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CPAP - BiPAP Help Needed
#21
RE: CPAP - BiPAP Help Needed
That looks good. The settings are pretty much default for Ti, trigger and cycle. If it feels right to you, it probably is. You are surprisingly resistant to CPAP pressure, and you are starting to see acceptable results at or near the top of the pressure capability of your S9 Vauto. You may have higher upper airway resistance due to tonsils, or upper throat structure. This is not an area I am qualified to judge, so next doctor appointment, just ask him whether there are any obvious issues that might be contributing to upper airway resistance. I grabbed your data and will look at it when I have time. For now just continue as-is, and I hope your progress continues.
Sleeprider
Apnea Board Moderator
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#22
RE: CPAP - BiPAP Help Needed
(08-24-2017, 01:23 PM)Sleeprider Wrote: That looks good. The settings are pretty much default for Ti, trigger and cycle.  If it feels right to you, it probably is.  You are surprisingly resistant to CPAP pressure, and you are starting to see acceptable results at or near the top of the pressure capability of your S9 Vauto.  You may have higher upper airway resistance due to tonsils, or upper throat structure.  This is not an area I am qualified to judge, so next doctor appointment, just ask him whether there are any obvious issues that might be contributing to upper airway resistance.  I grabbed your data and will look at it when I have time. For now just continue as-is, and I hope your progress continues.

Thank you so much

I will update tommorow
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#23
Sad 
RE: CPAP - BiPAP Help Needed
Hello

Here is an update for last 2 days.....  Unsure



http://i.imgur.com/QTH7bsJ.png[/img]][Image: QTH7bsJ.png]


http://i.imgur.com/7CsC8s5.png[/img]][Image: 7CsC8s5.png]
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#24
RE: CPAP - BiPAP Help Needed
If you want to zoom in on the flow rate for those UA events we might be able to interpret what is going on. Leaks are very high and the machine is unable to control the airway in that period. Your machine is unable to produce higher pressure, so leak control and positional treatment is all we have. You may want to consider a new or different full face mask that will hold its fit at high pressure.

Cases of severe obstructive apnea can be diagnosed by an endoscopic sleep study (sleep nasoendoscopy (SNE) or drug-induced sleep endoscopy (DISE). This is where sleep is induced by anesthesia and the airway is directly observed to identify the obstruction. http://emedicine.medscape.com/article/1963060-overview I assume that your options for professional help in Dubai may be more limited than in the U.S. but I don't have any real sense of your medical resources you have available for dealing with this or if such diagnostic work is performed there at all.

Your apnea is responding to the pressure, but I don't know what you did before CPAP/BPAP. Keep working on the positional issues and mask leaks.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
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#25
RE: CPAP - BiPAP Help Needed
(08-27-2017, 08:27 AM)Sleeprider Wrote: If you want to zoom in on the flow rate for those  UA events we might be able to interpret what is going on. Leaks are very high and the machine is unable to control the airway in that period.  Your machine is unable to produce higher pressure, so leak control and positional treatment is all we have. You may want to consider a new or different full face mask that will hold its fit at high pressure.  

Cases of severe obstructive apnea can be diagnosed by an endoscopic sleep study (sleep nasoendoscopy (SNE) or drug-induced sleep endoscopy (DISE).  This is where sleep is induced by anesthesia and the airway is directly observed to identify the obstruction.  http://emedicine.medscape.com/article/1963060-overview  I assume that your options for professional help in Dubai may be more limited than in the U.S. but I don't have any real sense of your medical resources you have available for dealing with this or if such diagnostic work is performed there at all.

Your apnea is responding to the pressure, but I don't know what you did before CPAP/BPAP.  Keep working on the positional issues and mask leaks.

Thanks Sleeprider for the details

One more question. I have this bipap S9 on trial only and I would have to return it soon. I own Airsense 10. What do you recommend. with the pressure which I need shall I keep the S9 and exchange Airsense 10?

Zoomed in pictures below:

http://i.imgur.com/d1fdZhG.png[/img]][Image: d1fdZhG.png]
http://i.imgur.com/6zoAC7j.png[/img]][Image: 6zoAC7j.png]
http://i.imgur.com/nSOTFkZ.png[/img]][Image: nSOTFkZ.png]
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#26
RE: CPAP - BiPAP Help Needed
On machine selection, that is an opportunity for you to discuss this with your doctor.  I think it's pretty clear you need the higher pressure, and even at the maximum pressure of an auto CPAP, the pressure support of a bilevel should be helpful.  So in this case I would be inclined stay with the S9.

Very irregular respiratory pattern, and the UA does not look obstructive based on no recovery breath and lack of flow limitations.  Some of them look like hypopnea. Hard to tell for sure. Dont-know
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
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#27
RE: CPAP - BiPAP Help Needed
Hello Sleeprider

First of all thanks a lot for supporting me on this. Im not sure what I am doing wrong. I got the good AHI only for a day since then I am trying the positional sleep and soft collar as well but invain. its getting up and down but not what we expected. 

Please have a look below on SH reports from 26th August till date:

http://i.imgur.com/XgZs2MO.png[/img]][Image: XgZs2MO.png]
http://i.imgur.com/tjKE2ef.png[/img]][Image: tjKE2ef.png]
http://i.imgur.com/KwMbnyM.png[/img]][Image: KwMbnyM.png]
http://i.imgur.com/pZdEQOo.png[/img]][Image: pZdEQOo.png]
http://i.imgur.com/z1PxuzS.png[/img]][Image: z1PxuzS.png]
http://i.imgur.com/6ZnOakX.png[/img]][Image: 6ZnOakX.png]
http://i.imgur.com/a2mJxze.png[/img]][Image: a2mJxze.png]
http://i.imgur.com/2cJHvOr.png[/img]][Image: 2cJHvOr.png]
http://i.imgur.com/eWSEAnm.png[/img]][Image: eWSEAnm.png]
http://i.imgur.com/YopIJ0N.png[/img]][Image: YopIJ0N.png]


What do think ?. please advise

Thanks
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