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enzo1 Therapy Thread
#31
RE: Cpap settings
If I can't spot the problem in one or two screenshots of a typical night, then the problem won't be in 60 graphs either. Don't show the worst, just choose the detail chart from last night, and let's see where it takes us.
Sleeprider
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#32
RE: Cpap settings
Well, 
I changed the pressure Setting over the course of this time. First i started with 5-15 which was prescribed by the doc. Then i switched up to 7-15 , 8-15 ,9-15 and now since a week or so to 10-15. I will post some Screenshots let me know if you need more of if you need anything else. 

Apparently i can only post 3 Screenshots in this forum anyway ...


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#33
Still waking up multiple times
Hello guys,
Even after months of APAP use, I am still waking up multiple times a night. Since years i am not sleeping through a whole night once. Any advice on what could be the reason for it. Could it be something else other then sleep apnea ?


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#34
RE: Still waking up multiple times
By the way, i saw that many of you guys advice turning off the ramp. I would do what but the machine gets really loud if i turn of the ramp and the machine makes an annoying noise when i breathe at higher pressures. Any way of avoiding that ?
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#35
RE: enzo1 Therapy Thread
Your Autoset rarely moves from the minimum set pressure. There is a bit more pressure change with the minimum set to 8 than with the higher pressures. Your respiratory statistics are all normal and with EPR at 3, there is no significant flow limitation. The leaks from your nasal mask are a source of sleep disruption, and were minimized at a pressure of 8.0. Mostly, therapy looks good, but there are some large flow spikes that may represent arousals. We might want to focus on some of those in a zoomed image to see how or why they evolve. Of these charts, the use of a minimum pressure of 8.0 looks best, and if you are going to use ramp, stick with the auto sleep detection rather than a 30 minute timed ramp which appears more disruptive. You might try setting your machine to minimum pressure 8.0 and maximum pressure 8.0 and see if that helps with some of the sleep disruption. I don't see any therapeutic need for variable or higher pressure.
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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#36
RE: enzo1 Therapy Thread
The 99.5 percentile is above 8, doesnt that mean that the pressure goes up at some points therefore meaning that there is a reason for a pressure higher than 8 ?
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#37
RE: enzo1 Therapy Thread
I am still incredibly tired. Any idea on what to improve ? 

[Image: attachment.php?aid=44971]


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#38
RE: enzo1 Therapy Thread
Weil es gerade nicht funktioniert hat, hier der Screenshot.
MfG


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#39
RE: enzo1 Therapy Thread
You slipped back into German for a bit there, I'm assuming it says the same as the post above it?

Your leak rate is still high - that disrupts sleep.
Adjust the mask or try a different one.

Sleeprider made a good suggestion. Have you tried pressure min/max 8?
Worth a few nights try to see what happens. 

Your flow rate absolutely suggests breathing related sleep disruptions, aka sleep apnea.
Minimize the mask leak and dial-in your settings - meaning you might have to come back here to get the expert's help - then use it every time you sleep for at least six months.
It takes time for treatment to improve your well-being. 
Since nothing else has been found to explain your symptoms, continuing sleep apnea treatment is your best chance to feel better.

Also work on the sleep hygiene stuff. Quiet, cool, comfy dark room, no electronics, no booze, etc.
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#40
RE: enzo1 Therapy Thread
Hahaha tired enough to be changing languages, Holy f***. I am using the apap since at least 2 months now I think. My sleep is slightly better at best (dont really feel a difference). You said my flow rate indicates sleep apnea, but I guess its hard to differentiate between central apnea and obstructive from the flow rate. People told me the central sleep apneas are treatment emergent and will subsidide in a couple weeks, Well it have been months and the apap still says central apneas. I am honestly loosing my mind at this point, unable to coherently think.
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