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New to Treatment- Looking for Guidance to Improve AHI
#21
RE: New to Treatment- Looking for Guidance to Improve AHI
OK.  Here is last night with EPR 2, Pressure 11 to 20.  What should I try next?
   
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#22
RE: New to Treatment- Looking for Guidance to Improve AHI
Using higher EPR did not significantly change events. There are slightly more obstructive apnea and a fractional increase in minimum pressure may help with that, on the order of 11.4, but it's certainly not necessary. The important question is qualitative; how did this feel compared to therapy without EPR?
Sleeprider
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#23
RE: New to Treatment- Looking for Guidance to Improve AHI
Good question about my qualitative assessment.  Hard to say, but I think I got a slightly better night's sleep with the EPR at 2.  I'll try bumping up to 11.4.

Is pressure typically increased until obstructive events are eliminated almost entirely?
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#24
RE: New to Treatment- Looking for Guidance to Improve AHI
Your obstructive events are about 1.4 and I'm all in for leaving things alone for a while until we can establish a baseline trend. Pressure is only varying by 2.0 cm through the night, and that is actually pretty good.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
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Optimizing Therapy
Organize your OSCAR Charts
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How To Deal With Equipment Supplier


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.
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#25
RE: New to Treatment- Looking for Guidance to Improve AHI
So, as an experiment, 2 nights ago I tried increasing pressure to 11.4 and reducing EPR to 1.  That seemed to hit a sweet spot.  But then last night took a big step backwards.  Charts for the 2 nights attached.

So, I think as you suggested I just need to let things ride for a while.  Between my 11.0/EPR 2 chart above and these 11.4/EPR 1 charts, which settings do you think I should try out for a while?
   
   
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