My Data from 10/10/2017

[CZOscar]

[attachment=3896]Last night was my second night of therapy and this is the first posting of data for comments and/or suggestions

Looks like I had major leak issues.

Other than trying to fix leaks - any recommendations would be greatly appreciated.

Thank you!

[Gideon]

Attachments will become lost over time because your allotted space for attachments in limited. We like to see a history, what has worked and what has not worked. Use IMGUR and put the link in your post.  Many of our signatures describe how to do this.

That said about half of your events are Central Apnea/Clear Airway.  Thus I recommend dropping EPR to zero/turning it off.  After this expect additional changes including reducing your max pressure to possibily going with a fixed pressure.  How your body reacts will determine how we go.

Also post a copy of your sleep study results.  Would like to see anything related to Central or Complex Apnea.  Frequently these are not mentioned in the summary data.

Fred

[CZOscar]

Attachments will become lost over time because your allotted space for attachments in limited. We like to see a history, what has worked and what has not worked. Use IMGUR and put the link in your post.  Many of our signatures describe how to do this.

That said about half of your events are Central Apnea/Clear Airway.  Thus I recommend dropping EPR to zero/turning it off.  After this expect additional changes including reducing your max pressure to possibily going with a fixed pressure.  How your body reacts will determine how we go.

Also post a copy of your sleep study results.  Would like to see anything related to Central or Complex Apnea.  Frequently these are not mentioned in the summary data.

Fred

[Sleeprider]

I agree with Fred (bonjour), and further suggest a fixed pressure of 8.0. We want to eliminate the CA events and see if OA is controlled at this pressure.

[PaulaO2]

As an aside, see those leaks with the flat-ish tops? Those are mouth leaks.

[CZOscar]

Set fixed pressure to 8cm
EPR off
Mouth leaks?  Oh oh.  Let see what happens tonight.

Tried to upload my sleep study without luck but here are the key parameters:

Slept 397 min
116 Apnea events, 104 hypopnea
220 Apnea and hypopnea 
91 OA
18 CA
7 mixed
104 hypopnea
AHI 33.3
SaO2 83% was lowest with 2.4 min under 88%

Hope to get both QA & CA down with your help.

Thank you

[CZOscar]

Last night (3 rd night on CPAP)
EPR off
APAP max 8cm min 7.6cm
P10 wearing a chin strap (loose?)
Not getting any closer
Suggestions?

[Sleeprider]

Thanks for trying fixed pressure and no EPR. This approach made no difference for you, so feel free to resume the most comfortable settings you can find. Continue to work on mask leaks, and if we don't see progress after a month, then you will need to begin working with your doctor to obtain ASV therapy. There is still a good chance that after several weeks, you will need events diminish and will begin to get much better therapy. Your event rate is not excessively high, and for now the priority needs to be comfort, and finding a way to beat the leaks. The first-third of the night looks perfect. If we can get that to go the distance, you'll be fine.

[CZOscar]

Thank you

[CZOscar]

Now I'm confused  

changed auto pressure to 6.6 - 10.6 range left everything else as before
wore simple chin strap a bit tighter
I had a rough night with lots of wakeness, and issues with nasal pillow leaks
but AHI looks like best yet.
my AHI since I started on 10/9 are: 23.07, 6.62, 7.94, and last night 1.67


Was it the pressure increase?  Should I try range of 6-11?

I appreciate your help finding optimize settings.