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Noobie Question: CPAP or BiPAP? UARS? Alleries
#11
RE: Noobie Question: CPAP or BiPAP? UARS? Alleries
Got it, thanks so much for the help! I'll try that and let you know any updates if you're still interested in the following weeks Smile
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#12
Question 
RE: Noobie Question: CPAP or BiPAP? UARS? Alleries
Yep; for sure Smile
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#13
RE: Noobie Question: CPAP or BiPAP? UARS? Alleries
Just set up my machine, will prob start my first night tonight at min 4, max 6, EPR 3 and let you all know how it goes! Not sure how to work OSCAR though since my macbook pro does not have a SD card reader... do you have any suggestions on how to collect data otherwise? Resmed 10 Autoset
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#14
RE: Noobie Question: CPAP or BiPAP? UARS? Alleries
Hi newuser1002,
Glad to see you're receiving some great help.  

Just a note on the use of EPR...
In able to receive the max benefit of EPR, your minimum pressure should be set to 7cm.
(7 minus 3 EPR = EPAP 4).  With your proposed setting of Min 4, Max 6, there's not much benefit of using EPR, unless you use EPR 1 or 2.  Even if your Cpap reach max 6, a setting of EPR 3 yields a EPAP of 3.  The machine can go no lower than 4.  

Of course, you can set your Pap machine to 4 min and 6 max,  but understand there's no benefit using EPR with those settings.

Hope I didn't confuse you.  
Dreaming

Note: You can purchase a card reader from Amazon fairly cheap.
OpalRose
Apnea Board Administrator
www.apneaboard.com

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#15
RE: Noobie Question: CPAP or BiPAP? UARS? Alleries
Hey!

I've set up my machine and OSCAR and here's my first day of data from last night: https://imgur.com/a/kkjVaEq ! (I have used it every other day for 2 weeks, but my SD card reader just came so I only have a graph for yesterday).

Basic info: Resmed Airsense 10 Autoset at pressures 4-7, EPR 3. Dreamwear Full Face Mask. BTW the graph is actually 4 hours off (I slept at 4 am unfortunately).

Note that I took off the mask for 15 minutes close to the beginning since I felt a bit uncomfortable (felt like there was too much air in me). Took a magnesium supplement before sleeping for the second time ever (first time being yesterday). I'd like to add, after waking up after 8 hours, I was still quite tired and took off the mask and pretty much immediately fell back asleep for another hour-ish. I've noticed in general that I haven't been dreaming much / remembering my dreams when I have my CPAP on - is this indicative of less REM sleep?

Can anyone help me interpret my results? I saw from here http://www.apneaboard.com/wiki/index.php...Resp._Rate that my tidal volume / resp rate seems a bit abnormal, and it seems like I had a pretty big leak which caused some apnea later into the night. I'm curious how to better optimize my parameters. Thank you [Image: icon_smile.gif]


https://imgur.com/a/kkjVaEq
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#16
RE: Noobie Question: CPAP or BiPAP? UARS? Alleries
Your issue is flow liitayions. The best way to address these is to use EPR=3, full time, which you are doing, BUT you have handcuffed EPR with too low of a starting pressure.
Set your min Pressure = 7, Max Pressure = 8 and the 7 will allow EPR to fully work.

Then repost and we will see what is still going on.
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#17
RE: Noobie Question: CPAP or BiPAP? UARS? Alleries
I'm kind of scared to do min 7 max 8 since my doctor recommended me to not go over 5. How about I try min 6 max 8 or min 5 max 8?
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#18
RE: Noobie Question: CPAP or BiPAP? UARS? Alleries
Also, this person on this forum is adamantly against the usage of EPR: https://myapnea.org/forum/not-understand-epr-setting
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#19
RE: Noobie Question: CPAP or BiPAP? UARS? Alleries
Then they should be adamantly against the use of any CPAP period because what they are trying to avoid can be caused simply by basic CPAP use. Hey must also be against any use of BiLevel as well.

Obviously that is absurd as PAP use is the Gold Standard.

With a min (inhale) pressure of 7 and EPR=3 Fulltime your Exhale pressure will be 4,. That is the machines minimum.

EPR is the magic that treats hypopnoea, flow limits, and RERAS. It is also what allows your machine to act as a low powered BiLevel.

What we do is we know that higher EPR MAY, not will, induce some central apnea because of increased flushing of CO2 from your system, just as CPAp use itself may do. So we always watch for it. BTW it is the need to flush CO2 from our system that provides our drive to breathe, not the need to breathe oxygen which will make you breathe faster. If CA events occur we evaluate them and then respond to reduce them, BUT this occurs in a few individuals.

Bottom line is it is your body and thus your right to choose which set of suggestions to follow
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#20
RE: Noobie Question: CPAP or BiPAP? UARS? Alleries
By the way, what’s the difference between these four options?:

7, 7, EPR 3
6, 7, EPR 2
5, 7, EPR 1
4, 7, EPR 0
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