BIPAP TECSA - How to proceed

[litodorito]

I recently switched from Autoset to Aircurve to reduce residual flow limitations (UARS).

My original CPAP settings were 10.6 with an EPR of 3.0. This did not resolve flow limitations but helped a good amount overall with apnea events.

I started BIPAP last night with the following settings: IPAP:12.0, EPAP:8.0, PS=4. It crushed my obstructive apneas to levels I havent seen before and my flow rate graphs look much better and more rounded. Exactly what I was wanting.

But my central apneas went up to 4 per hour. I want to reduce this as typically with my CPAP it was only about 1.

My question is how to go about this without forfeiting the benefits of resolving flow limitations/apneas but also reducing CA events. Not sure how to adjust IPAP/EPAP/PS to do so.

[SarcasticDave94]

I would try no Ramp and maybe reducing PS to 3. Also worth considering is an increase in Max IPAP from 12 to 14.

[Crimson Nape]

Try changing your "Trigger" setting to High.
- Red

[litodorito]

Typically wouldnt increasing IPAP cause more CA? When I was titrating my CPAP I only ran into issues with CA when I went above around 10 cm h20

[staceyburke]

As Red said the trigger setting will help with CA. You can try high and very high to see which works best.

[HalfAsleep]

@litodorito…Would you mind filling out all the info on your avatar, so it’s easy to see at a glance what you’re using? Thx.

XPAP units seemed to be named without any smidge of imagination, so they all sound the same. May as well be cars. It’s helpful to get the exact name off the unit for your avatar.