Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Minimum EPAP 4 or 5?
#1
Minimum EPAP 4 or 5?
When it comes to pressure settings, people here are often advised to start with a minimum EPAP of 5. So for bilevel therapy you might take min EPAP =5, max IPAP =15 and PS=4 as a start, to see where the algoritm is going. That makes sense.
 
But wouldn't it be better to start with a minimum of 4? I mean, we all want maximum results with minimum pressure, do we?

I understand you need to choose an EPAP level that is sufficient in order to prevent from any OA to happen. But for people with UARS or only hypopneas, that trick could easily be done with an EPAP of 4. Those people might be effectively treated with an EPAP of only 4 and a PS of 4-6. 

My assumption is that low pressure settings are more comfortable than the higher ones.
So why would any one take an EPAP level of 5 for a start?
Thank you for explaining this.
Post Reply Post Reply
#2
RE: Minimum EPAP 4 or 5?
In your other thread with the Airsense 10 http://www.apneaboard.com/forums/Thread-Next-step , you showed persistent flow limitations, but low AHI, and results were roughly the same with pressure at 7/4 as compared to higher pressures. The autoset pressure was consistently driven by flow limitation. It's fine to start with an EPAP min of 4 and PS 4. The whole point of using bilevel is to maximize comfort, and it may take some experimenting to see what works best for you.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  UARS suspected - how set IPAP and EPAP jrcifani5005 20 1,086 03-05-2024, 08:52 PM
Last Post: jrcifani5005
  Does EPAP or IPAP control hypopneas? MrIvanDrago 3 242 02-29-2024, 05:08 PM
Last Post: Sleeprider
  [CPAP] Need help with setting minimum pressure for my Father. Jamie Connor 2 382 01-07-2024, 12:18 AM
Last Post: Jamie Connor
  [Admin Note] Rules addition - minimum age of members SuperSleeper 8 1,891 09-16-2023, 08:22 PM
Last Post: SarcasticDave94
  Seemingly little correlation between EPAP (or PS) and AHI or flow rate. [UARS] ldinks 154 12,192 08-09-2023, 05:50 AM
Last Post: Dutchie
  Is this due to too much PS/EPAP? Xeros 7 813 07-31-2023, 10:07 AM
Last Post: Xeros
  [CPAP] DISTURBED SLEEP - Minimum Tidal Volume = ZERO ACA327 3 635 03-28-2023, 05:31 AM
Last Post: pholynyk


New Posts   Today's Posts


About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.