RE: Change in pressure, improvement?
Switching from CPAP to APAP levers the technology of having an APAP. I use CPAP when I travel (different machine) set to the observed values from APAP.
5 or 6 as constant pressure seems mighty low. I'd go to the same suggested range 7-15, with EPR of 3 and turn off ramping. Let it start at 7 off the bat so you're not wondering where the air is for half an hour.
I'd share your lack of confidence with treatment AHI of 8 and 9.
RE: Change in pressure, improvement?
Thank you!
RE: Change in pressure, improvement?
Last night's data look better than those with pressure of 6. I'm unclear what's going on around 5:00 but am probably waking up. Based upon the image, do you suggest setting the pressure at 10.7, adjust something else, or go with the EPAP value?
Thank you!
RE: Change in pressure, improvement?
That cluster near the end, is that where you thought you're beginning to wake?
I'm inclined to say zero edits to give a second night at this setup to try and map a trend. CA increased but likely that possible SWJ (Sleep Wake Junk) area accounts for it. If you can suffer through it that may be better in the long to go as is 1 more session.
If it goes off badly, might have to decrease EPR to 1.
This chart, Max pressure was just shy of 11.
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.
RE: Change in pressure, improvement?
NoCaffAfter4, with your hypopneas and obstructive apnea events I'd turn EPR off for tonight.
RE: Change in pressure, improvement?
Thank you. I think that the later events are around awakening time. I'll sleep with the same settings tonight, as you suggest, and provide an update later. Thanks so much!
RE: Change in pressure, improvement?
We can revisit tomorrow if you want. 2 days of this will be something for you to act on. You're probably going to be closer to static than now, as in a small range. The pressure seemed to change but a little.
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.
RE: Change in pressure, improvement?
Thanks, I'll give that a shot tonight leaving the range at 7-15.
RE: Change in pressure, improvement?
I slept very well last night! I was concerned that the lack of EPR would be difficult to tolerate, but I had no problems. Based upon this data, do you think I should continue to use a pressure range of 7-15 or begin settling in on a single value?
Thank you!
08-04-2024, 09:32 AM
(This post was last modified: 08-04-2024, 12:03 PM by Nightynite.)
RE: Change in pressure, improvement?
Look at your flow limits. EPR can reduce those. Try 1 for a few night and then 2 if need be.
On the 95% I always shoot for .03 or lower. Higher is a disturbing night for me. We need to find what works for us as an individual. So track your changes and data.
If your chart was mine. I would be at 8 min. 12 max. Epr. I would test at 1 and move to 2 if it wasn’t below .04. all changes I give 3 days before another adjustment.
