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You have obstructive apnea that appear to be somewhat positional (chin-tuck), but the majority of events by far are central apnea. A CPAP, even one as good as the autoset is not capable of causing you to take a breath when you don't make the spontaneous effort. You are currently using pressure from 6.0 to 13.0, and generally do not exceed 9-10 cm. Just for starters, I'd like you to consider the factors that cause your obstructive apnea to cluster, like a high pillow, and try to deal with that. A soft cervical collar might be worthwhile as a trial. The CA events we really can't reduce with CPAP. You an try turning EPR off, and we can see what kind of reduction in events (and comfort) result. Fixed pressure often reduces CA events, and a fixed pressure of 8.0 might be worth trying to see if that can reduce events. I think that is a good starting point before suggesting you move to ASV.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Thank you very much for your advice, I think the EPR setting I wold ask my Doctor if he allows me ti do it.
So if my pillow could be a factor should I get a very flat o no pillow at all?
Since the EPR setting is considered a comfort feature, it's rare that a doctor would even consider it. Just do it, and I'm sure you can determine if it is better or not. Easier to just do the deed and decide whether to keep the change, than to ask permission.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.