Clarify/ Increasing Epap for snoring /arousal ?

[opo218]

    attached is a night after bipap I still feel sleepy. If 99.5% epap is 5.6 should I increase it to this. epap is currently 5.

Just to gain clarity if I want to limit flow restriction as some one with mild sleep apena / uars will my new setting be 

5.6-6 epap 
4.4-4.8 PS
10-10.4 Ipap

Any issues with this ?

[opo218]

1) Is this conclusion (see bottom) part true about epap and ps in terms of prevent CA?
Comparison of Settings
Option 1: Increased PS to 4.4 cmH2O and EPAP to 5.6 cmH2O

PS: 4.4 cmH2O
EPAP: 5.6 cmH2O
IPAP: 10 cmH2O (PS + EPAP)
Risk: Slightly higher risk of central apneas due to increased PS, which might cause hyperventilation.
Option 2: Increased EPAP to 6 cmH2O and PS at 4 cmH2O

PS: 4 cmH2O
EPAP: 6 cmH2O
IPAP: 10 cmH2O (PS + EPAP)
Risk: Lower risk of central apneas as PS is moderate, and EPAP is increased to keep the airway open.
Conclusion
Option 2 (Increasing EPAP to 6 cmH2O and keeping PS at 4 cmH2O) is likely better for preventing central apneas. This approach maintains a balance between preventing obstructive events with adequate EPAP and minimizing the risk of central apneas by avoiding excessive PS.

[PeaceLoveAndPizza]

Please show the entire OSCAR chart as specified in the wiki. See my signature for the link.

[staceyburke]

Just so you know, using the trigger setting on your AirCurve will help centrals a lot.  Setting to high or very high has taken away all of my centrals.  If you have real large amount of centrals an aircurve is not the right machine, a ASV is the correct one.