(08-12-2018, 12:43 PM)Sleeprider Wrote: First, with regard to cost, please consider Supplier #2 on our supplier list.  They can sell new "open box" and lightly used machines, and frequently have ST and ASV machines at under $3000.  This company provides reasonable cost international shipping and will service your machine and provide warranty services.

Your sleep study is focused on hypoventilation and aveolar volume, which may make the Lumis 150 ST or  Resmed Aircurve 10 VPAP ST the machine of choice. Nothing in your study cites a problem with central apnea, so we would not choose the CS Pacewave or Aircurve 10 ASV in this case.  If you want to post the chart that shows the titration pressure with events, sleep position, sleep stage, SpO2 and other details, I can probably figure out better what is going on with regard to the hypopnea and AHI reported at 8.  The study seems concerned with a relatively high mask leak rate and its effect on oxygenation.  The titration recommendation is 20 IPAP and 14 EPAP (PS 6.0) and the backup rate was used 26% of the time.   If that backup rate is due to central apnea then the CS Pacewave/ASV is the proper answer,  but the study summary does not give us that information.

The real question of appropriate machine is what happened during the times the machine backup rate was triggered. Did you experience proper full breaths, in which case the ST is the correct machine; or did use of the backup rate result in hypopnea or apnea, in which case the CS Pacewave/ASV would be a better choice.  The reason is that the backup rate on the ST only provides an increase of 6-cm at these settings, while an ASV could provide much higher pressure support as needed up to 15 cm.  ASV can also vary the EPAP pressure so you might be able to use a pressure range for EPAP, instead of a fixed pressure of 14.  It would be useful to know why and EPAP of 14 was selected, and whether you require that EPAP to prevent obstructive apnea or if a range of say 10 to 14 in auto mode (CS Pacewave/ASV) could do better.  You seem to do well with a pressure support of 6.0, but the summary of your study leaves a lot of questions unanswered.

The summary of the sleep test does not provide the details that would be really helpful in assisting you with this decision. If you can make images of the test results, perhaps we can work around the Afrikkans language issues together.  Finally, the study points to "hypoventilation" issues.  Please let me know if you are aware of a reason for hypoventilation such as COPD, asthema, obesity, neuromuscular issue etc.  These conditions clearly take us to the ST option.

(08-12-2018, 01:35 PM)Glamdrhel Wrote:

(08-12-2018, 12:10 PM)Spy Car Wrote: $15,000 USD?

Say what!!!???

Could you fly to the US and carry one home from a place like [/url][url=http://www.apneaboard.com/forums/Thread-CPAP-Supplier-List?pid=31#pid31]Supplier #2? (where you could get one closer to $2500 new and less gently used). Or get one shipped in?


You want a ResmedAircurve 10 CS PaceWave with a climateline pipe. It is the same model we use here as the AirCurve 10 ASV Auto.

Great machine. Those prices are insane. Full DMR retail here is around $5,000.

Bill

Oops ,typo there . Comes from clicking to quick in Google. Real payin is around $4000.
Almost gave myself a heart attack [url=http://www.apneaboard.com/forums/Forum-Main-Apnea-Board-Forum][/url]