+- Apnea Board Forum - CPAP | Sleep Apnea (https://www.apneaboard.com/forums)
+-- Forum: Public Area (https://www.apneaboard.com/forums/Forum-Public-Area)
+--- Forum: Main Apnea Board Forum (https://www.apneaboard.com/forums/Forum-Main-Apnea-Board-Forum)
+--- Thread: [Pressure] kadillac's Titration Thread... (/Thread-Pressure-kadillac-s-Titration-Thread)
Pages:
1
2
kadillac's Titration Thread... - kadillac - 03-17-2023
Hello!
I was hoping to receive some more help on my BiPAP settings. I was recently diagnosed with severe sleep apnea and have a BiPAP. I have attached last night's OSCAR details. Any help is super appreciated!
I slept really well, but really felt like I was struggling in the morning, and my AHI was pretty high.
RE: kadillac's Titration Thread... - kadillac - 03-17-2023
Really hoping for any advice or help this forum might have…
Thanks.
RE: kadillac's Titration Thread... - Crimson Nape - 03-17-2023
OK! I'll give it ago.
You are having flow limitations that may be driving up your pressure. A 2-minute zoom of your Flow Rate would better confirm my speculation. Swings in pressure could also lead to arousals that may make you feel tired after waking up. Anyway, based on my speculation, I would set your pressure to EPAP of 9, maximum = 16, and the PS to 4. These settings would allow a 3 cm pressure swing that should minimize any pressure disturbances. The increased PS will help reduce the flow limitation, thus reducing pressure changes too. The CAs beginning at 06:30 on, would lead me to think they are Sleep-Wake-Junk (SWJ). I'm taking a wait-n-see approach on these.
- Red
RE: kadillac's Titration Thread... - kadillac - 03-17-2023
Thank you! So you just want me to zoom in on OSCAR for a random 2 minute period of the flow rate?
RE: kadillac's Titration Thread... - Crimson Nape - 03-17-2023
That will be fine.
- Red
RE: kadillac's Titration Thread... - kadillac - 03-17-2023
Will this do?
RE: kadillac's Titration Thread... - Crimson Nape - 03-17-2023
Your waveform looks better than what I was expecting. I'm still sticking with my recommendation, above. You may be experiencing chin tucking. A soft cervical collar (SCC) may help with this.
Here is a Wiki on this subject: http://www.apneaboard.com/wiki/index.php/Soft_Cervical_Collar
- Red
RE: kadillac's Titration Thread... - kadillac - 03-17-2023
Thank you! I’ll see how tonight goes then I’ll look into a collar.
RE: kadillac's Titration Thread... - kadillac - 03-18-2023
I did not put the SD card in last night for some stupid reason, so I don't have OSCAR data last night, but I feel great, and had an AHI of 1.7, which is the lowest I've ever had. My study was at 72. I'll post tonight's tomorrow and see if any other changes can be made. Thank you!
RE: kadillac's Titration Thread... - Crimson Nape - 03-18-2023
That's great to hear. I'm looking forward to seeing a Daily screen tomorrow.
- Red