If you need help with it let me know Karen!

mikokuijn agree

@@jamesbruzgis9476 I agree.

Well if you love this boring crap.....I've got news for you!!! I can bore the hell out of you in ALL of my videos!!!

Same thing happens to me, I only hypoventilate some type of nocturnal hypoventilation... Can you give your contact so we can help each other? Thanks

For AVAPS there are height and weight charts that you use as a starting point, then increase the VT as needed. ASV is basically "wide open", then increase the EPAP min if there doesn't seem to be a response to hypopneas or RERAs. Controlling for leak with both modes is critical!!!!

You're welcome Erica

Unless you jailbreak the device with a custom firmware (AirSense 10 can do this, voids warranty), then resmed releases ASV as a different machine, aka: AirSense 10 AutoSet (CPAP / APAP Modes) AirCurve 10 VAuto (CPAP / S / VAuto Modes) AirCurve 10 ASV (CPAP / ASV Modes) AirCurve 10 ST (CPAP / S / ST / T Modes) AirCurve 10 ST-A (CPAP / S / ST / T / PAC / iVAPS Modes)

Simple way to treat Cheyne-Stokes respiration. It's not appropriate for other forms of sleep disordered breathing. ResMed machines do need some titration. PR machines the EPAP min can be adjusted somewhat. The PR ASV is superior (in my opinion) to the ResMed for this reason.

@@Freecpapadvice So you can't use ASV for typical OSA, UARS ? I thought ASV were good for all kinds of sleep disordered breathing not just CSA but doctors didn't prescribe it because of high costs.

With that machine there isn't any "deciding" on the part of the machine. It will do what the settings are. What you are saying would be good for an ASV, but not a Bilevel ST unit. Sounds like you machine may need an adjustment, but it depends on what you are seeing (using OSCAR?) to know what adjustment to make.

I would say that this is outside what would be considered a normal range, but that said.....whatever works for you is all that matters.

Because ASV works breath by breath which can eliminate potential hypopneas an central sleep apnea (CSA) events which are harder to treat with CPAP or even BiPAP. Plus, you could be on a wrong pressure earlier.

Thomas Daly get the F30 ResMed hybrid mask

I think that you're fine to continue using oxygen given your circumstances that you outline. Remember that I am just a lowly sleep tech that often forgets routine aspects of his job and spends most of his day daydreaming. :^) I'm assuming it's something like CHF? Either way, 1.5 ppm is fine just considering your lowest SPO2. The baseline is also just slightly above borderline.

@@Freecpapadvice Thanks so much for answering :)! No it's Left Ventricular Hypertrophy, Diastolic Dysfunction, Hypertension, Occasional Nocturnal Bradycardia and previous Sinus Rythem pauses. I'm 31 years old in really bad health and they think that it is related to Cushing's Syndrome the damage to my heart (Too much Cortisol Hormone in the body) I guess my main concern is that if the 81% was a one time outlier or the pulse oximetry was wrong and if my nocturnal levels go up to 100% on a pulse oximeter with the 1.5lpm can that be dangerous? Or given the fact that it's low flow o2 and my other health conditions are bad merely a good insurance policy because there's been those drops in the past? I do worry a bit too much about thid stuff the one doctor says it will just be a safety net the other doctor says not needed. From the research I've done I think it will be ok, don't think oxygen toxicity is much of a risk at low flow rates. I don't know if the high pressure of the ipap on bi-level makes the oxygen more dangerous doubt it. I feel safer when I use the oxygen and I haven't woken up feeling more unwell than usual or had anything weird happen, I just wish I had definitive guidance from this pair of trainee narcissists 🤣 and the research is so difficult to find specifics on this online. I don't think oxygen toxicity is a risk in thid case and would like to continue adding it to the circuit but I get what you're saying even though when I've got better results 91% is still borderline so the 1.5 is warranted even if the 81% is an outlier given those conditions you still agree with the first doctor? Should be fine? Again non-binding blah blah blah blah, Also don't put yourself down then you're not a lowly sleep tech, it may be different in the US system in the UK techs are the ones that carry out the doctor's orders and have the actual hand-to-hand experience a lot of doctors don't actually deal with the equipment and generally speaking their knowledge is more broad and not as specialised and you seem like an expert to me you're passionate about your job and you put things forward in an entertaining fact your way that is approachable for people with good medical knowledge and people who don't have a clue. I'm just trying the best I can to keep myself alive until they can come up with the treatment to stop the hormones damaging my heart too much. Much Respect, Deuces.

@@abbott790What is your treated AHI? If optimal PAP therapy doesn't control your oxygen saturation while sleeping, supplemental oxygen makes sense and isn't a decision worth being fearful of unless you have a lung disease such as COPD where you may have a small risk of increasing carbon dioxide levels with the supplemental O2. The goal is to use just enough supplemental O2 to reach the goal of never going below 88-92% oxygen saturation. There is zero value in having an O2 sat of 98 or 100%.

@@matty00926 Thanks Matthew I really appreciate that I have no idea what my AHI is the ealth system doesn't provide that over here in the same way. I was aware of those high SATs of around 100 not being essential and completely understand what you're saying, I guess my question after your comment would be if SATS do go up to that level can that be harmful on such low flow rates? Is 100% dangerous? The 1.5 lpm prescribed leaves me hovering about 95%-100%. I can titrate that down to 1 per minute but do I really need to can't get guidance from the doctor it's just a case of there's a prescription get lost see you in a year for your check up I think what I'm really looking for is some reassurance that there's no huge danger if the SATs sitter 100 for a long period of time can you offer that reassurance or I don't like the whole thing's stressful I wish I had Lefty handling it 🤣

@@abbott790 Does your machine use a SD data card to record information, that you give your physician? If so, there is free software called OSCAR that you can download on your computer and upload and analyze your data from the SD card. I'm not a doctor, but if the supplemental oxygen makes you feel better when you wake up, then I would keep using it. I highly doubt such a low flow rate could really have any ill effects, and I believe some of the flow is lost when bled into the mask anyway.

You.......are definitely a BAD dude! Caught up on your vlogs today. Hang in there!

I'm offended. It was a 21 minute video. Did you skip out early?

TheLankyLefty27 its all good. Just joking.

Look....the important point here is that you suffered through the entire video. My videos are like listening to "Stairway to Heaven"....if you start it then you finish it!!! Did you violate LankyLefty27 KZfaq etiquette? :^)

TheLankyLefty27 guilty,lol. Ill have a shot of something pre-video in the future