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I could use some help
#11
RE: I could use some help
Exactly, I want patience as of yesterday! 

In your opinion, the range has been 8-15 for only a couple of nights, should I leave it alone for a while? What would changing the EPR do?
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#12
RE: I could use some help
Theoretically, an EPR reduction "should" reduce your CAs.  EPR is a double-edged sword.  Increasing its value will help to reduce your flow limitations, but at the risk of increasing your CAs.   The EPR's pressure difference aids in washing out some of the CO2 that your body uses to signal a breath, thus the increase in CAs.  Over time, your body will adapt to the CO2 reduction. . . to a degree.

- Red
Crimson Nape
Apnea Board Moderator
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Useful Links -or- When All Else Fails:
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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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#13
RE: I could use some help
I've been trying to give these settings some time but the CAs are killing me. If you look at the attached, you'll see a ton of them right before I woke up at around 4:30. I then read a book for a bit before falling back to sleep. I'm trying to get my AHI below 5 in order to be FAA compliant (trying to earn my pilot's license) Should I try turning the EPR down to 2?


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#14
RE: I could use some help
Yes, try EPR=2
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#15
RE: I could use some help
Will do.  Are the CAs waking me up,  or are they a byproduct of waking up? Kind of a chicken before the egg type of scenario?
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#16
RE: I could use some help
Dialing the EPR down to 2 to reduce CRs was a success! THANK YOU!

2 problems though. 1 Large Leak event starting around 2:20am which I may have to solve with a chinstrap or tape. The second was the rapid succession of events right after the Large Leak and prior to me waking up. I'm hoping the CR events continue the downward trend but why are so many of them popping up right before I wake up? Is it simply because of the increased brain activity?


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#17
RE: I could use some help
Try to avoid a chinstrap as it can often pull your jaw back and obstruct your airway. Find a way to apply upward pressure to the back of your jaw to encourage your mouth to remain closed. A soft cervical collar can often do this, or if you lay on your side pull a corner of a flexible pillow between your shoulder and jaw. The cluster of obstructive apnea at 02:55 suggests a cervical misalignment consistent with chin-tucking which can be resolved with a soft cervical collar. Both Bonjour and I have the soft cervical collar wiki linked in our signature. Your therapy is looking a lot better.
Sleeprider
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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: I could use some help
Thank you,  my AHI has finally been below 5 for the last several nights with only a few (if any) large leaks per night. If it continues to be a problem, I will definitely look into a collar. I wouldn't mind getting my AHI down even more but this is acceptable until the treatment emergent CAs run their course.
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#19
RE: I could use some help
Here's where I'm currently at. After dialing my EPR down to 2, it reduced my CAs down just enough to keep my AHI barely under 5 and I'd like to gain a bit of breathing room to meet FAA requirements. Since turning my pressure up from 5-15 to 8-15, I've noticed a slight increase in leaks throughout the night. These aren't mask leaks, the pressure is escaping from my mouth. What I'm thinking is, reduce my pressure a bit to 7-15 to try to reduce leaks and dial my EPR down to 1 to reduce my CAs. Right now, my obstructive apneas are the least of my concerns, I HAVE to get these CAs down more. Thoughts?


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#20
RE: I could use some help
For me, mouth breathing normally occurs when I am using too much pressure. Also, after looking at your Flow Limits, You could easily reduce your EPR as well. This will help in reducing your CAs. Just remember, that this will increase your EPAP pressure accordingly. Using an EPR of 2 with the 8-15 is basically the exact same EPAP pressure range as an EPR of 1 with a 7-14 setting. You may wish to try a 6-13 when using an EPR of 1 to actually reduce your EPAP.

- Red
Crimson Nape
Apnea Board Moderator
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

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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