Sackman101 - Therapy Request

[Sackman101]

Hey Opal
Noted - lets give it another night or two and i'll repost
Cheers

[Sackman101]

Hi Guys,
Given it a few nights.
Please see attached.
I note that AHI is down a bit.
Flow limit still seems a bit erratic? 
Good to see if you would recommend anything futher.
Thanks
Sean

[staceyburke]

I would raise the min by one more. Min 8

[OpalRose]

AHI is down and the 95% flow limitation reading is down.

This is the first time I noticed you're using the Soft response. Try changing that to Standard response. This may help with some of the Apnea getting through.

[Sackman101]

Thanks both
Just to confirm I must do both
Soft to standard and minimum up by 1?

[SarcasticDave94]

Yes those look like good suggestions.

[Sackman101]

Hey All,
Please see results with increased pressure 9 and standard.
Any further tweaks ?
Something I notice in the graph is when the OA happen it seems to be on the pressure dips and hence logic would suggest a further min increase?
Regards
Sean

[staceyburke]

The main difference is that at 8 you had almost a high pressure of 19 but with 9 your high pressure was about 13. So that should be more restful. If you want to try a min of 10 and see how that effects your max pressure, that is fine. The main thing we are looking for is how you feel. Like I said the min 9 LOOKS like it is more restful but only you can tell if you feel better with the increase.

[Sackman101]

Morning - definitely feel better.
Questions - it seems the 19 pressure high was with the min 9 and the 13 pressure was the 8 ? not sure if you mixed that up or I am misunderstanding
Any reason the 95% and 99% pressure highs went up (12/13 - 16/17) when the minimum was increased (8-9)?
Thanks

[staceyburke]

Your max pressure was set to 20 so the lower the high pressure you actually use is for the most part dictated by flow limits. 

FL are apnea just like O and H event they are just not as long in duration. To be classified as an O or H event they must be 10 seconds or longer. If you move your mouse over the event in the event chart there will be a number inside (). That is how many seconds there was blockage. 

Again when the Cpap finds a flow limit the machine raises pressure to stop it from becoming an O or H event.  No real problem unless you have a number of FL one after another. When that happens the machine continues to increase pressure until it hits the max pressure you have set.