(04-11-2012, 03:25 PM)projman65 Wrote: Thanks for replying Zimlich. I know it's only been one day...we'll see how the numbers look in a 2-3 weeks. but it's interesting what you said about the increased apneas with the increased pressure. I wonder if that's common with others.
The ResMed S9 AutoSet will not raise pressures in response to a central sleep apnea event.. it basically ignores them. It will only raise pressures in response to an obstructive event.
Since your pressure range is set from 9-16, and (I'm assuming) your 95% pressure level was at 15.8 last night, it could
be possible that you need to increase the upper limit on your pressure from 16 eventually.
Again, don't change anything right away, I'm just pointing out one possibility. Your leaks are fine, AHI isn't really that bad either.... it could easily go down over the next few days without changing any settings. That would be the best case scenario.
If after a week or two of using the AutoSet with the current settings, you still aren't getting an AHI lower than 5.0, you might want to slightly increase the upper pressure limit. Also, turning down the EPR level (if it's on) or turning it completely off may help as well. On EPR, high is 3, low is 1, lowest is "off". If you can sleep fine with the EPR off, that's really the best, but if you're completely uncomfortable breathing out against that level of pressure, leave it on - it's better that you keep using the APAP rather than quit because of discomfort.
But again, give the current settings time to work before you start messing around with them.
If I were you, I'd just keep using it as-is for at least 10 days, then come back and post your numbers to let us know what happens. As always, if you ask your doctor's advice at that point, it may help as well.