Here are the results over the last year after dialing in:
1. Pressure Range 8-12, 239 days, AHI .75, RDI 1.70, FL .46
2. Pressure Range 8.5-11, 21 days, AHI .75, RDI 1.73, FL .56
3. Fixed Pressure at 8.5, 47 days, AHI .55, RDI 2.06, FL 1.05
My best sleep subjectively has been with the 8.5 fixed pressure. My hope with the FFM was to be more comfortable (no hot tight chinstrap, tape) and, perhaps to reduce the flow limitations somewhat (the DME respiratory therapist said that I should achieve that as a result as well). The therapist also recommended a small frame (I always wore a medium before). I didn’t know that she also gave me a small cushion as well until after the first night (it has an S on the one side where the frame plugs in).
The first two nights were spent tweaking the mask adjustments. I had only fair results. I ditched the small frame for a medium after the first night. The mask is very comfortable with the medium frame but, perhaps, the small cushion is too small even though it “feels” OK.
Last night had three main sessions and I have posted them below. I was cautioned by the DME rep not to tighten the straps on the FFM too tight; to wear it rather loosely. The Resperonics FFM manual says this as well. So, I began with a comfortable, but loose fit. The first session was a disaster as far as numbers go (7.76 AHI, 8.62 RDI, .86 FL) and I only slept a little over 2 hours. After a brief second attempt in which I could not go back to sleep, I put my nasal gel pillow, chinstrap and tape back on and slept for 4 more hours comfortably. Voila! .48 AHI, 1.44 RDI, .48 FL. Feeling rested, I decided to put the FFM back on and strap it on rather tightly. This 2 hour session had an AHI of 0.00, RDI of 2.66, FL of 2.13 and RERA of .53. It was too short to reasonably evaluate sleep comfort or refreshment.
Again, here are the posts from last night. I would appreciate your insights as to how to proceed. Thanks in advance. (The small sessions after the last major session were me trying humidity levels and strap adjustments while awake).
Thanks
Rick