Am i heading in the right direction !

[JoeB13]

Hi everyone, First time poster, really learning alot on this forum and great to use some peoples ideas of late so a big Thankyou to everyone.

I have been on my cpap now for 1 month and trying to get settings right, i just started wearing a soft cervical collar to stop positional apnea, more concerned of my flow limits and making sure my max pressure isnt too high and if that high pressure can cause more apneas ( oa and hyponea ) ?

Any feed back will be great 
Cheers Joe

[JoeB13]

Extra screen shots 

[G. Szabo]

Your max pressure is not too high because you are hitting the ceiling. You have high flow limits which should be addressed by pressure increase. 
 I suggest setting your minimum pressure to 15 and maximum to 18 cm.

[Deborah K.]

Yep, you do need to raise your pressure settings.  With your machine, that's all one can do to try to lower the flow limits.  If that works, then great! If not you may need a different machine.  I went through this much further into my therapy than you, and ended up needing and receiving a ResMed AirCurve 10 Vauto, which I am very happy with.  If the AirSense is not right for you, your doctor should be able to prescribe a Vauto and switch you out with no problem.

Good luck with achieving great therapy and comfort!  

[JoeB13]

Thankyou for the replies 

Last night i increased Min to 10cm and max to 20cm
Still Med of 15.30cm

will increase again tonight to get used to it and monitor for a while but looking like i may need to go the next step of machine !

[Phaleronic]

Hi JoeB13,

With that latest chart I'd raise min pressure to 12cm (you need even higher pressure but that's a big jump with dropping EPR too), keep max at 20cm but drop EPR to 2, the EPR is causing some of the CAs I suspect but you're still having hypopnea events, and your 99.5 percent pressure is 20cm, you likely need bilevel therapy.

[JoeB13]

Hi JoeB13,

With that latest chart I'd raise min pressure to 12cm (you need even higher pressure but that's a big jump with dropping EPR too), keep max at 20cm but drop EPR to 2, the EPR is causing some of the CAs I suspect but you're still having hypopnea events, and your 99.5 percent pressure is 20cm, you likely need bilevel therapy.

Hi Phaleronic

Thanks for taking a look
I have the EPR set to 3cm to help with the flow limit going up and some aerophogia, just put the minimum up to 13cm to test tonight

I'm guessing that some if not all my centrals are treatment driven as it's only been a week of proper usage at decent pressure levels !
How ever I will continue to increase minimum pressure till I can find a level playing field followed by reducing my epr as you suggested

Just never expected to be setting pressures between 13 and 20 !

Maybe a new sleep study is on the cards from my original 26.8ahi score 3 years ago

[Phaleronic]

Hi Phaleronic

Thanks for taking a look
I have the EPR set to 3cm to help with the flow limit going up and some aerophogia, just put the minimum up to 13cm to test tonight

I'm guessing that some if not all my centrals are treatment driven as it's only been a week of proper usage at decent pressure levels !
How ever I will continue to increase minimum pressure till I can find a level playing field followed by reducing my epr as you suggested

Just never expected to be setting pressures between 13 and 20 !

Maybe a new sleep study is on the cards from my original 26.8ahi score 3 years ago

You're welcome JoeB, with aerophagia thrown in to this mix you really do need bilevel treatment-do you have that option with your provider?  If not there are other options to get one quickly!

[quiescence at last]

I wonder if you still have some positional issues that are driving such flow limitations.

can you give us a 12 minute wide plot of the chart dated Aug 29 at 04:10 to 04:22?
(please adjust your y-axis for the flow to -60 thru +60)

It would be helpful to see how flattish the tops and bottoms of the curves are, as a visual indication of flow limitations.

Thank you,

QAL

[JoeB13]

You're welcome JoeB, with aerophagia thrown in to this mix you really do need bilevel treatment-do you have that option with your provider?  If not there are other options to get one quickly!

Not surre if its an option but will ask next appointment with my specialist