07-15-2020, 12:25 PM
RE: VAuto Journey
This is the highest my AHI has been since having my trigger setting on very high and being on VAuto. What does this mean if anything?
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VAuto Journey
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lbl82
Posts: 86 Threads: 13 Joined: Mar 2020
Machine: ResMed Air Sense 10 AutoSet This is the highest my AHI has been since having my trigger setting on very high and being on VAuto. What does this mean if anything? 
Sleeprider
Wiki Editor 
Posts: 28,592 Threads: 88 Joined: Dec 2014
Machine: Resmed Aircurve 10 VAuto
07-15-2020, 04:35 PM
RE: VAuto Journey
We are getting caught between a rock and a hard place with these results because it is a mixed signal of obstructive and central. This simply doesn't fit conventional titration protocols and moves us closer to ASV. To limit obstructive events and minimize pressure variations, let's increase EPAP min to 9.0, and we are going to cap it at EPAP max 10.0 to prevent CA. You are at PS 3.0 and I don't think we can increase that a lot without increasing the CA, but we want to provide support for hypopnea. Let's set PS to 3.2 and see how it goes. All of this points to more of a central problem than obstructive.
Sleeprider
Apnea Board Moderator www.ApneaBoard.com ____________________________________________ Download OSCAR Software Soft Cervical Collar Optimizing Therapy Organize your OSCAR Charts Attaching Files Mask Primer How To Deal With Equipment Supplier INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
lbl82
Posts: 86 Threads: 13 Joined: Mar 2020
Machine: ResMed Air Sense 10 AutoSet
07-16-2020, 12:13 PM
RE: VAuto Journey
Best AHI I've had since being on VAuto. The night before was my worst. The only thing I changed before bed last night was increasing my PS to 3.2. 
SarcasticDave94
Posts: 14,453 Threads: 21 Joined: Mar 2017
Machine: None again
07-16-2020, 01:17 PM
RE: VAuto Journey
The consistently inconsistent CA have disappeared for this sleep session. Let's see what pops up next time. Did comfort improve or otherwise change in any way?
Mask Primer
Positional Apnea INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
lbl82
Posts: 86 Threads: 13 Joined: Mar 2020
Machine: ResMed Air Sense 10 AutoSet
Sleeprider
Wiki Editor
Posts: 28,592 Threads: 88 Joined: Dec 2014
Machine: Resmed Aircurve 10 VAuto
07-18-2020, 02:28 PM
RE: VAuto Journey
Higher pressure support. It looks like your CA has adapted to using the current level. Just start taking it up to 3.6 then 4.0 as needed and tolerated.
Sleeprider
Apnea Board Moderator www.ApneaBoard.com ____________________________________________ Download OSCAR Software Soft Cervical Collar Optimizing Therapy Organize your OSCAR Charts Attaching Files Mask Primer How To Deal With Equipment Supplier INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
lbl82
Posts: 86 Threads: 13 Joined: Mar 2020
Machine: ResMed Air Sense 10 AutoSet
RE: VAuto Journey
What else could I do to try to consistently lower my AHI? It's not bad, but I do notice I feel a little better when it's close to 2.0 or lower. Keep increasing my PS? Or is there anything I can do?
SarcasticDave94
Posts: 14,453 Threads: 21 Joined: Mar 2017
Machine: None again
07-28-2020, 11:11 AM
RE: VAuto Journey
It appears that you've not bumped EPAP from 8 to 9 that was suggested by Sleeprider on 7/15. Had you tried that yet?
Mask Primer
Positional Apnea INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
lbl82
Posts: 86 Threads: 13 Joined: Mar 2020
Machine: ResMed Air Sense 10 AutoSet
07-28-2020, 11:31 AM
RE: VAuto Journey
(07-28-2020, 11:11 AM)SarcasticDave94 Wrote: It appears that you've not bumped EPAP from 8 to 9 that was suggested by Sleeprider on 7/15. Had you tried that yet? I had it at 9 on June 9th. I had an appointment with the NP at my sleep facility and she lowered it to 7. I stayed on 7 on June 10th and 11th. I raised it back to 8 on the 12th and haven't changed it since.
SarcasticDave94
Posts: 14,453 Threads: 21 Joined: Mar 2017
Machine: None again
07-28-2020, 11:39 AM
RE: VAuto Journey
It's possible a bit more EPAP may be needed. See what the others say, but I think the change from 8 to 9 referred to is still valid.
Mask Primer
Positional Apnea INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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