(10-29-2024, 11:55 AM)Jay51 Wrote: I just looked over all the zoomed in images.  Very thorough.  Thank you very much.  

The H's are almost gone with VAuto's increased pressure support.  But a lot of CA's now.  Some CA's occur individually, but a lot of your CA's are grouped together also.  

You already have "very high" trigger setting - this is best to stop CA's.  It will help start the inhale with the least amount of effort on your part.  

You might want to try these settings for a few weeks and see if you "adapt" to it and the CA's decrease or not.  


If the CA's don't decrease, you may be headed to ASV IMO.  

If Sleeprider sees anything I missed, he will post.  He has been doing this a lot longer than me.

(10-29-2024, 11:55 AM)Jay51 Wrote: I just looked over all the zoomed in images.  Very thorough.  Thank you very much.  

The H's are almost gone with VAuto's increased pressure support.  But a lot of CA's now.  Some CA's occur individually, but a lot of your CA's are grouped together also.  

You already have "very high" trigger setting - this is best to stop CA's.  It will help start the inhale with the least amount of effort on your part.  

You might want to try these settings for a few weeks and see if you "adapt" to it and the CA's decrease or not.  


If the CA's don't decrease, you may be headed to ASV IMO.  

If Sleeprider sees anything I missed, he will post.  He has been doing this a lot longer than me (most of what I have learned is from him).

(10-29-2024, 12:33 PM)Jay51 Wrote: To reduce the H's pressure support is increased in the VAuto.  No need to rush.  Small increments of maybe 0.2 per night or per 3 or 5 nights or so; then increase another 0.2 if necessary, and so on until H's are under control.  Hopefully no CA's begin to appear with the increased pressure support.   

Also, you could try a few positional apnea techniques if you want to as well:  lowering pillow height, side sleeping instead of back sleeping, and a soft cervical collar.

(10-29-2024, 12:33 PM)Jay51 Wrote: To reduce the H's pressure support is increased in the VAuto.  No need to rush.  Small increments of maybe 0.2 per night or per 3 or 5 nights or so; then increase another 0.2 if necessary, and so on until H's are under control.  Hopefully no CA's begin to appear with the increased pressure support.   

Also, you could try a few positional apnea techniques if you want to as well:  lowering pillow height, side sleeping instead of back sleeping, and a soft cervical collar.

(10-30-2024, 08:25 AM)Sleeprider Wrote: Leaks may account for the dry throat. There comes a point in time when if the respiratory events have been resolved, we need to start considering the lack of satisfying sleep probably comes from something else.  Without some kind of sleep study, video recording of your sleep or other investigation, it is very hard to suggest solutions.

(10-30-2024, 08:25 AM)Sleeprider Wrote: Leaks may account for the dry throat. There comes a point in time when if the respiratory events have been resolved, we need to start considering the lack of satisfying sleep probably comes from something else.  Without some kind of sleep study, video recording of your sleep or other investigation, it is very hard to suggest solutions.  

Please try to include the summary data in the left column without the monthly calendar. I think you can move PS to 3.4.  If you haven't done so already, get rid of that foam cervical pillow.  I have seen them make positional matters much worse.  I see some repetitive flow limitation followed by arousal.  This is the cause of your fatigue and we need to resolve it. Seem images below:

• Mask leak solutions                                                                                                                                                                                                                                                                                                                                                Hopefully you find something in these articles that works.  I have about 5 different masks.  There are ApneaBoard members who have tried more than even 5 to get the correct one for them.   Just saying hopefully you can optimize this mask to work for you, but if not, there are many, many, many more masks on the market with different styles.