[Diagnosis] My AHI went to to 27.3 last night, averaging over 20 for past 8 nights - Need Help !!

[tmrlhk]

I think you have achieved all you can using the machine with EPR on. I only suggested turning it to ramp only as a test to see if that alternative helps or not. It doesn't help everyone, but it has helped me.

Hi Ron,  Good morning !  

I did not change the EPR last night.  The AHI went up a bit to 4.4.  I attached three charts for your review.  These were some of the notable events :

1.  I changed the max pressure to max 19.4 before I slept.  

2. Between 3.30 - 4 am, was kind of half sleep - feeling too much pressure ; and then not enough air around 4 am.  Woke up to change the pressure back to max 20, and from Ramp Auto to " Off".  Have no idea if that was a right move or not.

3. Starting around 6 a.m., I was doing some side sleeps on and off.


May be I can try to set EPR to ramp only tonight.  Have a wonderful Sunday !

I would suggest again to try it for a couple of nights with EPR set to Ramp Only. You do not have to change the max and min pressure settings. The machine should reduce maximum pressures by itself, and that in itself may provide some comfort. Whether it will improve or increase AHI remains to be seen. I think the key component is OA events, and those are the ones I would focus on reducing. After you have a couple of nights it may be possible to decrease pressure settings. Need to see the results first though.

Hi Ron, SleepRider, Deep Breathing, Walla Walla et all,

I really appreciate the help and kindness that all of you extended to me in April !  My AHI has been mostly below 2 in the past couple months.  Thank you again !

[Walla Walla]

I didn't really help but glad to heat your doing well!