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+--- Thread: [Treatment] Request for help in improving therapy (/Thread-Treatment-Request-for-help-in-improving-therapy)
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RE: Request for help in improving therapy - Evena - 12-20-2023
It's been two months since I changed my settings based on the suggestions given above (range of 7-10 cm H2O) and in discussion with my doctor the pressure was increased further to a range of 8-11. I've seen definite improvements, going from an average (one-month) AHI of 12 two months ago, to 9 now. This is also reflected in my energy, with some days now actually being good and energetic. Still, I'm not where I'd like to be as the majority of my days are not as energetic as I'd like. It also seems that the decrease in AHI is plateauing (it's hard to see, as daily variation remains high).
Below I've attached screenshots. Based on this, would you suggest further adjustments?
[attachment=57445][attachment=57447]
And two more screenshots for a different night:
[attachment=57448][attachment=57449]
RE: Request for help in improving therapy - Evena - 01-13-2024
A few weeks ago I posted the message above but didn't get any reply. Things continue to improve slowly but I'm hoping that more might be possible. Based on the previous input, any suggestions for changes in my settings?
RE: Request for help in improving therapy - Sleeprider - 01-13-2024
I missed the post last time around. Your AHI is significantly improved with the use of EPR and your event rate has dropped from near 20/hour to 8.4 in this example. Your events continue to be entirely central or clear airway and we really don't see significant obstruction. For our next trick, I'd like to try fixed pressure by setting the minimum and maximum pressure at 8.0 and leaving EPR at 2. Sometimes we can stabilize the airway against CA events better with fixed pressure, so let's take a look at if it results in improvement for you.
RE: Request for help in improving therapy - Ynot - 01-14-2024
(01-13-2024, 09:31 AM)Sleeprider Wrote: I missed the post last time around. Your AHI is significantly improved with the use of EPR and your event rate has dropped from near 20/hour to 8.4 in this example. Your events continue to be entirely central or clear airway and we really don't see significant obstruction. For our next trick, I'd like to try fixed pressure by setting the minimum and maximum pressure at 8.0 and leaving EPR at 2. Sometimes we can stabilize the airway against CA events better with fixed pressure, so let's take a look at if it results in improvement for you.
Hi, could it just be a pressure issue. What happens if he gradually increases the pressure, would that likely result in a decrease in AHI?
RE: Request for help in improving therapy - Sleeprider - 01-14-2024
Ynot, if the apnea were predominately obstructive, that would be a good strategy, but since most events are CA, it is our objective to use an effective low pressure and avoid sleep disruptions from pressure changes that might increase the CA events. The use of fixed pressure is often an effective strategy in cases like this.