CAN MY AHI INDEX GET ANY BETTER THAN THIS?

[Sleeprider]

Higher EPAP min to cut the OA events. You are at 9.0, and need more minimum pressure. If you are comfortable with current pressure add 1-cm. If you don't tolerate higher pressure take smaller increments. Otherwise, it looks good.

[JOSE JOAQUIN ROSALES]

Higher EPAP min to cut the OA events.  You are at 9.0, and need more minimum pressure.  If you are comfortable with current pressure add 1-cm. If you don't tolerate higher pressure take smaller increments.  Otherwise, it looks good.

Hello: Increased EPAP to 10 and the PS to 5. Please take a look at a recent night and please tell me where to make more adjustment on EPAP or PS or both? 

I am still sore of confused with EPAP and PS relationship, because I have been all the time with auto cpap where thI e only concern was to adjust pressure and control leaks. The intention is to optimize bipap usage.

Please take a look at the attached night where I slept quite a bit.

My best,

[SarcasticDave94]

How comfortable is therapy like this one in the OSCAR data? You still have some obstructive and central apnea events, but the overall AHI is 3.66 so this represents medically treated. So we need to know if you rested and feel good for the therapy.

[JOSE JOAQUIN ROSALES]

Hello: About the same results in AHIs as when I was with the Auto Dream station CPAP and pressure at 13 with EPR at maximum or 3 in that machine. 
I feel about the same as with the Dreamstation, and have the feeling I can improve a little bit more, but don't know how.

Because I dont understand the rest of the benefits in the current bipap as probably better flow data, I feel about the same, only that with the Dreamstation feeled like I did more effort somehow. Difficult to explain.

Any advise?

Thanks again.

[SarcasticDave94]

Check the setting Trigger and set it to High if it's not there now. See how that helps with therapy.

[Sleeprider]

The chart you posted shows EPAP min 9.0, PS 5.0 and max pressure 18.

Try EPAP min 9.6
PS 4.4
Max Pressure 18
Trigger Sensitivity: High

[JOSE JOAQUIN ROSALES]

Hello: I did the adjustments you recommended and set the Trigger Sensitibity to High. Definitelly improved. Atttached the results of the last 3 nights.
I noticed that the machine has adjustment in Trigger Sensitivity up to very high.

Do you recommend leave it there or still can improve a little bit?

My best and appreciated very much.
Jose

[SarcasticDave94]

My opinion is to work on leaks somewhat. Especially if these are causing disturbances. It may be a mask strap adjust issue or a mouth leak. Events are within the treated threshold of below 5 AHI so it's still adjust only if you don't feel a benefit for the use of the machine.

Above all, only take on adjusting anything if you are not comfortable and gaining rest. If you are comfortable stay with it as is. Best wishes it's doing well Jose.

[JOSE JOAQUIN ROSALES]

Thanks very much. If I rise the Trigger Sensitivity from High to VERY HIGH can help?

Thanks for your help.

Best,

[SarcasticDave94]

Not having used the setting myself, I don't know if it might help. I see on your OSCAR currently shows some Obstructive apnea, so it might not be as helpful as the change from Medium to High trigger was.