08-28-2024, 03:51 PM
RE: Helping Father in Law Get Started on xPAP
If it were me I would:
1. Try reducing pillow height, possibly side sleeping, and trialing a soft cervical collar (in this order) to see if his events reduce. 6 AHI is a bit high still.
2. The next thing to try if the 3 things mentioned above don't reduce his events would be to raise EPAP. Then you would have to possibly adjust PS down maybe a little (since you said he had leaks at higher pressures earlier). I understand. The last ventilator I had went 10/20, and I fought leaks as well at that pressure support.
*But, it is better IMO to be able to tolerate therapy with lower pressure(s) like he has now than have to abandon it altogether because the high pressure can't be tolerated. I used a lower pressure for awhile to gain confidence and sleep time. Then over time slowly inched up the pressure. If his current settings now are the best he can do (the highest he can tolerate), then that is probably the best he can do IMO.
1. Try reducing pillow height, possibly side sleeping, and trialing a soft cervical collar (in this order) to see if his events reduce. 6 AHI is a bit high still.
2. The next thing to try if the 3 things mentioned above don't reduce his events would be to raise EPAP. Then you would have to possibly adjust PS down maybe a little (since you said he had leaks at higher pressures earlier). I understand. The last ventilator I had went 10/20, and I fought leaks as well at that pressure support.
*But, it is better IMO to be able to tolerate therapy with lower pressure(s) like he has now than have to abandon it altogether because the high pressure can't be tolerated. I used a lower pressure for awhile to gain confidence and sleep time. Then over time slowly inched up the pressure. If his current settings now are the best he can do (the highest he can tolerate), then that is probably the best he can do IMO.
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OSCAR Chart Organization
Attaching Files
Advisory Members serve as an "Advisory Committee" to help shape Apnea Board's rules & policies.
Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
