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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Fri Nov 20, 2020 1:22 pm

Joined: Mon Nov 16, 2020 11:02 am
Posts: 48

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Also note that sometimes with my nasal congestion it seems harder to work with the machine because of the difficulty with breathing. Get that feeling I'm suffocating.


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DeltaBravo3.8
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Fri Nov 20, 2020 1:24 pm
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Joined: Sat Jul 04, 2020 8:38 am
Posts: 477
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: NIV ResMed Astral 150 soon
Humidifier: To be included with Astral & heated single limb leak circuit
Pressure Setting: Will run iVAPS, ResMed's variant on AVAPS

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On ResMeds, the Ramp does start automatically every machine restart if the Ramp is set to On with time and pressure parameters. I found best results to just go Ramp Off. If you can do so, it removes a variable.

Settings look OK, but what you might want since you indicate suffocating feel, maybe edit EPAP Min to 5.

You be the judge and describe your therapy after usage with an OSCAR chart that looks like my sample, and we can help tweak them to be effective and comfortable. Best wishes on your success.

_________________
Duct tape carrying K9; the tape helps quiet stupid.
Dave K9DWB 73s


https://www.sleepfiles.com/OSCAR
http://www.apneaboard.com/wiki/index.php/OSCAR_Help
http://www.apneaboard.com/wiki/index.php/OSCAR_Chart_Organization


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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Fri Nov 20, 2020 2:39 pm

Joined: Mon Nov 16, 2020 11:02 am
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Thanks. I'll give it a try.


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Respirator99
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Fri Nov 20, 2020 8:59 pm
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Joined: Mon Apr 27, 2020 1:06 am
Posts: 172
Location: Australia
PAP Mask: Resmed Airtouch F20
PAP Machine: Resmed S9 VPAP Adapt
Humidifier: Resmed H5i
Pressure Setting: Min EPAP: 8.0 Max EPAP: 11.0 PS Min: 3.0 PS Max: 8.0

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Steve, your charts are very incomplete and don't present the information in a usable format. Please re-read the instructions: http://www.apneaboard.com/wiki/index.ph ... ganization

We need to see the graphs Pugsy has listed above. You can re-size each individual graph by dragging up and down on its border.

Please turn off that part of the chart (session) showing the afternoon nap. Click down in the left / bottom corner to turn the sessions on and off. Click on the left-most button to turn off the nap session. The rest of your chart will the expand to fill the space which is currently wasted, and let us see what's happening in more detail.

Please look at the statistics area: if you drag its border horizontally, then all the text items which currently take up two lines will only need one. Then we should be able to see your machine settings as well.

This markup should help, but please take another look at the instruction page.


Attachments:
File comment: Chart setup
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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Sat Nov 21, 2020 5:08 am

Joined: Mon Nov 16, 2020 11:02 am
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Ok. Thanks for the directions on turning off the nap option. I think where some confusion might be is for awhile, I wasn't wearing the CPAP all night as I felt worse when I did. I would go to bed say from 10:00pm to 1:00AM without my CPAP and then sleep from 1:00AM to say 4:00AM with it. Either way, I always wake up feeling beat up. As I mentioned, I've never been a great sleeper and usually can't sleep for more than 5-6 hours. This is obviously reflected in my graphs as I think you might think there's missing info. Plus my Lyme Disease causes so much pain it's hard to lay down for longer than this. I usually take a nap around 2:00PM but usually only for 30 minutes.


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Pugsy
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Sat Nov 21, 2020 7:40 am
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Joined: Wed Aug 02, 2017 8:01 pm
Posts: 2144
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirCurve 10 VAuto

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When there are big empty gaps in the graphs the data gets scrunched together and makes it harder to evaluate. So turning off and omitting the short session allows the larger segment expand for review.
ASV data is hard enough to review without having it scrunched together like that. The short session isn't nearly as important as the longer sessions without big gaps.

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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Sun Nov 22, 2020 7:33 am

Joined: Mon Nov 16, 2020 11:02 am
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Here's more graphs. I hope I'm getting closer to what you guys need. Thanks.


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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Sun Nov 22, 2020 7:35 am

Joined: Mon Nov 16, 2020 11:02 am
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One more with left side setting included.


