from airsense 10 autoset to aircurve10 Vauto (help adjusting)

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Harith
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from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by Harith » Thu Sep 09, 2021 9:11 pm

Hi,

OSA since 2015, on CPAP, been having difficult time lately. changed from dreamstation to resmed airsense 10 a month ago and to the aircurve10 this week.

Last night was my first night using my new aircurve 10 vauto. i went to my hospital when i purchased it and they set IPAP 4, PS6 and asked me to use for 3 days and then advise. the pressure support seem a bit overwhelming but i slept better then when i was using the airsense 10

i would appreciate your advice to adjust my settings
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Last edited by Harith on Fri Sep 10, 2021 10:34 am, edited 1 time in total.
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ChicagoGranny
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Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by ChicagoGranny » Fri Sep 10, 2021 7:34 am

Harith wrote:
Thu Sep 09, 2021 9:11 pm
IPAP 4
Isn't that your EPAP?

What were your settings with the 10 AutoSet? What was the rationale for switching to bi-level?

We could do a lot of guessing, but the right way to do this is to post a screenshot of your OSCAR Daily Details. Seen pinned posts at top of the index page.

Welcome to the forum!

Harith
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Location: Muscat, Oman

Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by Harith » Fri Sep 10, 2021 10:25 am

i added the screen shot

rational for shifting, i tried the cpap and still feel tired and sleepy. been having problems with aythmias. waking up at night at 1-2 am with severe pulpitation and air gasping

this is a screen print of previous night while using the airsense
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screenshot-20210910-203836.png
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Harith
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Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by Harith » Sat Sep 11, 2021 9:20 am

bump
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palerider
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Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by palerider » Sat Sep 11, 2021 2:46 pm

Harith wrote:
Fri Sep 10, 2021 10:25 am
i added the screen shot

rational for shifting, i tried the cpap and still feel tired and sleepy. been having problems with aythmias. waking up at night at 1-2 am with severe pulpitation and air gasping

this is a screen print of previous night while using the airsense
Well, the first thing I'd say to do is turn DOWN the EPR, (which completely negates the primary advantage of a VAuto.)
Get OSCAR and come chat on IRC: #cpaptalk on irc.libera.chat

Accounts to put on the foe list: mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They're often post misleading, timewasting stuff.

Harith
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Location: Muscat, Oman

Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by Harith » Sat Sep 11, 2021 5:42 pm

palerider wrote:
Sat Sep 11, 2021 2:46 pm
Harith wrote:
Fri Sep 10, 2021 10:25 am
i added the screen shot

rational for shifting, i tried the cpap and still feel tired and sleepy. been having problems with aythmias. waking up at night at 1-2 am with severe pulpitation and air gasping

this is a screen print of previous night while using the airsense
Well, the first thing I'd say to do is turn DOWN the EPR, (which completely negates the primary advantage of a VAuto.)
Thank you,

I did that on the airsense 10 and increased the minimum pressure to 7 and max to 16, the EPR is on ramp which is set on auto.

I slept better on these settinngs and attached in the screen shot.

I have times when the flow is strange. i didnt understand what it means. attached a print.
Attachments
screenshot-20210912-034132.png
screenshot-20210912-034132.png (378.61 KiB) Viewed 590 times
screenshot-20210912-033606.png
screenshot-20210912-033606.png (371.44 KiB) Viewed 590 times
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palerider
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Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by palerider » Sat Sep 11, 2021 10:07 pm

Harith wrote:
Sat Sep 11, 2021 5:42 pm
palerider wrote:
Sat Sep 11, 2021 2:46 pm
Harith wrote:
Fri Sep 10, 2021 10:25 am
i added the screen shot

rational for shifting, i tried the cpap and still feel tired and sleepy. been having problems with aythmias. waking up at night at 1-2 am with severe pulpitation and air gasping

this is a screen print of previous night while using the airsense
Well, the first thing I'd say to do is turn DOWN the EPR, (which completely negates the primary advantage of a VAuto.)
Thank you,

I did that on the airsense 10 and increased the minimum pressure to 7 and max to 16, the EPR is on ramp which is set on auto.

I slept better on these settinngs and attached in the screen shot.

I have times when the flow is strange. i didnt understand what it means. attached a print.
What you did, effectively, by increasing the min by 1 and turning off EPR was to raise your min pressure by 2 (which is where I was going, but turning off EPR is a quick and easy way to get someone's pressure bumped.

