Mask change?

[SarcasticDave94]

On the breathing tempo, you'll want to get settled into bed, ready to mask up, but wait a minute if possible. The ASV uses a rolling 3 minute window of breath rate data. That will be what it attempts to pace you with. So if you mask up with a high rate, it'll attempt to match.

[lonigan]

Update:

I've been on the new machine for a week now and the numbers are great so far. Is the target ventilation something that is set or just part of the treatment algorithm? Just trying to understand a few of the different parts of this new device.

Here's last night. I did not include the events or leaks as they are basically zero and read in the optimizing therapy wiki that the flow limitations are accepted in asv.

   

Still adjusting but so far so good. Still lots of arousals and tossing and turning issues but the breathing seems under control. My daytime drowsiness is quite a bit better also - somewhat tired as opposed to mostly tired during the day. 

I don't know if any tweaking is necessary - minimum pressures ok? I was a little skeptical going into this one because the recommendation for the ASV settings were to target the AHI under 7 or something like that. Right now they're pretty much gone! Now I can work on the PLM issues. May never jump out of bed full of spit and vinegar in the morning but am thankful for the strides made to date.

thanks for the replies

[SarcasticDave94]

Yes, flow limits will be present for must ASV uses, except the real oddball like me. My FL were low on the ASV when I used it.

Your AHI is perfect at zero, so you're free to edit the settings a bit to maximize comfort, if it is necessary.

Target ventilation and other breath parameters about be edited on the ASV, as a therapy setting. Besides pressures, that's all there is. If you have very low Tv, I'm thinking PS may affect it or higher EPAP. The risk is upsetting CA therapy.

[lonigan]

A couple weeks in, breathing chart still looks great to me. sleep quality a little bit better.

   

every night is pretty much the same other than a couple with some positional episodes - probably had the cervical collar too loose and zero leaks. I'm pretty happy with these results and probably not mess with settings and risk upsetting the cart. Aerophagia is there but something I could live with i guess unless there is any sort of health risk with it or it gets too painful.

Hopefully within a couple weeks I can do an update with primary care and review some of the other findings in the sleep study. They reported abnormal sleep architecture with severe sleep state disruptions mostly due to leg movements (plm index 133). almost equal stage 1 & 2, zero stage 3 and around 3% rem(just a few minutes). I think if I can bring down the leg movements those may correct also. I'm trying to read up on RLS and PLMD differences. 

pretty amazing what the right tool can do,