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03-18-2021, 10:24 AM (This post was last modified: 03-18-2021, 10:25 AM by SarcasticDave94.
Edit Reason: clarify
)
RE: Any further improvement?
I too see need of higher pressure.
Any pressure guru consideration to maybe a suggestion on a higher trigger to avoid CA? It looks to me as if this is headed towards a see-saw status of Hypopnoea vs centrals complication.
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.
Machine: Resmed Aircurve 10 Vauto Mask Type: Full face mask Mask Make & Model: Resmed Humidifier: Yes CPAP Pressure: unsure CPAP Software: Not using software
I wanted to verify the CA events were not arising out of flow limitation. I mistakenly suggested settings based on an Autoset previously, and Dave jogged my memory that you use a Vauto at very low pressure and pressure support. Currently 4 to 8 with PS 2. Ther e is little doubt that you need a higher pressure, and I don't recall if we moved trigger sensitivity to high in the past, but suspect we did. Did I ever mention EERS?
Edit: I merged this new thread with your previous one. The problem is we lose the history of what has been suggested or tried. Please try to keep therapy questions in one thread.
Reviewing this thread, I have not discussed EERS (enhanced expiratory rebreathing space) and you are dealing with aerophagia at higher pressure. When you first posted, you had pressure up to 16 and PS 4. This resulted in lots of CA and aerophagia. We tried PS 2 at 4 to 9 pressure and your AHI was 2.67, and you cited good results for aerophagia. Results were variable and increased to 5.4. Your latest chart are PS 2 at 4 to 8 and AHI is up just over 7.
I think you did better at a higher pressure, and I want to go to PS 2 at 6.0 to 9.0 pressure. Read the wiki on EERS and see if you feel comfortable with trying this approach to control CA events. http://www.apneaboard.com/wiki/index.php...ace_(EERS)
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.
EERS would be interesting here. Assuming it does well, this could get AHI down to about 3 or so with the numbers on this most recent OSCAR. Could be a winner.
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.
