Please help with dealing with central apnoeas due to CPAP

[Sleeprider]

Glad to see you stuck it out and didn't make changes. CA events are not only less disruptive, but they are consistently inconsistent. Unless they are at considerably higher levels, the veteran members of the forum are reluctant to try to treat them. You made a good choice, and had better results last night than I did. Don't be frustrated if that fluctuates. Once you have addressed your obstructive events, the key to good therapy is to watch trends rather than individual nights.

[SarcasticDave94]

AHI 0.29! What a difference. Congrats. Now the challenge is to see good numbers again. And the real trick, feeling better for it.

[chen30]

Thank you all! All in time for my exam tomorrow!

[chen30]

Here are my last 2 results.
Feeling really good at the moment.
I am pretty happy with this at the moment.
I am thinking the CA events should just get better by themselves with time.

Is there any adjustment anyone would suggest?

[SarcasticDave94]

I don't have any edits to suggest. Try it a few days and look at the data. Also consider how therapy feels, and see if it keeps going in the right direction for you.

[chen30]

Great! I feel fantastic. I will just keep at this for a week or so and see after that!

[chen30]

Hi all, 
Thanks everyone for their advice!
I have been averaging around AHI 0.8 for the last few weeks. Mostly CAs, few hypopnoea episodes.
I am feeling heaps better, which is great!
Just wondering if there are any suggestions to try and improve things further?
Chen

[Sleeprider]

Your results look great. Pressure is swinging from 9.0 to 15-16 on episodes of flow limitation, and I think an opportunity exists to level things out a bit. I would like to see EPR increased from 1 to 2 to reduce the flow limits, but this may increase CA events. So until you tolerate increased EPR, and that time will come, an increase of minimum pressure to 10.0 and decrease of maximum pressure to 14 should maintain the results you currently have and flatten the pressure swings. With results as good as you have, the objective needs to be comfort. Anything that is not as good for your sleep or comfort, even if I recommend it, should be binned.

[chen30]

Hi Sleeprider,
Thanks again for your advice!
I will change the pressure as you suggested!
Chen