Respiratory Wave Form correction, Bilevel vs EPR advantages - OSCAR data UK user

Rubicon wrote: ↑

Sun Oct 15, 2023 4:25 am

Egg Yolkeo wrote: ↑

Sun Oct 15, 2023 3:03 am

As I understood Resmed consider Scoliosis a restrictive lung disease which iVAPS can be used for.

Scoliosis may cause restrictive lung disease. You can't tell what the degree of restriction and/or obstruction is w/o a PFT (and in some cases, ABG).

Specifically, ResMed states:

iVAPS is suitable for adults with respiratory insufficiency

Thanks for sharing the criteria and its very true I cant tell what the degree is. I know his ability to inhale and exhale is very short, he simply cannot make either a slow long inhalation nor significantly expand or "puff his chest out" Hopefully once he has had his appointment further information will be yielded.

One other question regarding the Lumis Unit, does it record flow limitations?

The option is ticked to flag events and also under graph and waveforms, but there is nothing shown for either, when looking at the event table or the flow rate graph?

I wanted to write an update. The assesment from the respiratory physiotherapist advised there is some mild chest restriction but not something that concerned her significantly. Physiotherapy exercises and breathing exercises have been provided. A PFT has been requested.
I also purchased an 02 ring, although not been able to use it much yet, but on the two nights he did use, levels were normal.

In the meantime, as suggested earlier in the thread, I ended up purchasing a second hand Aircurve 10 Vauto. After some trial and error, I have managed to get the unit working to point where he is getting some nights with very few events and for the first time ever a night with 0.0 events.

At the moment his Spont Cycle figure is about 60% and I was wondering if the Timax settings should be adjusted.

Ti Min - 1.0 - Adjusted based on Resmed "restrictive" recommendations
Ti Max - 2.0 (Default)
Trigger sensitivity - Very High - Adjusted based on Resmed "restrictive" recommendations
Cycle sensitivity - Medium (Default)

Over a 17 day period his respiration rate Med figure works out at 14, over the past 4 days its 13.45.