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Need help with pressure settings
#11
Last nites results:
https://imgur.com/a/xPUDb

Pressure 16 - 18.4. EPR 3  I could go higher on top pressure?, just increasing the top pressure slowly.  I have not tried the cervical collar yet, however the pillow I am now using is firmer than my usual pillow.  I really don't understand the comments made about tidal volume or respiratory rate made by ajack.

Could use some ideas about fixing red mark on bridge of nose!  Really like this mask except for that.

Thanks for all your help.
2010 sleep study 63 AHI, 2014 3.0
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#12
Followup.  I am doing much better.  See chart from last nite,

https://imgur.com/a/OlGIt


EPR is now 3; Pressure 16 - 18.4.


  How  does my Tidal Volume look now?  I am not using the soft cervical collar, what I did change was the side of the bed I sleep on.  Now sleeping on the right side of the bed as I sleep on my left side.  Seems to make a big difference in my ahi.  The hose is now positioned better for my mask.

Thanks
2010 sleep study 63 AHI, 2014 3.0
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#13
You have managed to cut your AHI, particularly OA in half to acceptable levels. Your tidal volume has increased from 280 to 340-400, which is a notable improvement. If you're sleeping comfortably and feeling good, this is getting pretty close to success. If you feel that you want more, I will stick with my original impression that a bilevel with more pressure support couldn't hurt. This looks pretty good.
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#14
Thanks. Is a bilevel hard to adjust to?
2010 sleep study 63 AHI, 2014 3.0
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#15
Bilevel therapy is similar to your Airsense 10 Autoset, but capable of more total pressure and more difference between exhale and inhale pressure. When you changed your EPR your results improved. Pressure support does more of the respiratory effort, so people with upper airway resistance or pulmonary resistance (COPD) can benefit from less breathing effort. It can also increase ventilation, improving tidal volume and minute vent. Bilevel lets you build on the progress you experienced from increasing EPR. It is considered much more comfortable than CPAP for most people.
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