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+--- Thread: Self Titrating UARS - Need Help (/Thread-Self-Titrating-UARS-Need-Help)
RE: Self Titrating UARS - Need Help - NICKO - 02-25-2019
[attachment=10452][attachment=10453][attachment=10454]
EPAP Min of 6, IPAP max 16 PS 4 Ti min .3 and Ti max at 2.2 Trigger Med
still have fragmented sleep and tired with brain fog
RE: Self Titrating UARS - Need Help - NICKO - 02-25-2019
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If you need anymore data to make an assessment let me know. I'll be leaving it at those settings above until told to change
RE: Self Titrating UARS - Need Help - Sleeprider - 02-25-2019
Results are looking pretty good with minimal flow limitation, however most events are obstructive, and the close-ups of the flow rate show some breathing pauses with arousal. Those pauses are not typical of apnea as they are preceded by a large breath that might be movement or a spontaneous arousal. The presence of OA events suggest a higher minimum EPAP. I would suggest slowly increasing the minimum and observing comfort and efficacy. There is no appreciable CA going on, so again, you can increase PS according to comfort and see if it helps. These are fine-tuning adjustments and are not necessarily going to change numerical results. The objective here is to experiment with these small changes until you arrive at something that feels good to you and helps you maintain sleep. There are no right or wrong answers in this procedure, it is trial and error to see what works best, now that you have achieved good treatment results
RE: Self Titrating UARS - Need Help - NICKO - 02-25-2019
Sleeprider Wrote:Results are looking pretty good with minimal flow limitation, however most events are obstructive, and the close-ups of the flow rate show some breathing pauses with arousal. Those pauses are not typical of apnea as they are preceded by a large breath that might be movement or a spontaneous arousal. The presence of OA events suggest a higher minimum EPAP. I would suggest slowly increasing the minimum and observing comfort and efficacy. There is no appreciable CA going on, so again, you can increase PS according to comfort and see if it helps. These are fine-tuning adjustments and are not necessarily going to change numerical results. The objective here is to experiment with these small changes until you arrive at something that feels good to you and helps you maintain sleep. There are no right or wrong answers in this procedure, it is trial and error to see what works best, now that you have achieved good treatment results
I think I'll keep it at the current settings for a couple more nights and observe the results then make the changes you recommended and go from there.
Leave the trigger and ti min/max where they are at?
I also noticed my med inspi/expiration time really changed from the apap to bipap. Before it was closer to 1:1, now the inspi time is much shorter. Is that all good??
RE: Self Titrating UARS - Need Help - Sleeprider - 02-25-2019
Your average inspiratory time is 1.4, and the max is 2.2. I see no need for a longer inspiratory time. If you want to use a longer TiMin of 0.5 that might be worth a try. There is nothing to suggest a different trigger or cycle sensitivity will be advantageous. If anything I would reduce sensitivity for trigger as there are some pre-inspiration spikes. Reducing trigger sensitivity will ensure those are not picked up as the start of inhale.