UARS sufferer here - RDI 15.
I tried CPAP a few months ago but stopped due to crippling aerophagia. I'm now willing to give it another try, this time slowly ramping up the pressure.
Availables machines: Resmed Autoset 10 + bipap + ASV
My current plan is to try out CPAP, see how I feel. If I cannot get rid of flow limitations, I'll try a bipap with more pressure support. Lastly, I could try the ASV, as Barry Krakow recommends.
Current Therapy Goal : figuring out what to optimize, and how.
There aren't any hypnopneas or apneas on OSCAR's graph. Instead, I see more subtle signs : flow limitations and signs of respiratory effort. I think stabilizing these will be the key for a succesfull therapy.
First night with CPAP :
Test night, EPAP 5 EPR 3.
EDIT : clear airways events are not central. They are "sleep wake-junk".
I see a pattern here. A handful of flow limitation, and a trending decrease in tidal volume, leading to arousals (big spikes).
What do you think ?
Here is my typical breathing pattern. We can see alternating increases and decreases in flow rate. Overall the flow rate decreases, which is then followed by an arousal.
Am I correct in assuming this shows respiratory effort ? Would it even be considered periodic breathing ?
And of course, I've also got classic flow limitations ! Lol
What's next :
My instinct would be to try to get rid of these patterns. Maybe using Krakow's titration protocol for UARS (see wiki).
What do you think ? I'd love to hear your insight ! Discussions are welcome.