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+--- Thread: VAuto Journey (/Thread-VAuto-Journey)
RE: VAuto Journey - lbl82 - 07-15-2020
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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?
RE: VAuto Journey - Sleeprider - 07-15-2020
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.
RE: VAuto Journey - lbl82 - 07-16-2020
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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.
RE: VAuto Journey - SarcasticDave94 - 07-16-2020
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?
RE: VAuto Journey - lbl82 - 07-18-2020
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The last two nights. How do I get these hypopneas down?
RE: VAuto Journey - Sleeprider - 07-18-2020
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.
RE: VAuto Journey - lbl82 - 07-28-2020
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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?
RE: VAuto Journey - SarcasticDave94 - 07-28-2020
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?
RE: VAuto Journey - lbl82 - 07-28-2020
(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.
RE: VAuto Journey - SarcasticDave94 - 07-28-2020
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.