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[Pressure] Help optimizing therapy - Low AHI
#1
Idea 
Help optimizing therapy - Low AHI
Hi all. I'm looking for some assistance optimizing my therapy. I've read the wiki thoroughly, but based on my oscar data it looks like there are some conflicting directions I can go in. 

In the night I'm posting I basically had 1 legitimate OA, 1 legitimate CA, and then a flagged RERA and hypopnea which I'm not sure if are legitimate. I've attached screenshots of those events.

I'm not sure if I should reduce EPR, increase pressure, or both. 

Thanks for any help!


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#2
RE: Help optimizing therapy - Low AHI
Your events are negligible in number, and adjusting pressure to minimize them further isn't your best plan of action.  From the left panel, it looks as though you have a fair amount of flow limitation, so you might actually want to increase your EPR to 3 to see whether that helps.  The next time you post, could you include a screenshot of the whole night?  That helps a lot to provide context.
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#3
RE: Help optimizing therapy - Low AHI
Okay I attached a file with the whole night. Btw, in the left panel it says 95% flow limit is 0.09. Is that considered a fair amount? I did not know! I'll try EPR 3 for a few days. Should I also increase the max pressure then so EPAP stays the same?


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#4
RE: Help optimizing therapy - Low AHI
Your FL graph shows that you experienced some amount of flow limitation for much of the time you were settled into sleep. (It looks as though you may not have really fallen asleep until around 2:15.) The numbers in the panel are a clue, but the graph provides better information.

Given how few events you're experiencing, I'd suggest you increase EPR without changing your minimum to see how it goes. If you get a significant increase in obstructive events, that will signal a need to raise the minimum. But try first with your current minimum; it may be just fine.
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#5
RE: Help optimizing therapy - Low AHI
Thanks for the help!
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