Hal
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Advice on increasing pressure
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08-05-2022, 12:37 PM
RE: Advice on increasing pressure
Got it, Thanks Stacey and Opal for the great information. I use a thin (inch and a half) pillow and a homemade chin rest but it occurs to me that I might be moving my chin around it. Tonight I'll use a full collar (which can be uncomfortably hot) and a pillow that has a "head pocket" to limit movement. Also, I'll include the pressure graph on tomorrow's post.
Hal
08-05-2022, 12:45 PM
RE: Advice on increasing pressure
You'll have to tell me how to see the H and O events. Where are they and what does that mean?
08-05-2022, 01:44 PM
RE: Advice on increasing pressure
In the event flags chart OA and H are shown. You can put your mouse over each event and it shows the number of seconds it lasted
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed Cervical Collar - Dealing w DME - Chart Organizing
08-05-2022, 02:06 PM
(This post was last modified: 08-05-2022, 02:06 PM by staceyburke.)
RE: Advice on increasing pressure
At the bottom of the post (in my signature) is how apnea is classified. OA is the largest apnea which means it cuts down how much air gets through the blockage. Next largest blockage is the H events and finally the Flow Limits are the smallest blockage.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed Cervical Collar - Dealing w DME - Chart Organizing
08-06-2022, 12:50 PM
RE: Advice on increasing pressure
Hi, Stacey and Opal.
I made the suggested changes to the machine: set min to 7, EPR to 3, used a collar, and a cervical pillow that has a shallow area in the center. The increase to 7 min pressure created a challenge to get a good seal but that was resolved by tightening the two rear straps. As expected, the foam collar was hot and it's probably what woke me up around 2:24 am as you'll see on the chart. I'll be looking for a cooler collar and a pillow that permits my head to be lower . I've always preferred a very shallow pillow, about 1 to 1-1/2 inch. Thanks for your help. Hal
08-06-2022, 01:57 PM
RE: Advice on increasing pressure
I don’t think your EPR is set to FULL TIME at 3
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed Cervical Collar - Dealing w DME - Chart Organizing
08-06-2022, 02:02 PM
RE: Advice on increasing pressure
There is a small improvement, but your chart doesn't show the use of EPR. This is what you need to help with Flow Limitation and Hypopnea. Set EPR To 3.
Repost tomorrow.
OpalRose
Apnea Board Administrator www.apneaboard.com _______________________ OSCAR Chart Organization How to Attach Images and Files. OSCAR - The Guide Soft Cervical Collar Optimizing therapy OSCAR supported machines Mask Primer INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
08-06-2022, 06:34 PM
RE: Advice on increasing pressure
Thanks, StaceyBurke and OpalRose. I'll check the settings regarding the EPR and repost tomorrow.
Hal
08-07-2022, 08:39 AM
RE: Advice on increasing pressure
Good Morning StaceyBurke and OpalRose!
I did find that my settings for EPR were probably not correct so I changed it to read as you'll see in the pic. I slept with the same pillow, but I noticed that I had moved around a bit. I'm not thrilled with last nights AHI so I'm looking forward to your comments. Thanks, Hal
08-07-2022, 08:57 AM
RE: Advice on increasing pressure
Not much is going to change without finding a way to stop the positional apnea. Again, you can see those where there are grouped Oa and H events. You still have a ton of them. The collar you are using is not working.
http://www.apneaboard.com/wiki/index.php...cal_Collar
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed Cervical Collar - Dealing w DME - Chart Organizing
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