Still extremely tired after almost 4 years of Bipap

[topdba7]

Hello,

Could you please help? I have been using Bipap for almost 4 years, and still feel extremely tired and need 2 hours nap (sleep by sitting on a chair) every day. I have checked my thyroid function, and the result is normal near the middle of the range. I have attached my OSCAR charts.

Thanks a lot!



           

[Millstone50]

Hello, your PS is only 2, do you take advantage of any other bilevel features like cycle and trigger timing?

[topdba7]

Yes, I have tried PS 4 or even 5, which gives me aerophagia when the pressure goes more than 13. One thing I  found out strange is that I feel better rested when I sleep without Bipap, but wake up more frequently. My Spo2 level is 96-97 without Bipap, and 94-95 with Bipap, which does not make much sense to me.

[staceyburke]

Your machine has been shown (I have the same machine) to help centrals by moving the trigger setting to very high.  I can not see what your setting is, we can't see the bottom of the left column. I would suggest the following settings.  Try them and post tomorrow.

Min 6
max 15
PS 4
Trigger very high

[topdba7]

Hi Stacy,

My sleep doctor's prescription was 8 - 13 from about 2 years ago. My current setting is 12.40 EPAP and 13.40 EPAP for last night. Here is the attached chart for last night, and it has the machine settings:

[topdba7]

Hi Stacy, I have set my Bipap machine to min 6.0 , max 15.0, and PS 4.0. Will report tomorrow morning. Thanks a lot!

[topdba7]

Hello Stacey,

Here attached the charts from last night with your suggested changes. Please help.

Thank you!

[DaveSkvn]

Hi topdba7,

Could you upload a couple of detail graphs from last night? Zoom into the flow rate section where there are minor "flow limits" shown. Say just before 02:30 and a shade after 05:00. Try and show about 60 seconds of data in the screen and set the flow rate to a fixed height (right click to the left of the graph, select y-axis and set mode "override", min -40, max +40 or similar).

[topdba7]

Hi David,

Here are the charts you want me to show you. Thank you so much for your help!

[DaveSkvn]

Nearly! The flow rate graph is off the top. Could you reupload with the flow rate graph included.

Should you be interested, here's what I'm looking for...

https://www.apneaboard.com/forums/Thread...#pid541651