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Nicholas' progress thread
#21
RE: Nicholas' progress thread
(06-01-2017, 08:45 AM)Sleeprider Wrote: EPR is fine, and does not harm your therapy as long as EPAP minimum remains 9.0.

Ok, so to achieve an EPAP min of 9 (and assuming that if I *do* use EPR, it's set to 2), my options are:

a) set CPAP to 9 and turn off epr
b) set CPAP to 11 and turn on epr 2
c) set APAP min to 11 turn on epr 2

Do I have that right?
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#22
RE: Nicholas' progress thread
a) set CPAP to 9 and turn off epr
b) set CPAP to 11 and turn on epr 2
c) set APAP min to 11 APAP max to 11 turn on epr 2
d) set APAP min to 9 APAP max to 9 turn epr off


A minor change, and option c or d would be slightly preferred because they would enable the "Flow Limit" chart 
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#23
RE: Nicholas' progress thread
(06-01-2017, 09:43 AM)bonjour Wrote: a) set CPAP to 9 and turn off epr
b) set CPAP to 11 and turn on epr 2
c) set APAP min to 11 APAP max to 11 turn on epr 2
d) set APAP min to 9 APAP max to 9 turn epr off


A minor change, and option c or d would be slightly preferred because they would enable the "Flow Limit" chart 

I'm not positive, but I think Resmed Autoset will record flow limitation in CPAP mode.  Philips definitely does not do FL flags in CPAP mode.
Sleeprider
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#24
RE: Nicholas' progress thread
(06-01-2017, 11:21 AM)Sleeprider Wrote: I'm not positive, but I think Resmed Autoset will record flow limitation in CPAP mode.

The S9 Autoset DOES record flow limits in CPAP.
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#25
RE: Nicholas' progress thread
(06-01-2017, 11:33 AM)Crimson Nape Wrote: The S9 Autoset DOES record flow limits in CPAP.

Then it seems reasonably safe to assume the S10 does, too.
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#26
RE: Nicholas' progress thread
(06-01-2017, 09:43 AM)bonjour Wrote: d) set APAP min to 9 APAP max to 9 turn epr off

A minor change, and option c or d would be slightly preferred because they would enable the "Flow Limit" chart 

This is the option I'll likely go with tonight. Thanks
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#27
RE: Nicholas' progress thread
So last night I set it to CPAP mode at a pressure of 9 with EPR off @bonjour - it *did* flow limit). My AHI was 1.31 for a total time of 7:34. At first glance, those numbers looks good. The interesting thing is that the 7:34 was broken up into 7 small sessions, with the longest two being 1:54 and 2:04; I was up and down quite a bit during the night. This is somewhat consistent with the previous night where my APAP range was set to 10-16 with EPR off; my AHI was 0.87 for a total sleep time of 5:34 broken into 7 shorter sessions.


This is in contrast with two nights ago where APAP was set to 10-16 with EPR of 2. My AHI was up at 2.56, but I had only 4 sessions that averaged longer.

So, when EPR is off and EPAP stays constant at 9 or 10, my AHI may be lower, but I seem to get up and down all night.

However, with EPR on, my AHI may be slightly higher, but I get up and down less, and each of my sleep sessions last longer.

The question is: why? Why do I get up more when my EPAP is fixed at 9? Is it due to comfort? If so, then EPAP pressure must be disturbing me more than I realize - because I don't consciously notice much discomfort when EPR is off.

I'm not sure which scenario is better. If I had to choose, I'd be inclined towards the higher AHI with less getting up and down at night. Waking up to pee has been a major complaint throughout most of my life - so the less I do that, the better I seem to feel.

The next frontier is to try and get my AHI down *with* longer sleep sessions. Any feedback is appreciated.
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#28
RE: Nicholas' progress thread
Go for comfort and less sleep disruption. The rest will take care of itself in time.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
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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#29
RE: Nicholas' progress thread
Less getting up to pee is better sleep.

Sleep-well

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#30
RE: Nicholas' progress thread
(06-02-2017, 11:29 AM)Sleeprider Wrote: Go for comfort and less sleep disruption.  The rest will take care of itself in time.

Thanks, I agree. When you get a minute, as a favor, would you have a peek at the above data and see if it takes you to the same conclusion?
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