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Just wanting some help with my EPR and Pressure settings. I recently switched from 10-14 pressure to 6-10 pressure because it seemed to high.
Have been doing the new pressure for about 3 days, still waking up a lot and not sure if it's do to settings or not.
My EPR has been 3 the entire time I have used the cpap.
The min 8 looked better. I would move it up to 8.5 and try to compare how you feel. Your numbers are good but as you know it is how you feel that is the most important.
The max pressure is set only if you have a chance at run away pressures. Some times we get people who have flow limits that drive up the machine to its max setting and is not doing any good. With those we take down the max but limit it to how much the person needs to stop O and H events.
I suggest EPR 3 full time with everyone. It helps with the pressure to breath out and helps with flow limits. Then we look to see if the centrals are higher by much and if they are to move the EPR down to help with therapy emergent centrals.
Standard pressure is better if you can do it without sleep disturbance. The soft setting just make the pressure go up a little slower.
You didn't include your flow limitation graph, but from the left-hand panel, I would infer you saw a reduction in FLs with the minimum of 8. This may partly have been because with a minimum of 6, you don't get the full benefit of the EPR of 3 until you pressure reaches 7. (EPR drops your pressure when you exhale, and the lowest the machine can go is a pressure of 4.)
Your numbers are so good, though, that the subjective data are more important than the numbers, as staceyburke notes.
The pressure goes up because of flow limits, the EPR will help with that. The highest you got was about 10 so you don't need to set a max but if you want set it at 11.
