(02-20-2022, 10:15 AM)Sleeprider Wrote: If you want to try getting after the flow limitations, increase IPAP by 1-2 cm and increase PS from 5 to 6.  You are already using a relatively high pressure support, and you should consider this move to be somewhat experimental to see if it makes a difference.  We want to evaluate for effectiveness and comfort, and may decide to reduce PS to a more comfortable level.  I don't know the source of your FL but it may be anywhere in the upper airway from nasal to near the soft palate or pharyngeal. Some people get lower flow limits with direct pressure to the nose using nasal pillows, but tolerance for nasal therapy is an individual thing.

(02-24-2022, 07:45 PM)David Clark Wrote: Since making a few adjustments it's looking like the flow limit numbers are better and the CA's I was having seem to be going away. The OA's seem to be increasing though and the AHI is getting higher. I guess I'm at a "let it ride" point and see where it goes unless anyone sees a tweak or two you think I should make.