[Pressure] Change Pressure on AirCurve 10 VAuto

[_cy_]

as noted in post #29 .. it's coming up on one year usage with 1677 hours, consistently about 1.1 AHI, PS 4, exhaust 6.8, intake 12.2 .. note those are my settings which may or may not be useful for you.

it's more important to understand how I arrived at these settings. before diving into the settings .. you need a copy of the clinical guide. it's worth repeating odds are default settings on A10 Vauto will be surprisingly close, so don't be afraid of starting out with default settings in Vauto mode before fine tuning.

let's assume you will be using Vauto mode since auto pressure titration is a huge advantage vs set pressures. something simple as sleeping on your back vs side could change your pressure needs. same for a clear nose vs a stuffy nose.

you've got choice of full face mask, nasal or pillows .. it's not unusual to try all three before finding out what works for you. don't under estimate the importance of finding a perfect fit .. mask to user interface could make all the difference between tearing that mask off you face or sleeping restfully all night for the first time in quite sometime.

the dirty little secret for cpap/bipap treatment is compliance or more accurately the lack of .. achieving a perfect fit with your mask will go a long ways towards achieving a min of 4 hours usage per night.

[_cy_]

J Clin Sleep Med. 2011 Jun 15; 7(3): 315–316.
doi: 10.5664/JCSM.1086
PMCID: PMC3113974

Which is the Greater Sin? Continuing to Smoke or Non-compliance with CPAP Therapy?
https://www.ncbi.nlm.nih.gov/pmc/articles/PMC3113974/ (full pdf in link)

Non-compliance with continuous positive airway pressure (CPAP) treatment is a concern for physicians. CPAP treatment is tolerated to variable extents, and the compliance rates range from 28% to 84%.1,2 Compliance/adherence with any proposed behavioral change is complex ..

One way to facilitate compliance may be to compare the effects of cigarette smoking with the effects of sleep apnea. Currently, there are no data summarizing the information to make a direct comparison between smoking and untreated obstructive sleep apnea (OSA). We sought data on morality due to smoking and OSA to provide comparative information to assist in the endeavor of CPAP compliance.

When it comes to data on smoking and mortality, multiple studies have shown that among men, smoking shortens lifespan by 7 to 10 years. Strandberg et al.

In contrast, there is a lack of long-term data on life expectancy with untreated OSA. This may be because OSA is a relatively newly described disease, and only a few studies have considered the issue of mortality associated with untreated OSA.4–6 Studies currently available have shown that patients who are undiagnosed, untreated, or non-compliant with OSA treatment tend to have high mortality.5 An Australian study observed that the hazard ratio of early death is 4.4-6.2 for untreated moderate-to-severe sleep apnea (RDI ≥ 15 episodes/h) after controlling for different covariates (age, gender, BMI, smoking status, and total cholesterol level).7

[_cy_]

MedCram videos were instrumental in helping me understand sleep apnea, causes and treatment. Dr. Roger Seheult is board certified for sleep medicine and a slew of other disciplines. MedCram explains clearly very complex topics making it much easier to understand.

[jcoleman]

Very old thread, but your comments on the MedCram videos is interesting. Did you just do the Sleep Apnea ones, or were others helpful? And, six years removed, would you still recommend this as a resource or do you think there are newer/better ones?