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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Sun Nov 22, 2020 7:44 am

Joined: Mon Nov 16, 2020 11:02 am
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Last two nights, 0.6 (6 1/2 hours) and 0.4 (7 1/4 hours) episodes per hour and I still wake up tired. Using a F30 mask and getting totally dried out. Tube temp is 75 with humidifier set at 7. Headaches and strained and burning chest muscles. Feel like I'm fighting the machine while breathing. Anyone every hear of UARS?


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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Sun Nov 22, 2020 8:31 am

Joined: Mon Nov 16, 2020 11:02 am
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11/21/20 data.


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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Sun Nov 22, 2020 8:38 am

Joined: Mon Nov 16, 2020 11:02 am
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Just started using a F30 and I've noticed since I changed my settings, I seem to be getting many more leaks than in the past. Maybe because of more pressure?


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DeltaBravo3.8
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Sun Nov 22, 2020 1:58 pm
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Joined: Sat Jul 04, 2020 8:38 am
Posts: 477
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: NIV ResMed Astral 150 soon
Humidifier: To be included with Astral & heated single limb leak circuit
Pressure Setting: Will run iVAPS, ResMed's variant on AVAPS

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Was the mask before F30 a full face as well or another type? It's possible the F30 isn't the right choice for you. Your EPAP doesn't go past 8 typically on the left panel stats. Overall, IPAP goes to about 18. I could hit 23-25 with mine with minimal leakage.

I'm on the same ASV and I had good virtually leak free results with a ResMed F20 and ASVAto settings of EPAP 8-13, PS 3-15. Now my new pulmonary doc wanted me on different settings after a sleep study. These are EPAP 4-17 which my ASV can't do so it is EPAP 4-15 and PS 0-10. I am now using a new Fisher & Paykel full face, the Vitera. EXCELLENT! No leaks with very light strap tension. The nearly identical F&P Simplus is a new one for me, given after the sleep study as COVID rules means give to patient of they toss it.

Keep working on the strap adjustments this way: lie back on the bed, PAP/ASV on therapy, hold mask to your face without strapping up, get a good feel for what the tension feels like to hold mask in place and minimize leaks. Now strap on the mask and duplicate the tension from your fingers onto the strap adjustments. It works.

Also your ASV pressures are needing adjusted. It's letting Hypopnea and lots of flow limits in. Yes FL can be addressed on ASV because I did it. EPAP looks like 4-10, but were sometimes 5-10. I'd try EPAP 6-12 and see if it helps address the issue.

Do remember apnea damage and sleep deficit has been building for years, in all likelihood. It doesn't go away in a day or week or month. You must be consistent in therapy and it will pay off.

If you were to just make the chart segments shorter top to bottom, Events, Flow Rate, Pressure, Leak, and Flow Limit will just fit in 1 screenshot, with left panel showing stats. I will add visual to show what I mean.

Attachment:
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_________________
Duct tape carrying K9; the tape helps quiet stupid.
Dave K9DWB 73s


https://www.sleepfiles.com/OSCAR
http://www.apneaboard.com/wiki/index.php/OSCAR_Help
http://www.apneaboard.com/wiki/index.php/OSCAR_Chart_Organization


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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Mon Nov 23, 2020 6:17 am

Joined: Mon Nov 16, 2020 11:02 am
Posts: 48

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Good morning,

I used the F20 full face mask before changing to the F30. My doctor told me the F20 might be too much for me and wanted me to switch to nasal pillows. I told him I had tried the nasal pillows but they were too much for me because of my nasal congestion. The tech from Lincare recommended the F30 as an alternative. I find it harder to sleep with and it seems to dry me out more. So last night I went back to the F20. Not as dried out but more chest pain, especially on my left side and as usual, a headache. Only .02 episodes for 7 hours of sleep. Changed EPAP to 6-12 before going to bed. However, I did feel a little better yesterday afternoon. So maybe we're getting somewhere. I just wish I didn't have to wake up feeling so drained. BTW, thanks so much for your help. It's much appreciated.


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DeltaBravo3.8
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Mon Nov 23, 2020 8:11 am
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Joined: Sat Jul 04, 2020 8:38 am
Posts: 477
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: NIV ResMed Astral 150 soon
Humidifier: To be included with Astral & heated single limb leak circuit
Pressure Setting: Will run iVAPS, ResMed's variant on AVAPS

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I've had a bit of chest discomfort when starting ASV, but 2 things, it's probably just a generic PAP machine and exercising the lungs, chest, etc. thing and secondly it's not a machine or therapy problem.

