Father Bipap AutoSV Advanced

[kevrx]

Hello all,

My father was able to get a Resmed ASV and it seems better.  He also got a soft cervical collar that has helped as well.  He has only had a couple of nights with ahi < 2.  Most of the time it is around 7-10.  I am posting a typical night and hoping someone may have a suggestion for making an improvement.  He often complains that the pressure blows his mask off his face. He uses the resmed f30 full face mask.

Thank you,
kevrx

   

[SarcasticDave94]

Forgive any typing errors, I'm on the phone as home internet has dropped for some reason.

Consider trying this edit. Maintain in ASVAuto mode. EPAP Min increase to 7, maybe 8. No other changes, report back with an OSCAR. EPAP min acts like other PAPs in that it's what keeps the airway open. Check soft collar for proper fit.

[Sleeprider]

I agree that a higher EPAP is needed to deal with the obstructive UA events. I suspect your dad may be tucking his chin and that this is giving rise to the events.

[SarcasticDave94]

That's what it appears to be when I look on OSCAR and see clusters of 2 + OA events grouped. It's possible both the collar needs adjusted a bit to keep the chin from dropping behind the collar. Then therapy should benefit from the EPAP Min increase.

[kevrx]

Thank you all,

He changed min epap to 7 and did better, AHI of 5.5.  He is not able to send me his data from the machine for oscar to post.  I did find out that he hasn't had the top strap of his mask on properly so getting that correct may help.  I also asked him to check the fit of his collar.  

Thanks again,
Kevrx

[SarcasticDave94]

OK we'll take positive progress as a good indication.