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Optimizing therapy

294 bytes removed, 19:46, 29 May 2019
APAP Optimization / Titration
There are other specialized PAP machines, BiPAP, BiLevel, ASV etc. that this article is not intending to discuss. Please visit our forums for questions involving these machines.
A recent recommendation on the forum was “Get the auto, request the Resmed Airsense 10 Autoset as the machine you want, and you will be on your way in no time.”
If you do not have an Auto machine as above optimization can be achieved if you have a full data capable machine. For access to the widest range of on-line assistance, your machine should be compatible with SleepyHead OSCAR software, but having full data capability and access to the Vendors software will also work.
If your machine only offers AHI data, while certainly not optimal, treatment can be somewhat optimized by the trial and error method sometimes called educated guesses. Please request help on our forums for this.
**If your Sleep Study shows a lot of Central Apnea, or you have a respiratory disease (CHF, COPD, etc.) please post this info on the forum and ask for advice. This generally indicates the need for a "BiLevel ASV machine. This is a highly specialized and as such expensive machine.
'''Step 3: Download and install Sleepyhead the OSCAR software'''[httphttps://www.sleepfiles.com/SH2OSCAR/ SleepyHead OSCAR download] Once SleepyHead OSCAR is installed on your computer, insert the SD card from your machine into the computer and allow SleepyHead OSCAR to import the data and display your results. There is a very comprehensive tutorial on SleepyHead below Please see the [[OSCAR Help]] page for more information.
[http://www.apneaboard.com/wiki/index.php?title=Beginner%27s_Guide_to_SleepyHead Beginners Guide to SleepyHead]
'''Step 4: Initial Pressure Setting'''
'''Step 5: Upload the Data'''
Create a screenshot of your SleepyHead OSCAR output and upload it to the forum and ask for an evaluation. Please keep all of your posts in a single thread to maintain history.Guidance on downloading, organizing / formatting the SleepyHead OSCAR output, and attaching it can be found below:*[http:[OSCAR Chart Organization]]<br //www.sleepfiles.com/SH2/ Download SleepyHead]> *[httpsPlease note://sleep.tnet.com/resources/sleepyhead/shorganize Organize your SleepyHead charts] Important, not all charts are important*[[Attaching_Images_and_Files_on_Apnea_Board|Image Attachments Attaching Images and Files on Apnea Board]] 
What are we looking for? First we look for anything that may present issues with managing your therapy, This includes any sign of CA, Central Apnea or Complex Apnea. If there are any signs we will proceed cautiously.
 
What is the relationship between your assigned pressure range and your running range? Are you hitting the high number and staying there? Are you sitting on the bottom or low number. The low number, the EPAP provides the support for OA, Obstructive Apnea and Hypopnea.
We are also looking for relationships between Events and the various charts that SleepyHead OSCAR presents.
'''Step 6: Analyze the Data'''
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