AirSense AutoSet or AirCurve Vauto for OSA?

[ejbpesca]

On my 18th annual visit, my pulmonologist refused to prescribe me an AirCurve Vauto. Both my doctor and respiratory therapist claim a bilevel is only to be prescribed for OSA when lung disease like COPD is present.

What do you think about using a bilevel for simple OSA treatment?

[LSAT]

VAUTO is not needed for basic OSA. Why do you think it's better?

[ejbpesca]

I have read many testimonials from those with basic OSA claiming that switching to bilevel from APAP has improved therapy. I wonder if bilevel may be better by lessening flow limitations as seen on N2 waveforms.

I have been experimenting for six weeks with an AirCurve in Vauto mode using PS 3 as opposed to EPR 3 I use on my AirSense. N2 waveforms have improved, and sleep has been more restorative, but I wonder if the effect of PS 3 is harmful.

[LSAT]

I have read many testimonials from those with basic OSA claiming that switching to bilevel from APAP has improved therapy. I wonder if bilevel may be better by lessening flow limitations as seen on N2 waveforms.

I have been experimenting for six weeks with an AirCurve in Vauto mode using PS 3 as opposed to EPR 3 I use on my AirSense. N2 waveforms have improved, and sleep has been more restorative, but I wonder if the effect of PS 3 is harmful.

Why don't you listen yo your doctors?

[ejbpesca]

After 18 years of APAP use and 18 annual visits to this doctor, I question whether the doctor is aware of benefits a bilevel machine might deliver. The doctor considers all bilevel machines to be ventilators for lung disease. Other doctors prescribe bilevel machines for basic OSA, but those doctors are not available to me. I would get a second doctor's opinion if it were available.

Another reason not to "listen" to the doctor is the many testimonies I've read from those with basic OSA who get better results from a bilevel, specifically the AirCurve Vauto, as opposed to their AirSense APAP.

[Sleepzilla]

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[ejbpesca]

Thank you for the reply SleepZ. I am experimenting with the ResMed Vauto and have no clinician help since they believe the Vauto is only for lung disease, which they believe I do not have. I am guessing at the settings for the Vauto.