my report I think

[jerry1967]

[jerry1967]

can someone take a look at this please ?

[Sleeprider]

Try cutting your EPR setting to 1, and leave everything else alone. Your events are mostly CA and may be related to sleep disturbance, or just adjusting to CPAP therapy. The use of high levels of EPR can cause CA events to be worse. Lowering EPR to 1 should be comfortable, reduce the residual OA and cut CA. My guess is your AHI will be much less than half if you make this simple change. A lot of events occur at the end of the night, and may be what we call "sleep-wake junk". It looks like you may do better with a higher minimum pressure, but I'd rather see you hold off on that adjustment until trying the lower EPR.

[jerry1967]

Try cutting your EPR setting to 1, and leave everything else alone.  Your events are mostly CA and may be related to sleep disturbance, or just adjusting to CPAP therapy.  The use of high levels of EPR can cause CA events to be worse.  Lowering EPR to 1 should be comfortable, reduce the residual OA and cut CA.  My guess is your AHI will be much less than half if you make this simple change.  A lot of events occur at the end of the night, and may be what we call "sleep-wake junk".  It looks like you may do better with a higher minimum pressure, but I'd rather see you hold off on that adjustment until trying the lower EPR.

I have been on cpap for 10 years at level 12. I wanted a new machine so went for a new sleep study and had a hard time sleeping so Dr. wanted me to try 5-20. Went back to Dr. and he looked at my sleep patterns and said if it does't get better in six weeks he want another study to get a curve machine whatever that is because he said I have to many centrals.
1 it is on the EPR.

[Walla Walla]

I don't think you'll end up on a ASV machine. I'll bet this board gets your pressure normal with no CA's within 2 weeks.

[Sleeprider]

Try cutting your EPR setting to 1, and leave everything else alone.  Your events are mostly CA and may be related to sleep disturbance, or just adjusting to CPAP therapy.  The use of high levels of EPR can cause CA events to be worse.  Lowering EPR to 1 should be comfortable, reduce the residual OA and cut CA.  My guess is your AHI will be much less than half if you make this simple change.  A lot of events occur at the end of the night, and may be what we call "sleep-wake junk".  It looks like you may do better with a higher minimum pressure, but I'd rather see you hold off on that adjustment until trying the lower EPR.

I have been on cpap for 10 years at level 12. I wanted a new machine so went for a new sleep study and had a hard time sleeping so Dr. wanted me to try 5-20. Went back to Dr. and he looked at my sleep patterns and said if it does't get better in six weeks he want another study to get a curve machine whatever that is because he said I have to many centrals.

I don't think bilevel alone is your solution. The use of wide range of pressure, and/or use of EPR (IPAP/EPAP) generally increases CA, while steady pressure and less difference between IPAP/EPAP tends to reduce it.  It's a bit premature to conclude anything on the basis of one-night of data.  Try cutting back EPR and see how it goes.

[jerry1967]

My machines report last night is . Forgot to put the card back into the Machine so no sleepyhead.
Pressure 13.1
Leak 24L/M
Ahi 20.2
AI 7.6
Central 7.3
Max 20.0
Min 8.0
EPA 1

[Sleeprider]

Well, that sounds pretty awful. Your CA is about the same, but hypopnea is way up. Pressure is not much different from your previous post showing results for 8/11. Your doctor's suggestion for a new study looks like a good idea. Be sure to ask if he will evaluate both bilevel and bilevel ASV. Are there any other health or medication changes that might explain this change?

[jerry1967]

 ASV is what he want the new study for but I thought with  adjustment my numbers would get better.

Did you read what Walla Walla wrote on here?

[jerry1967]

I am on a number of medications for various reason but nothing new within the last 6 months. Two of the medications are for afib and two more are for seizures.