If you still have trouble with the F20 or F30, consider the F&P masks. I have 2 full face models, Simplus and the similar Vitera. I favor the Vitera, but these are very close to identical. If you get one, go for same sized cushion as your ResMed F20, whichever it is S M L. The sizes seem to be similar between these F20 and Vitera/Simplus that I have.

I have also dealt with the fatigue after waking. I still think most, including you and I, have suffered for some years with apnea by the time it's noticed and diagnosed. This means years of apnea takes time to reverse the damage and sleep deprivation. Stick with it, soon enough you'll begin to notice it. Now it's hard to notice benefits when we're dealing with all the rough spots in the road. In just a short time, both rough spots and apnea negatives will be reduced.

_________________
Duct tape carrying K9; the tape helps quiet stupid.
Dave K9DWB 73s


https://www.sleepfiles.com/OSCAR
http://www.apneaboard.com/wiki/index.php/OSCAR_Help
http://www.apneaboard.com/wiki/index.php/OSCAR_Chart_Organization


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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Mon Nov 23, 2020 10:15 am

Joined: Mon Nov 16, 2020 11:02 am
Posts: 48

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Do you suffer from nasal congestion?


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DeltaBravo3.8
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Mon Nov 23, 2020 11:04 am
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Joined: Sat Jul 04, 2020 8:38 am
Posts: 477
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: NIV ResMed Astral 150 soon
Humidifier: To be included with Astral & heated single limb leak circuit
Pressure Setting: Will run iVAPS, ResMed's variant on AVAPS

Offline
No, not much. I get occasional moderate congestion, but it may be in part due to my COPD. I tend to be a slow, and more shallow breather as well, again probably the COPD.

If you need to consider a nasal spray, I have heard variants of Flonase are very good at helping. There are OTC varieties to choose from that seem to garner good feedback from users.

_________________
Duct tape carrying K9; the tape helps quiet stupid.
Dave K9DWB 73s


https://www.sleepfiles.com/OSCAR
http://www.apneaboard.com/wiki/index.php/OSCAR_Help
http://www.apneaboard.com/wiki/index.php/OSCAR_Chart_Organization


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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Mon Nov 23, 2020 12:58 pm

Joined: Mon Nov 16, 2020 11:02 am
Posts: 48

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I've tried every nasal spray on this planet. Lol. None seem to help. Going to see a sinus specialist next month. Not an ENT, a step up from an ENT.

I was just reading about how certain forms of acid reflux can cause potential problems with CPAP users. I have that too. Had surgery called Nissen Fundoplication years ago to stop the acid from coming up into my esophagus. Someone mentioned the reflux could cause dry mouth for CPAP users. But who knows.


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DeltaBravo3.8
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Mon Nov 23, 2020 3:04 pm
User avatar

Joined: Sat Jul 04, 2020 8:38 am
Posts: 477
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: NIV ResMed Astral 150 soon
Humidifier: To be included with Astral & heated single limb leak circuit
Pressure Setting: Will run iVAPS, ResMed's variant on AVAPS

Offline
I also have acid reflux, a hiatal hernia that was fixed once during bariatric sleeve surgery. It's been acting up again and I'm on Protonix. Occasionally have to eat a few 1000 mg Tums. My ASV doesn't tend to make it worse in most cases. I have to lay down with head somewhat elevated and left side down seems to help too.

_________________
Duct tape carrying K9; the tape helps quiet stupid.
Dave K9DWB 73s


https://www.sleepfiles.com/OSCAR
http://www.apneaboard.com/wiki/index.php/OSCAR_Help
http://www.apneaboard.com/wiki/index.php/OSCAR_Chart_Organization


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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Mon Nov 23, 2020 7:48 pm

Joined: Mon Nov 16, 2020 11:02 am
Posts: 48

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If you're recommending my EPAP be 6-12, what should the PS be? Thanks.


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millssteve21
Unread post  Post subject: Re: ASV Machine IPAP Setting  |  Posted: Tue Nov 24, 2020 5:37 am

Joined: Mon Nov 16, 2020 11:02 am
Posts: 48

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I just noticed your RT is recommending a NIV machine for you. In reading a little about this machine, I see it might be beneficial for people with breathing issues while using other CPAP machines. Any thoughts?


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