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+--- Thread: APAP VS AP Dynamic (/Thread-APAP-VS-AP-Dynamic)
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larrygreg - Therapy Analysis With Lowenstein Prisma Smart - larrygreg - 09-10-2024
So I laid off cpap for a while (like 9 months).
Got a new Lowenstein Machine with humidifier.
New philips dream wear under the nose nasal cushion (best mask ever for me at least)
After analyzing in oscar , I see that I am a mouth breather with leakage.
Got some tape last night, but I could only take 3.5 hours of therapy.
My AHI for the night is 23.01
Min pressure 7
max pressure 11
using the assisted relief that Lowenstein provides
Oscar shows I started at 7, went to the maxed out at 1
Funny thing, the night before, I had an uninterrupted sleep for 7.44 hours the day before.
min 4.5
max 10
AHI 24.68
Oscar shows pressure went from 5 to 10 and peaked.
So confused on what to do.
Should I up the max pressure to 13 or 15 and see how high it goes
I am hoping I dont need more than 15, but now I see my leakage is very low thanks to the tape
Thanks all
RE: Sorry Dont Know Where to Start - Old Steve - 09-10-2024
You really need to post your OSCAR charts for anyone to be much help.
RE: Sorry Dont Know Where to Start - larrygreg - 09-11-2024
This was last nights sleep. I think I have to lower the pressure.
Now that I figured out Oscar (or at least I think) I attached the good night sleep I had as well.
Please let me know if I should re arrange the oscar charts in any specific order
Thanks for the help
Last Nights results with screen snaps Advice Please - larrygreg - 09-11-2024
So I think my pressure last night was way too high. Definitely going to lower it.
I included my best sleep that I had so far as well.
My AHI is high.
Wondering if I should change the softpap settings
RE: Last Nights results with screen snaps Advice Please - Phaleronic - 09-11-2024
You need higher pressure, you have tons of events happening and it's because the pressure is too low (flow limits are crazy high as well)-start with moving your min pressure up to 10cm, and increase max pressure to 15cm)-softpap can be set to 1 for now but I'd really probably just turn it off completely until we get this under control.
RE: larrygreg - Therapy Analysis - OpalRose - 09-11-2024
larrygreg,
Welcome back!
I merged your two newest threads. Please keep all your questions and charts in this thread as you'll receive more targeted advice if your history is in one place.
Thanks!
RE: Last Nights results with screen snaps Advice Please - larrygreg - 09-11-2024
(09-11-2024, 09:59 AM)Phaleronic Wrote: You need higher pressure, you have tons of events happening and it's because the pressure is too low (flow limits are crazy high as well)-start with moving your min pressure up to 10cm, and increase max pressure to 15cm)-softpap can be set to 1 for now but I'd really probably just turn it off completely until we get this under control.
Will turn off the soft pap.
Don't know if I can tolerate that pressure.
Wondering should I set my max to 20 and see how high it goes.
With a pressure of 16 last night it woke me up after 4 hours.
At least at the lower pressure I slept through the night
APAP VS AP Dynamic - larrygreg - 09-12-2024
So I posted before for advice and got some advice to up my pressure due to flow limitations. I was reluctant to up the pressure as it was very uncomfortable. Decided to drop the pressure to more tolerable levels.
Saw a setting on my machine for dynamic apap.
Saw this
APAP (autoCPAP) Two algorithm settings (standard & dynamic) on APAP to best suit patient needs. Standard maximises patient acceptance through lowest possible pressures. Dynamic is more responsive to flow limitations for maximum numerical result and proactivity.
What a game changer!!
For the first time I had a deep sleep indicator.
Looking to see how I can get this better
My Lowenstein software registered
AHI 9/H
oHI 1/h
cAI 5/h
cHI 10/h
Here is the oscar data as well
I went to bed around 8 something and woke up after almost 5 hours. Not going to chug water before bed
[attachment=69532]
RE: APAP VS AP Dynamic - Jay51 - 09-12-2024
You still have a lot of Hypopneas (H's). Sometimes, applying positional apnea techniques can help lower these. A few things that you could try if you want are: lowering your pillow height; possibly trying side sleeping instead of back sleeping - if you sleep on your back), and the last resort if both of those do not reduce your H's is trying a soft cervical collar.
Great job figuring out the difference between standard and dynamic settings.
Here is some reading on positional apnea:
RE: APAP VS AP Dynamic - larrygreg - 09-12-2024
I am a side sleeper.
I have a soft cervical collar.
Will lower the pillow
Started taping my mouth, that really helped with the leaks.
Also going to up the pressure but only 2 points for now
Maybe bump up the minimum as well and hope for the best