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I think keep your pressure at 9.0 for now and if we add more EPR there is a good chance we will increase the minimum to offset it, or have you look at your head/neck position as it looks like your apnea events are clustered. Avoid high pillows or sleeping in a way that encourages chin-tucking.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Machine: Resmed Airsense 10 Mask Type: Full face mask Mask Make & Model: Fisher and Paykel Simplus Humidifier: unsure CPAP Pressure: Unsure CPAP Software: OSCAR
I have been going to sleep on my side with my head raised up but I'll wake up in the middle of the night on my back. Maybe I'll try using my sleep backpack again to keep myself from waking up on my back. It works but I stopped using it awhile back. Maybe now that I have a good cervical collar I'll see some progress.
Machine: Resmed Airsense 10 Mask Type: Full face mask Mask Make & Model: Fisher and Paykel Simplus Humidifier: unsure CPAP Pressure: Unsure CPAP Software: OSCAR
Here are last night's results. Everything seems okay until the end where I got a lot of clusters. I slept with a cervical collar and a sleep backpack to prevent sleeping on my back and stay on my sides. The pillow I use is pretty flat, too. I sleep with one arm down on my side and the other kind of like I'm pointing down to my feet. I don't know what the best position for arms are...
Machine: Resmed Airsense 10 Mask Type: Full face mask Mask Make & Model: Fisher and Paykel Simplus Humidifier: unsure CPAP Pressure: Unsure CPAP Software: OSCAR
I hope this isn't frowned upon but I decided to try a little experiment last night. I set up some pillows and slept sitting upright to see how I would do. I slept comfortably but I still woke up a few times as usual. I checked my results just now and I think these might be the best results I've had. Would it be best to continue sleeping this way?
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
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.
Machine: Resmed Airsense 10 Mask Type: Full face mask Mask Make & Model: Fisher and Paykel Simplus Humidifier: unsure CPAP Pressure: Unsure CPAP Software: OSCAR
It's been awhile since I've posted here. I've been trying to research and learn more about how these things work. I think I've got my flow limits taken care of, but I'm still having lots of obstructions. I've been sleeping in a sitting position but maybe I end up slumping down a little or maybe I need more pressure?? It's hard to tell. Maybe fixed pressure would be best? I'm still wearing a cervical collar too.
It appears you do much better when you used higher pressure.
Your chart from 2/21 showed decent results. Pressure 10-15 (No EPR) AHI .91, Obstructives .65 Looks like high Flow Limitations, but can't see the numbers on the graph.
Your chart for 3/20, Pressure 7-15, EPR 3 Flow Limitation?
I would like to keep the FL down, but at the same time keep Obstructives low.
Use the pressure from the 2/21 chart. Min 10 - Max 15. But add in some EPR.
Try EPR 2.
Stay with this a few days and repost. Try to resist changing pressure so much.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Machine: Resmed Airsense 10 Mask Type: Full face mask Mask Make & Model: Fisher and Paykel Simplus Humidifier: unsure CPAP Pressure: Unsure CPAP Software: OSCAR
Machine: Resmed Airsense 10 Mask Type: Full face mask Mask Make & Model: Fisher and Paykel Simplus Humidifier: unsure CPAP Pressure: Unsure CPAP Software: OSCAR
Here are my charts for the past 2 nights. Even with my sitting position I'm not getting very good results... So I'm guessing l need either a higher pressure or higher EPR.
I also posted my chart from the 14th, probably one of the better nights I've had to compare with my recent ones. I had an EPR of 3 that night.
Why are you sleeping in a sitting position? This almost always is a very challenging sleep position to control positional apnea. Even with a collar, it is very likely you will experience pressure on the soft tissue behind the chin and front of the throat that nearly instantly cuts off the airway. You might get away with it it if you have just the right fit and type of collar, but that does not presently appear to be the case.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
