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+--- Thread: I'm back, tired, and hopeless. But is Bilevel the answer ?? (/Thread-I-m-back-tired-and-hopeless-But-is-Bilevel-the-answer)
RE: I'm back, tired, and hopeless. But is Bilevel the answer ?? - Sleeprider - 03-18-2024
With regard to your chart, we prefer to see the Standard View. Use the View Menu/Reset Charts/Standard. That should set the charts back to a more useful order that includes events, flow, pressure, flow limits, leaks and snores.
Your last chart shows you are using a pressure range of 8.0-20 with EPR 3. I'm going to suggest you change to minimum pressure 6, Maximum pressure 10, EPR 2. Please post back so we can see your results.
Glad you got refunded on the Pacewave.
RE: I'm back, tired, and hopeless. But is Bilevel the answer ?? - weuw - 03-19-2024
Hello
Last night I followed your recommandations : 6-10 EPR 2 Autoset for her
Here are screenshotsÂ
https://imgur.com/a/E8ucXiH
Good AHI but flow limitations are high like always.
What do you think ?
RE: I'm back, tired, and hopeless. But is Bilevel the answer ?? - Sleeprider - 03-19-2024
Minimum pressure 7.0 EPR 3 may help. Let's give it a try.
RE: I'm back, tired, and hopeless. But is Bilevel the answer ?? - weuw - 03-21-2024
Hello everybody
Last night I used EPR 3, here are the resulting charts :
https://imgur.com/a/3N4RnuR
More CA events...
Any advice ?
RE: I'm back, tired, and hopeless. But is Bilevel the answer ?? - weuw - 03-22-2024
Do you think I should continue to use Autoset for her mode ?
RE: I'm back, tired, and hopeless. But is Bilevel the answer ?? - Sleeprider - 03-22-2024
I prefer Autoset Standard. Clearly your results were a lot worse than previously. Everything including flow limits was higher. Are you aware of any positional issues? There are a lot of indications of obstruction in this chart, even though most of the events were CA.
RE: I'm back, tired, and hopeless. But is Bilevel the answer ?? - weuw - 03-22-2024
No I did not have indication that I have positional issue.
However Doctor told me I had to use minimum pressure of 12 due to obstructive events not flagged by Resmed (PSG). But with high pressure I don't have better sleep. I also have tried fixed 13/2 a few days without good sleep, but I have insomnia too, so maybe I should retry it ?
RE: I'm back, tired, and hopeless. But is Bilevel the answer ?? - weuw - 03-22-2024
https://imgur.com/a/KgFIoKv
Fix 13 epr 2
RE: I'm back, tired, and hopeless. But is Bilevel the answer ?? - Sleeprider - 03-22-2024
With minimum pressure 7.0 and maximum pressure 10.4, your pressure range is 7/4 to 10.4/7.4. I think perhaps that low EPAP pressure is insufficient to stop obstruction. We could look closer at some of your events, but I would be surprised if they are actually central, rather than evolving from obstruction or arousal. Let's change the pressure range up to 9 to 12 with EPR 3 and see what we get. With the higher EPR the higher pressure should be tolerable.
RE: I'm back, tired, and hopeless. But is Bilevel the answer ?? - weuw - 03-22-2024
Ok I try next night.
PSG showed few centrals indeed.