Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.
Login or Create an Account
Greetings,
I continue to have poor sleep quality. I've tried adjusting pressure +/- EPR, I tape my mouth at night, and wear a collar. I also mostly side sleep. At low pressure I experience mostly hypopnea and at higher pressure CAs + aerophagia. The aerophagia wakes me up and keeps me up all night. Pressure above 8 causes it. I' not sure what to do next. I have an appt with a pulmonologist at the end of the month but until then, want to dial in the settings for improvement. Any suggestions? Thanks!
Machine: Lowenstein Luisa Mask Type: Full face mask Mask Make & Model: Resmed Quattro FX Humidifier: separate F&P humidifier CPAP Pressure: Epap 4-20 PS 4-20; "auto" rate CPAP Software: Not using software
Other Comments: Using 45 degree angle upper body wedge (36"x36") and 4.5"soft cervical collar; 500 assured tidal vol
When I first saw your charts I thought that you might have complex apnea (a combination of OSA and CSA). The best you can probably do right now is to try to optimize this current machine as best as possible and see if the results are good enough for you. You have tried many things already (great job).
If you get this machine optimized and it is not adequate therapy for you, there is a bilevel still to try; and even a machine like an ASV that is a bilevel and has a back up rate to combat both obstructive apnea and central apneas.
If anyone else sees any adjustments that could help, please post.
Advisory Members serve as an "Advisory Committee" to help shape Apnea Board's rules & policies.
Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
Yesterday, 12:10 PM (This post was last modified: Yesterday, 12:11 PM by SarcasticDave94.
Edit Reason: Edit
)
RE: NoCaffAfter4 - Therapy assistance
Looks like there's some Positional Apnea clustering going on. You may want to read the wiki about it.
Flow limits chart has the shaggy grass look, so you will have to consider addressing via either by activating EPR or getting bilevel VAuto. The issue is this will likely increase CA.
If the CA were high during the sleep study, then maybe even ASV is a consideration.
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.
