Mratcliff, I combined your most recent thread with your previous therapy thread because I advised you start using the bilevel function of your machine. You contacted me by PM (actually Supersleeper who forwarded it to me) and said, you had very few events, but didn't feel rested.
In your original posts, you were using a fixed pressure of 20 with no pressure support and were experiencing some CA events, and very fragmented therapy. More recently your implemented my recommendation from earlier in this thread, of 18/14 bilevel pressure and had zero events, and much less fragmented therapy. In your PM you said,
Quote:thanks for your great advice. I did change my pressures lower and switch to bipap mode.
Would you look at my last night results attached to the thread "Relationship between snore rate and leak rate".
I wonder if anything jumps out at you. Although my numbers are zero I did not have a good night. The problem
is I don't know what a good night should look like on the chart.
I thank you for your help in advance
My response continues below the charts.
Your newer results show progress. I want to first say, please keep your questions on the forum to a single therapy thread. The history is essential to allowing us to help you and understand what we have tried, and where we need to proceed.
So what have we learned? We learned we can continue to reduce pressure. With pressure at 20, you had CA events, yet your tidal volume and minute vent were much lower. Flow limits and snores are zero, so we are on the right track.
Normally I don't make such radical changes in a single move, but, I'm going to suggest again, much lower pressure to get yuo towards greater comfort. Please reduce pressure to EPAP 10 and IPAP 14. This is a drop of 4 cm, but is certainly in the right direction considering the zero event rate and excellent respiratory stats at 18/14. Be sure the comfort feature "EasyBreathe" is set to ON.