RE: Night sweats, SpO2 drops, insomnia, low temp 96.7F
They gave me 3mg melatonin in Hospital, and that is what i tried last night at home. Seemed to work. But I also increased my EPAP to 5.6 which seemed to stabilize the O2 more.
What I don't understand is how they titrated me on BIPAP. They started CPAP, then BIPAP was started at 14/10 cm H2O and titrated to 16/10.
"The most appropriate setting is 14/10" with AHI/RDI 0, sleep efficiency 98.3%, and SpO2 93%.
Then they recommended BIPAP settings of IPAP Max 16, EPAP 4, PS 4. But then they set it to IPAP Max 14, EPAP 4, PS 4. Why did they not set the Max to 16?
I asked my sleep doctor why they titrated me higher, but set my machine so low. He kept saying, it will auto-adjust, and that I don't need to be at the higher settings all night long. But during the sleep study, they kept me at that higher setting and i slept great. Anyway, when I first got my BIPAP home, EPAP 4, and PS 4 was too low for me. I couldn't stand it. I immediately changed it to EPAP 5, PS 3. Over time I increased EPAP 5.2.
I still think the starting EPAP 5.2 is a little low, because when the machine auto adjusts down to 5.2, is when my O2 tends to drop. Although occasionally I've had O2 drop even at some higher pressure.
I may need to increase EPAP to 5.6+ to try for awhile, or decrease the PS to 2 or less.
[attachment=6113]
[attachment=6114]
What I don't understand is how they titrated me on BIPAP. They started CPAP, then BIPAP was started at 14/10 cm H2O and titrated to 16/10.
"The most appropriate setting is 14/10" with AHI/RDI 0, sleep efficiency 98.3%, and SpO2 93%.
Then they recommended BIPAP settings of IPAP Max 16, EPAP 4, PS 4. But then they set it to IPAP Max 14, EPAP 4, PS 4. Why did they not set the Max to 16?
I asked my sleep doctor why they titrated me higher, but set my machine so low. He kept saying, it will auto-adjust, and that I don't need to be at the higher settings all night long. But during the sleep study, they kept me at that higher setting and i slept great. Anyway, when I first got my BIPAP home, EPAP 4, and PS 4 was too low for me. I couldn't stand it. I immediately changed it to EPAP 5, PS 3. Over time I increased EPAP 5.2.
I still think the starting EPAP 5.2 is a little low, because when the machine auto adjusts down to 5.2, is when my O2 tends to drop. Although occasionally I've had O2 drop even at some higher pressure.
I may need to increase EPAP to 5.6+ to try for awhile, or decrease the PS to 2 or less.
[attachment=6113]
[attachment=6114]
ResMed AirCurve 10 vAuto
Pressure EPAP min 4.4, IPAP 8.4, IPAP Max 18, PS 4.
Pressure EPAP min 4.4, IPAP 8.4, IPAP Max 18, PS 4.