Your pressure is still too low, but not as much so as before.

I don't recommend that the max be reduced from 20 (or 25 on a bilevel) unless there's a compelling reason to do so, all that lowering it does, in most cases, is prevent the machine from effectively doing it's job if you need more pressure to breathe better.

As to the zoomed in pic, you were having some flow limited breathing, (if you bring in the flow limitation and snore charts, you'll see it) which woke you up, you took a recovery breath, maybe changed position, and then went back to sleep.
Get OSCAR and come chat on IRC: #cpaptalk on irc.libera.chat

Accounts to put on the foe list: mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They're often post misleading, timewasting stuff.

Harith
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Location: Muscat, Oman

Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by Harith » Sun Sep 12, 2021 11:25 am

great.

i will keep the new setting for few nights and post the results here for comparison.

for some reason, i wake up at 1:30-2:00 am with palpitations and feeling of suffocation. i will post prints of these events later.
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palerider
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Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by palerider » Sun Sep 12, 2021 8:17 pm

Harith wrote:
Sun Sep 12, 2021 11:25 am
great.

i will keep the new setting for few nights and post the results here for comparison.

for some reason, i wake up at 1:30-2:00 am with palpitations and feeling of suffocation. i will post prints of these events later.
bump the min pressure up to 8 (I'd go to 9, but if you want to go slow, that's OK) and raise the max to 20.
Get OSCAR and come chat on IRC: #cpaptalk on irc.libera.chat

Accounts to put on the foe list: mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They're often post misleading, timewasting stuff.

Harith
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Joined: Thu Sep 09, 2021 8:18 pm
Location: Muscat, Oman

Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by Harith » Sun Sep 12, 2021 9:01 pm

last night was not a good night of sleep. for some reason i removed the mask during sleep. i need a mask removal alarm to help.

i noticed this pattern of breathing (screen short attached). can some one help me identify it ?

attached the time i remived the mask

and the overall report
Attachments
mask removal time.png
mask removal time.png (362.85 KiB) Viewed 503 times
screenshot-20210913-065233.png
screenshot-20210913-065233.png (366.33 KiB) Viewed 503 times
strange pattern.png
strange pattern.png (371.79 KiB) Viewed 503 times
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palerider
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Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by palerider » Sun Sep 12, 2021 11:07 pm

Harith wrote:
Sun Sep 12, 2021 9:01 pm
last night was not a good night of sleep. for some reason i removed the mask during sleep. i need a mask removal alarm to help.

i noticed this pattern of breathing (screen short attached). can some one help me identify it ?

attached the time i remived the mask

and the overall report
Please pick either the mask pressure or the pressure trace, not both.

As to the last couple of breaths there? you were waking up, nothing to see here, move along.
Get OSCAR and come chat on IRC: #cpaptalk on irc.libera.chat

Accounts to put on the foe list: mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They're often post misleading, timewasting stuff.

Harith
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Location: Muscat, Oman

Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by Harith » Tue Sep 14, 2021 12:23 am

last nights report.

i adjusted the setting to 7.6 - 20
Attachments
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Pugsy
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Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by Pugsy » Tue Sep 14, 2021 7:00 am

You weren't asleep when that CA was flagged .
Mask: Bleep no headgear mask.. https://bleepsleep.com/
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Miss Emerita
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Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by Miss Emerita » Tue Sep 14, 2021 10:44 am

That big breath reflects some kind of arousal. After then next inhalation, you held your breath -- that's the CA. You were probably turning over. We often hold our breath when we exert ourselves.

As Pugsy says, not a fast-asleep CA.
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Oscar software is available at https://www.sleepfiles.com/OSCAR/

Harith
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Re: from airsense 10 autoset to aircurve10 Vauto (help adjusting)

Post by Harith » Wed Sep 15, 2021 9:30 am

i apologize the earlier screen shot was not for the full day. i added the last two nights.

i wake up at night between 2-3 am and i cant sleep for sometime. after making the adjustments to my cpap settings, i dont wake up with breathlessness and pulpitations like before.
Attachments
screenshot-20210915-192817.png
screenshot-20210915-192817.png (410.99 KiB) Viewed 358 times
screenshot-20210915-192642.png
screenshot-20210915-192642.png (417.86 KiB) Viewed 358 times
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