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Feeling stuck. What would you recommend I do next?
#11
RE: Feeling stuck. What would you recommend I do next?
(03-29-2021, 10:47 PM)kappa Wrote: The sleep study doesn't have any apparent place to report Central Apneas, so maybe they didn't collect data in order to tell one way or the other. Did you wear straps (respiritory effort belts) around your chest and mid-abdomen during the sleep study? Doesn't appear to be any leg movement monitoring either...

Edit: Actually pAHIc is their measure of central events... so there were some (avg 1.8/hr) during your study

I did a WatchPat sleep study. https://www.itamar-medical.com/patients/...p-testing/
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#12
RE: Feeling stuck. What would you recommend I do next?
Hey all,

Just wanted to post an update here. I feel like I've made some improvement, especially with the leak rate. However, I still cannot seem to get my AHI where I want it. I tend to have quite a few events closer to the time that I wake up. 

Can anyone help me figure out what to do next? Thank you so much!


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#13
RE: Feeling stuck. What would you recommend I do next?
Have you changed the Trigger setting to high as was suggested early in this thread?
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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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#14
RE: Feeling stuck. What would you recommend I do next?
(04-18-2021, 10:43 AM)OpalRose Wrote: Have you changed the Trigger setting to high as was suggested early in this thread?

Yes, the trigger is set to very high as of right now.
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#15
RE: Feeling stuck. What would you recommend I do next?
Is there anything else besides the high trigger I should change?
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#16
RE: Feeling stuck. What would you recommend I do next?
Your chart shows you using VPAP-S mode which offers the use of EPR. If you are still experiencing a lot of CA's even after using Trigger- very high setting, then try EPR 1 setting or Off.

This way your pressure would be EPAP 8 and IPAP 8. You may be trading CA's for more flow Limitations, but doesn't hurt to try.
OpalRose
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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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#17
RE: Feeling stuck. What would you recommend I do next?
sleepy331 - Since you are in the VPAP-S mode, do you have the "Easy-Breathe" option turned-on?

Here is its description from the manual:
Quote:Easy-Breathe
The comfort feature Easy-Breathe is available in S mode on the AirCurve 10 VAuto device.
The Easy-Breathe waveform intelligently recreates a patient’s individual breathing pattern, so
breathing feels more natural and therapy is more comfortable.
Crimson Nape
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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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#18
RE: Feeling stuck. What would you recommend I do next?
(04-19-2021, 09:08 AM)OpalRose Wrote: Your chart shows you using VPAP-S mode which offers the use of EPR.  If you are still experiencing a lot of CA's even after using Trigger- very high setting, then try EPR 1 setting or Off.

This way your pressure would be EPAP 8 and IPAP 8.   You may be trading CA's for more flow Limitations, but doesn't hurt to try.

Okay, thank you! I will try this tonight and report back. I changed my IPAP from 6.0 to 7.0 and left the EPAP at 8.0.
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#19
RE: Feeling stuck. What would you recommend I do next?
(04-19-2021, 10:12 AM)Crimson Nape Wrote: sleepy331 - Since you are in the VPAP-S mode, do you have the "Easy-Breathe" option turned-on?

Here is its description from the manual:
Quote:Easy-Breathe
The comfort feature Easy-Breathe is available in S mode on the AirCurve 10 VAuto device.
The Easy-Breathe waveform intelligently recreates a patient’s individual breathing pattern, so
breathing feels more natural and therapy is more comfortable.

Hi Crimson Nape, I do have Easy-Breathe on.
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#20
RE: Feeling stuck. What would you recommend I do next?
I was going to try to increase EPAP to 6.6, but knocking out all pressure support should be informative. I'm just posting this as a placeholder to come back to in the event smaller pressure support with a higher EPAP is something we might want to come back to.
Sleeprider
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