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Assistance getting sub 5 AHI on new machine
#31
RE: Assistance getting sub 5 AHI on new machine
Page 4 of the sleep study.
   

And the last 6 months of data from old F&P Icon that shows OAs and H were present. 
   

I don't understand. Going to take all of this back to sleep doc for a 'please explain'

D.
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#32
RE: Assistance getting sub 5 AHI on new machine
Your results show that hypopnea is by far the problem. Hypopnea is really an extension of flow limitation and we have seen that resolve using the 3 cm of EPR with the Autoset machines. It would at least improve as shown in the examples in the Oscar Flow Limitations Wiki http://www.apneaboard.com/wiki/index.php...imitations. There are clear advantages to the bilevel (Vauto). Another member from AU, Mal777 recently purchased a Vauto from Supplier #33. Supplier #2 has a "gently used Vauto" with a warranty for $799 USD, and they will ship at a reasonable cost.
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#33
RE: Assistance getting sub 5 AHI on new machine
your study reported "infrequent" plm at 18.7/hr. idk what their thresholds are but my 24/hr were quite debilitating, contributing to serious fragmentation.
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#34
RE: Assistance getting sub 5 AHI on new machine
I too was wondering about the "infrequent" PLM, I wonder what it takes to become frequent or significant. Something like trying to kick the football out of bed every 3 minutes on average.
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#35
RE: Assistance getting sub 5 AHI on new machine
Doctor has me on 2 magnesium tablets or 2 slow release paracetamol to attempt to address the PLMs.
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#36
RE: Assistance getting sub 5 AHI on new machine
I found I can rent a Resmed autoset for a week or two. Speaking with them in next few days and would be interesting to see how it goes with EPR 3 on.
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#37
RE: Assistance getting sub 5 AHI on new machine
Last night's data with RDI of 1.97. Best night so far. Still too short, lovin' the insomnia...

   

More aggressive mouth taping this time. No chance of mouth leak this time Smile

No response needed, just storing here for posterity whilst I wait to talk with CPAP machine suppler.

Cheers,
Damian.
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#38
RE: Assistance getting sub 5 AHI on new machine
(02-25-2020, 04:45 PM)Damiansd Wrote: Thanks Bonjour,

I'll move over to Auto Mode with min 8 and max 15. Back tomorrow with another graph.

I should have mentioned I wasn't using C-Flex at all last night.

Cheers,
D.

One question: Why are you limiting the max range?
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#39
RE: Assistance getting sub 5 AHI on new machine
Hello RMSko,

Apparently some people have arousals by the machine changing pressures. The suggestion was to trial a fixed upper and lower around the average pressure from previous few sets of data. I'm in this interim period where we are just playing. My current machine doesn't provide what I need to address the symptoms I have, so I'm a self-inflicting test bunny. 

I suspect once I have sorted a machine that provides better pressure support (AKA almost any RESMED), then we'll adjust back to a proper high and low pressure setting. 

Regards,
Damian.
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#40
RE: Assistance getting sub 5 AHI on new machine
(03-08-2020, 07:29 PM)Damiansd Wrote: Hello RMSko,

Apparently some people have arousals by the machine changing pressures. The suggestion was to trial a fixed upper and lower around the average pressure from previous few sets of data. I'm in this interim period where we are just playing. My current machine doesn't provide what I need to address the symptoms I have, so I'm a self-inflicting test bunny. 

I suspect once I have sorted a machine that provides better pressure support (AKA almost any RESMED), then we'll adjust back to a proper high and low pressure setting. 

Regards,
Damian.

Got it, thanks. I guess I'm lucky. I'm also using the DreamStation and haven't had that issue. For me the biggest issue was finding the right mask. I'm now using the DreamWear Nasal mask and it's working well.
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