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[Pressure] Help for a newbie: titration failed
#71
RE: Help for a newbie: titration failed
I'm not 100% sure about this so I'll be interested to see if someone corrects me.

I think your pressure increases against obstructive events including flow limitations. higher pressure can produce more leaks.

I think flow increases to maintain pressure in the presence of leaks. ironically, I'd think increased flow would also contribute to leaks.
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#72
RE: Help for a newbie: titration failed
Thanks for the feedback. Should I be making more of a concerted effort to sleep on my side? I am a habitual side sleeper, but since getting the BIPAP I have switched to sleeping in an almost sitting-up position, partially to deal with aerophagia and partially because that's the only position in which the mask doesn't start leaking loudly. Even then I have to crank the straps down almost painfully tight.

My oh-so-helpful DME gave me no choice of mask, sending me a fit pack and leaving me to my own devices. I called them this week and talked them into sending me a DreamWear nasal cushion mask. I am a little apprehensive about it because my first experience with PAP therapy was when somebody woke me up at 2 a.m. and shoved nasal cushions up my nose and I almost suffocated. I'm hoping now that I'm used to air blowing in my face I'll handle it better.
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#73
RE: Help for a newbie: titration failed
I think the sitting up position is causing chin-tucking. Read these articles

Positional apnea wiki http://www.apneaboard.com/wiki/index.php...onal_Apnea
Soft cervical collar wiki http://www.apneaboard.com/wiki/index.php...cal_Collar

By using the wedge or pillows to elevate your upper body, you have become more prone to positional apnea. As a result your pressures are much higher. If you can resolve this, either by reducing this elevation or using a soft cervical collar, then I think you can move pressure down to EPAP min 8.0, PS 4.0 and max pressure 15.0
Sleeprider
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#74
RE: Help for a newbie: titration failed
Dave, this was WITH a soft cervical collar, strapped as tight as I could make it. I am using the Releaf Neck Rest. Is there another brand that people have found better results with?
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#75
RE: Help for a newbie: titration failed
I've not used any collar yet, but there's a member on Apnea Board that likes his Corflex Ultra Cervical Collar. I think that the sitting up, or nearly so, position may be voiding some of the positive affects the collar is doing.
Dave

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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