New User Seeking Advice - Thanks!

[Gideon]

You have a PR machine which is slower to respond, it does a great job, it just responds slower.  The general goal is to narrow the pressure that it needs to respond to, thus raising the minimum. Your pressure chart looks almost like a straight CPAP at 4.5 cm with Hyponeas causing your AHI to rise.  

The goal is to raise the min and greatly reduce the Hyponeas.  Take it in smaller steps if you like, but I would definitely raise it.  If 6 totally eliminated them I would back down as slowly as I could.

[DBoone37]

It shouldn't hurt anything to bump it up to 6. That having been said I usually get a week or two of data between tweaks because each night can be so different.

For me, any setting below 10 feels like I'm starving for air but that may be because I've been over that for so long.

[WantoSleep]

Thanks, Bonjour - will give it a try!

WantoSleep

[WantoSleep]

Hi all,

I seem to be making progress, but I still have high Hypopneas and some RERA. I did increase the minimum pressure to 5.0 (from 4.0) and reduced the max to 12.0 (from 15.0). I've now been using the APAP for 3 weeks. Is my 95% pressure of 6.0 and high of 6.5 normal? What does that mean?

Data attached.

Thanks!

WantoSleep

[attachment=3489]

[Crimson Nape]

Is my 95% pressure of 6.0 and high of 6.5 normal? What does that mean?

The 95% @ 6.0cm means that your pressure was at this value or lower during 95% your sleep session. The 6.5cm is the highest pressure recorded during the same session.  P-R machines respond a little slower to the type of apneas shown on your chart.  To overcome this pressure latency I would recommend increasing your lower pressure to 6.0.

That should put you in the "Sweet Spot".

[chill]

With an AHI of 2.18, you don't have a high anything!  Bumping your minimum up to 5.5 should reduce this a bit more.  You are never going to consistently get to zero, none of us do.  If you can get it under one most nights, that is doing really well.