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[Equipment] New to all this need advice
RE: New to all this need advice
Hey it's been awhile, therapy is going good but I still feel like there's room for improvement. Unfortunately CA make up the majority of my AHI now. Here is a pic from last night, I got the new solo nasal mask 3 days ago. EPR is set to 1 just to test if it helps some. Pressure is currently set to steady 11. I woke up a few times last night which is frustrating.

What settings do you suggest changing?


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RE: New to all this need advice
Going to add another couple screens. CA have always been top issue that this machine cannot address and are different every night just like I've read on here they are inconsistent. Are they bad enough to warrant needing an ASV?


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RE: New to all this need advice
With under 2 AHI you're not going to qualify for ASV as a medical need, in fact your AHI is considered normal. We know higher EPR is not an option for you, so I assume any form of bilevel pressure support would do more to stimulate additional CA rather than control it. The zoomed shots suggest that CA is the result of arousal, rather than arousal being the result of CA. I really don't have a good suggestion for this.
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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.
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RE: New to all this need advice
I've had EPR off for awhile and recently(5 days ago) turned it on 1 just to see. Is it better to have it off in my case? 

I'll have nights like this of sleep then boom have a night or two with more CA than these. Thats discouraging if I wouldn't be able to get an asv because looking back at the statistics CA make up the biggest percentage of apneas. Even since getting a cpap, I've felt like a light sleeper. I tend to sleep lighter if I'm working the next day. So something is causing me to wake up at night, and thats triggering them? I just don't feel fully rested like my machine isn't optimized or something.
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RE: New to all this need advice
It's probably that the therapy will be a bit compromised in the avoid Central Apnea setup. I wonder if you'd do better on a VAuto with high trigger? A VAuto being BPAP may be easier to justify if your complaint is heard by the doctor. And by complaint I'm not meaning specifically the CA, but more a generalized not gaining the well rested state you should or could have gotten by your current therapy device.

I'm not indicating the complaint route will guarantee you'll be ok on VAuto or that being on VAuto and high trigger actually addressed your need. However I'd be one to try it.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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