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CPAP newbie
#51
RE: CPAP newbie
When you move from 5-10 cm pressure to 6-9, the expectation was that we would see less pressure variation. Well, what we ended up seeing was a whole lot more flow limitation and positional apnea, resulting in your pressure staying at the maximum pressure of 9.0 for extended time. While I think the problem here was chin-tucking or some other sleeping position that greatly increased flow limitation. I understand you are blaming the pressure, but I think the problem lies in the flow lmitation. In actuality, your tidal volume and minute vent went way down due to all of the airway restriction, which makes no sense with higher minimum pressure and no change in EPR.

My recommendation is not to change any pressure setting but increase EPR to 2. Watch out for any sleeping position that raises your head or causes chin tuck. If you want to go back to 5-10 EPR 1 for a while longer and seeing if this resolves, that's fine by me.
Sleeprider
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#52
RE: CPAP newbie
Last night slept good (maybe due to the few drinks I had).
What concerns me a little the number of CAs towards the 1st hour when trying to sleep. Is this normal?
attached..

Thanks


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#53
RE: CPAP newbie
On your machine, Autoset mode has two options, standard and soft. Let's try the soft mode and slow down the response to the flow limits. The centrals are pretty common with sleep onset and arousals, and in this case are mixed in with a cluster of OA. I don't think there is anything to worry about.
Sleeprider
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____________________________________________
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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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#54
RE: CPAP newbie
Thanks, I will try that..
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#55
RE: CPAP newbie
I am getting a feeling of uncomfortable pressure that I have to exhale the pressure from my mouth every once in a while.
Is this an indication of too much pressure?
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#56
RE: CPAP newbie
Your pressure is actually pretty low and should not present a physical problem in exhaling, however it might be perceived as higher resistance, if you are a bit congested. I would suggest taking EPR to 2, but it might make your CA more prominent.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
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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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#57
RE: CPAP newbie
Last night was the best night I slept since I got the CPAP 2 weeks ago..


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#58
RE: CPAP newbie
Leaks! I'm tempted to suggest fixed pressure at 7.0 just to get rid of all the variation.
Sleeprider
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www.ApneaBoard.com

____________________________________________
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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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#59
RE: CPAP newbie
min and max to 7, ERP to 2? I will give the current setup few more days and maybe will change to your suggestion.
Thanks
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#60
RE: CPAP newbie
It tool me a while to sleep, when I did, I did not go into deep sleep. When I woke up, it seemed that I did not sleep at all.
Can Oscar data shed some lights on why would this happen?
Can deep sleep be recognized?
How do Insomnia and Apnea play together?

Thanks


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