quite a bit better for you than apap was? do you feel more rested and energetic now?

[Dog Slobber]

Thanks for posting! I'm from Ontario originally but i live in Saskatchewan now. I will move up the min to 7 and give it a while and see how it goes. When you went to bilevel did that end up being quite a bit better for you than apap was? do you feel more rested and energetic now?

My Apnea was being treated quite well with my AirSense 10 AutoSet for Her. My AHI was well under 1, no complaints. I then found a used BiLevel machine, AirCurve 10 VAuto, with less than 100 hours at an amazing price, $450 CDN ($325 USD).

I decided to buy it and try it out, if I didn't like it, I could easily sell it for over twice what I paid for it.

I loved it, even though I only increased the pressure support by 1 CM over the 3.0 EPR, I was using on my AirSense( Don't worry you'll learn what those terms mean soon enough). The extra pressure support really improved my numbers.

Here's my history:

AHI_history.png

If you look at my AHI, it steadily drops from 3.8 to 0.36 as I get used to CPAP and dial in my settings.

Then when I switched to the AirCurve, I immediately improved to 0.15.

I really like it.

[palerider]

awakening and or arousals.....which central apnea casues,

Central apnea does *NOT* cause 'awakenings and or arousals', (btw, awakenings ARE arousals).

Obstructives do.

[palerider]

by sab204 » Sat May 23, 2020 1:35 pm

hmm okay thank you. do you have nay advice on tuning my cpap settings to help w/ those arousals?

I will give you this advice.

I probably would not be asking for/expecting decent advice from someone with an AHI of 14.7 and a join date of May 23 2020.
They might be more than a little .

JPB

always open to hearing more opinions. What do you think i should do w/ regards to settings at this point?

Raise your minimum pressure to 8.

[palerider]

You need to have a titration (blood/oxygen concentration)

This person obviously has no idea what they're talking about, they've heard buzzwords, but don't know what they mean.

[dbotas]

I have UARS and I’ve been using a BiPAP Resmed air sense 10 with automatic setting tween 4 and 20 for about six years. It’s made all the difference in the world and provides me relaxed, comforting, even sleep that eluded me before

Originally, my sense was my doctors discounted UARS versus obstructive Sleep apnea. Although my sleep study figures qualified, I had to argue a bit for the BiPAP. [url][url][/url][/url]So glad I did.

The machine averages about 7 pressure

fwiw

DB

[jimbud]

by dbotas » Sun May 24, 2020 11:28 am

I have UARS and I’ve been using a BiPAP Resmed air sense 10

There is no such machine.

There is a: https://www.cpap.com/productpage/resmed ... el-machine

And there is a: https://www.cpap.com/productpage/resmed ... t-humidair

But there is no: BiPAP Resmed air sense 10
JPB