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New DreamWear FFM - conclusions and a question how to proceed with treatment
#1
New DreamWear FFM - conclusions and a question how to proceed with treatment
Hi Guys,
 
After 2 weeks with the DraemWear FFM, that replaced my Nasal mask , I can conclude the following:
 
1.      Quality of sleep is much better.
2.      Significant leak that I have with the nasal mask reduced to normal (2.5L/min).
3.      AHI decreased from about 10 to 5 or less as follows:
      a.      Obstructive Apneas – 0.
      b.     Central Apneas – 0.
      c.      Obstructive Hypopneas – about 3/hour.
      d.     Central Hypopneas – about 3/hour.  (it looks like having more of these with the FFM..).
4.      Current settings:
      a.      Pressure – 4-12 (Median reduced from about 9 to 5 cmH2O, P90 is 6.5). 
      b.     softPAP=2 (meaning reducing 2 cmH2O on exhale).
 
Please advise how I can further improve the treatment. See attached file for more details.
 
Note 1: Does it make sense to have more central events with the FFM?
Note 2: Not absolutely sure that the PRISMA 20A knows to distinguish between Obstructive and Central Hypopneas but consider it as true for the sake of the discussion,
 
Thanks,
Arik.


Attached Files
.pdf   Report 17 Feb.pdf (Size: 448.12 KB / Downloads: 17)
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#2
RE: New DreamWear FFM - conclusions and a question how to proceed with treatment
If that was my graph I would look at increasing the minimum pressure to a much higher value say 8 and see if your events drop further as more minimum pressure is needed to treat the Obstructive apnoea, we may need to go even higher but lest try there first
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