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Well, like I said, it's complicated. Respiratory volumes are all about meeting metabolic needs, and individual's needs vary. If your respiratory volume was indicative of hypoventilation at lower pressure, the certainly increasing that volume would be a good thing. On the other hand, if higher pressure simply over-ventilates you, it means things may be out of balance and therefore you feel cloudy or foggy. That's probably a message your body is sending to you that is worth listening to. From a therapeutic point of view, I really don't see the need to crank up the pressure unless that is a respiratory objective.
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.
My sleep doctor prescribed me 11/16 originally and that wasn't working because I was still experiencing a 20+ AHI level every night so they then bumped up my inhale to 12 but that didn't seem to work either for me. I am too wondering if this could possibly help by increasing the pressure and messing with the settings but I am a little scared to do so aha.
Villarst, many individuals have what we call a positional apnea, or apnea that is the result of obstructing the airway by their body position. This is often as simple as chin-tucking. We have a wiki that discusses it and shows examples of what this looks like in Oscar. http://www.apneaboard.com/wiki/index.php...onal_Apnea This is very common, and may have been the reason higher pressure was ineffective at keeping your airway open.
Please start a new thread of your own where we can look at your results and deal with the issues that affect your therapy.
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.
SO I Have been running VAuto with 6-10 and PS 3 over the past week or so. Basically keeping it between 9-10 IP as I was titrated at 9 in the sleep lab.
Is this waxy waving REM or is that showing that my breathing my not be up to par.
I plan on keeping these settings unless suggested otherwise. While I still dont feel great, I am beginning to think making changes everynight wasnt allowing my body to get used to it.
Based on my breathing, should I make any adjustments? This is all last night that is attached.
Your chart shows only 1 hypopnea and 1 OA. These would seem to be positional or in transition. Like you stated, let these settings ride for a while.
I would recommend that you upgrade to OSCAR version 1.4.0 too.
If you wish, you can globally set the graph height to include more graphs in your screenshot. The easy rule-of-thumb is to take the monitor's vertical resolution (usually 1080 pixels for newer ones) and divide the number of graphs you wish to display and add 1 to the number. The "+1" is used to account for the borders and menus. An example would be to show 7 graphs, you would divide the 1080 by 8 and get 135. You then go to File > Preferences > Appearance and enter this value in the Graph Settings > Graph Height setting. In the off chance you have a remainder in your pixel division, either round up or down accordingly. You can always change it again if it doesn't fit your needs.
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.
Fluctuating breathing volumes or periodic breathing pattern is common and generally follows an inbalance in CO2. You had a reduction in respiratory volume at 00:52 followed by recovery breathing or hyperventilation. There is just a little lag between the reduced breathing and consequent increase in CO2 which caused the hyperventilation, which over-corrected the CO2 buildup leading to another reduction in tidal volume for a few breaths. Nothing to worry about. AHI is excellent and the fact your pressure is just cruising along at in a very narrow range means you are probably very close to optimum settings. We know you tend to have more centrals if we over-ventilate with more PS or pressure, so I continue to believe you are where you need to be.
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.
03-17-2023, 05:06 PM (This post was last modified: 03-17-2023, 05:10 PM by supyasieve.)
RE: Bipap Pressure Suggestions
Hi All,
I just cannot seem to get good results. I cursed along at 15/8 Vauto with PS 4 for a few weeks. I didnt feel great, but not terrible.
Recently I am back to waking up with my headaches, brain fog, struggle concentrating all day, almost like I am hungover. I have posted a better night from those settings as well as a night where I tried to add additonal PS.
At this point, I am not sure what to do. I feel like I am slowly dying. Any thoughts would help
Also experience arophegia (sounded it out haha) and remember my dreams at these settings.
Your results at 7.0-16 PS 4 have no obstructive events, so you can reduce minimum EPAP pressure further if you choose. You were previously at 6-10 PS 3, so I don't know where the higher pressures came from. I'll suggest backing down to EPAP min 5.0 to see how it goes, and cap maximum pressure at 10.0 for your aerophagia, and just keep PS 4 for now. You clearly don't need PS 6.0 or higher pressure. Your results are excellent, and perhaps the lower pressure will be more restful. Less range on Vauto can result in less sleep disruption.
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.
(03-17-2023, 06:29 PM)Sleeprider Wrote: Your results at 7.0-16 PS 4 have no obstructive events, so you can reduce minimum EPAP pressure further if you choose. You were previously at 6-10 PS 3, so I don't know where the higher pressures came from. I'll suggest backing down to EPAP min 5.0 to see how it goes, and cap maximum pressure at 10.0 for your aerophagia, and just keep PS 4 for now. You clearly don't need PS 6.0 or higher pressure. Your results are excellent, and perhaps the lower pressure will be more restful. Less range on Vauto can result in less sleep disruption.
Thanks SR,
I bump up the pressure because I was feeling terrible at 6-10 and reading through other posts someone suggest higher pressure helped their Uars.
I was just throwing what i could at the wall to see if it would stick. At first, I did feel better, though admittedly still tired. Now I feel the same as before.
