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[Diagnosis] New User
#1
New User
Hi great site! 

I've been using APAP for a few weeks & would like some help and/or suggestions (pressure change/ramp etc.) based on the screen shots below. The results has been pretty consistent & last night's data is representative. Original sleep study results indicated ~60 events an hour so big improvement from those levels.

Thx!

       
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#2
RE: New User
Welcome to the forum.

Your obstructive events are well managed.
Min pressure should be 7 (Min = 4 (machine min + EPR (3) =7 or 6 min for an adult as a min, it can be higher We will leave it at 6 because we will be reducing EPR to 1

Reduce EPR to 1 to see if Central Apneas reduce. We may suggest turning off EPR depending on your results. EPR or PS / pressure support can play a big roll in flushing CO2 out of the system which can trigger central apneas when CO2 falls below your apneic threshold. We will not know until we try.

It would help a lot if you could post redacted copies of your sleep studies. Those will give us a lot of insight. Right now it is to determine if your central apnea is treatment-emergent per the mechanism above.

Also always critically state how you feel.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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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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#3
RE: New User
Thanks for responding!


I lowered EPR to 1 last night & AHI decreased to 6.21 - is that possibly direct co-relation? I didn't realize how much I had been fighting the machine - last night breathed clear & easy.

Also, I've attached my sleep study.

Since starting treatment, I had noticed I felt less tired & in less need of naps/coffee, but not a massive improvement - however I feel very well rested this morning. Hopefully its a trend!

Any advice is greatly appreciated.

Thx.
   
.pdf   Sleep Study.pdf (Size: 399.87 KB / Downloads: 9)
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#4
RE: New User
Yes it is. Turn EPR off tonight. And turn Ramp off, your pressures are low so you shouldn't need it. Most of the senior people here do not use the ramp.
Work on getting those sleep studies, you want them in your personal possession
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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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#5
RE: New User
Hi Bonjour, RMac did provide the sleep study, which shows hypopneas predominating, plus a lot of snoring and tossing/turning. Hypopnea index was 61.7; CAI, .04. So it looks as though the CAs are treatment-emergent and the low pressures are enough to prevent most hypopneas and all snoring. Nice!

RMac, you are in very good hands with Bonjour. Do follow his advice. I will be interested to see how you do with 0 EPR.
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#6
RE: New User
Thanks Bonjour & Dormeo! 

- will turn off EPR & Ramp.
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