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[Treatment] AHI continues high
#21
RE: AHI continues high
Thanks so much. I am looking at :anti snoring devices & pillows on Amazon. Thanks
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#22
RE: AHI continues high
Keep in mind that you are looking to keep the neck extended, nothing in the nose.
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#23
RE: AHI continues high
I just ordered a chin strap & a cervical collar to see which one works best for me. Thanks
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#24
RE: AHI continues high
(10-07-2019, 09:33 AM)Elvis Wrote: Thought I'd wait a while before sending another chart. What do you say about this one?

Elvis, I think the soft cervical collar will help as we still see clustered obstructive events.  Other issues I see:

Your minimum pressure of 5.5 is too low. The Philips Auto BiPAP is slow to respond ahead of obstruction.  It is the EPAP that works to prevent obstructive apnea.  I recommend increasing EPAP min to 7.0.  This is slightly above your current median and less than your 95% EPAP pressure.  I see no reason to change maximum (IPAP) pressure at 14.0.

With PS 4.0 your hypopnea and flow limitation is reasonably well controlled.  PS can contribute to central events.  I think we will leave PS alone for now pending your trial of a soft cervical trial.

What is your BiFlex setting?  I found I did best with 1 or 2, but had more events at 3.  YMMV.

[Image: attachment.php?aid=15990]
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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#25
RE: AHI continues high
Sleeprider, thanks for all your wisdom and information. My Biflex is 2, and I will change the Epap to 7. Did I mention that I just bought, it's on the way, a cervical collar & chin strap. I'll try both to see which is best for me.
Thank you, thank you very much! Big Grin
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#26
RE: AHI continues high
I think this thread needs an update to show the results of using a soft cervical collar.  In New Thread, Elvis posted the following results.  This is a good example of what correcting positional apnea looks like.

[Image: attachment.php?aid=16903]
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
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#27
RE: AHI continues high
Maybe I misread your post, but I am, and have been using a cervical collar. Thanks
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#28
RE: AHI continues high
(11-11-2019, 10:48 AM)Elvis Wrote: Maybe I misread your post, but I am, and have been using a cervical collar. Thanks

Sleeprider was saying how well your doing now compared to earlier posts in this thread, well done looking much better
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#29
RE: AHI continues high
Okay Thanks
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