[Pressure] Got a Bipap Today, What Pressure Should I Use?

[DougalMcGuire]

I was diagnosed with OSA via a watchPAT home test in April and I've been using Apap since May , So 6 months now. I've always felt UARS was a better fit for what I was experiencing and made more sense to me as when I started having problems I was a tall, thin young man which according to Vik Veer is the main Archetype of person who gets UARS.

I was hoping A/Cpap would solve my problems but it made next to no difference. After 6 months of Cervical Collar, Inflatable backpack and pressure titration I've thrown in the towel and ordered a Lowenstein Prisma S25 Bipap and  It arrived today.

I saw in a vid by Lanky Lefty that he recommends his UARS patients start off on Bipap with Ipap 14 and Epap 4.  I tried that earlier just to see what it felt like and it felt a little extreme. It felt like the Air was being absolutely rammed into my lungs at 14. It feels very different than A/Cpap, so maybe I'm just not used to it.  I should also mention that when I was titrating Apap, once I got up to 15cm I started to see Reras really increase and the higher I titrated the worse I started to feel throughout the day, I don't know if that will carry over to bipap.

So yeah, I geuss what I'd like to know is where should I start out pressure-wise with bipap coming from C/Apap?

[OpalRose]

Set EPAP at 5, set Pressure Support at 4. This will give you a minimum inspiration of 9. (EPAP + PS = min. Inspiration)
Set the maximum inspiration at 14. It won't go there unless it's needed.

Show us an OSCAR report after a couple nights. We can adjust from there.