opo218 - (Therapy Thread)

[PeaceLoveAndPizza]

As a fixed pressure user myself, I see little difference in sleep quality or reported data between S mode and fixed VPAPauto mode. 

For example my usual settings are:

Mode BIPAP-S
Pressure 9
PS 4

but I can do the same with auto-adjusting pressure mode using:

Mode VPAPauto
EPAP min 9
IPAP max 13
PS 4

[OpalRose]

Peace,
Question... Is flow limitation reported while in S mode? Can you look at your data and see? Curious, as the OP is inquiring about lowering or eliminating FL.

[PeaceLoveAndPizza]

No flow limitations reported in S mode, but still easily visible in flow rate. I do not understand why as the FL data is there, but I assume there is a method to the madness. I even asked ResMed why and all I received back as a shrug.

That is why I use and recommend fixed VPAPauto mode as I am far too lazy to dissect the flow rate looking for FL's when I bother to look at it. Other than that I have not found any real difference to sway me one way or the other.

[PeaceLoveAndPizza]

As much as I dislike replying to myself, I realise that I forgot to add for the OP that it would be helpful to see the complete chart as recommended in the "Formatting OSCAR charts" link in my signature...

[opo218]

        I just got the result of my sleep study. See pic for more context. Based of this  what would be a starting point for bipap to get rid of the uars 
IMPRESSION:
1. No clinical obstructive sleep apnea (G47.33) with an overall AHI 2.1 events per hour.
2. Prevalence of upper airway resistance (G47.8) was greater than apnea/hypopnea.

[PeaceLoveAndPizza]

Is there something that shows the AHI breakdown for the test? Lots of graphs, but no details. 

It seems you were snoring almost 80% of the night. While impressive and regardless of AHI, that means a low quality sleep.

You spent the majority of the sleep on your back. Is there a medical reason why or is it your preferred sleeping position? Supine tends to be where most of us have the mot snoring and apnoea issues.

[opo218]

   

Here you go! and sleep on my back is sthe most comfortable; try side sleeping with all kinds of tricks and it's not for me.

[PeaceLoveAndPizza]

Thanks mate.

An AHI of 2.1 whilst sleeping on your back is most impressive. Not quite as impressive as snoring 80% of the night, but still quite an achievement, just not in a good way. Unless you were purring in your sleep…

Please repost the original chart in your original post using the OSCAR chart formatting as in my signature “Formatting OSCAR Charts’. I think we can get much more data from that than from the sleep report.

[opo218]

Here you go!

They said the file is to large so here is the link to the image

[PeaceLoveAndPizza]

I do not see anything that is concerning to me in the least. What exactly are you concerned about in the chart?

What I see is zero snoring, very few flow limitations, good I:E ratio, solid tidal volume. I would not change anything. The CPAP is doing its job quite well.