04-13-2014, 03:09 AM
(This post was last modified: 04-13-2014, 03:11 AM by vsheline.)
(04-09-2014, 04:49 PM)sjssf Wrote: Pressure was Median: 12.2 / 95th percentile 15.1 /Maximum 16.9
Your profile says your pressure settings are wide open, 4 to 20.
I suggest raising your minimum pressure to 6 and then gradually increasing by 1 each few days until the minimum pressure setting is about 11 (or within about 4 of your 95% pressure).
ResMed machines treat their minimum pressure setting as a target which they are always trying to get back to. If the minimum pressure is way lower than what is usually needed, this will cause rapid drops in pressure between events, and longer than necessary response times when reacting to future events.
A few people react very badly to pressure (dizziness, hearing loss or tinnitus, or vision problems, etc) and therefore need the lowest possible minimum pressure, but I think most patients will do best when their machine targets a minimum pressure which is only a little lower than the median needed pressure.
Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
Once you collect more data, in addition to what vsheline said about upping your minimum pressure, you might consider lowering the maximum pressure to 18 instead of 20.
If you are going to move your min pressure then I would suggest watching it a few nights and if you are at similar pressure to above just go (close) to 10 in one shot. Maybe 8.
Your AHI is good, so the only real reason for this is to just get a steady pressure from the beginning of the night and keep the machine from continuously moving it A LOT.
The reason for this is: If you are going to end up using 10-15, you might as well just be there.
As to the upper pressure, that one I would cut down slowly as suggest since it does not much matter. If you machine doesn't think you need a higher pressure it will never go there anyway.
And if you DO need it then you want to leave the 'headroom' for the machine to treat you more effectively.
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)
"We can all breathe together or we will all suffocate alone."
We want graphs!
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.