RERA .6 or so, Respiration 35-50?

[Gideon]

Your breathing IMHO is the problem, at least a chunk of it.  Flow Limits and RERAs are not a part of what drives the AHI but they are disruptive to your sleep.

Dust off the SV,  I suspect it may work better for you because of it's higher PS capability.  At least we should be able to see what it can do.

[CROWMAN]

Will I be able to read the card in OSCAR?

[Gideon]

Philips Respironics System One 50 and 60 Series[edit]

• Supported
  
  • CPAP Pro
    
  • Auto
    
  • BiPAP Pro
    
  • BiPAP Auto
    
  • BiPAP Auto SV
    
  • BiPAP ST
    

so yes

[CROWMAN]

[attachment=12715][attachment=12716]It was a long, hard weekend outside working with people. I made the changes you recommended. No trouble sleeping but my numbers went up like the last time I tried EPR. Charts below for you. Pat

[CROWMAN]

Bump for Bonjour.  Pat

[Gideon]

You show 2 RERAs with what looks like the start of a 3rd.  This is Periodic breathing of which I do not see a cause. It is not CSR.  
From what I can tell you are not using EPR

Because of the RERAs and the Flow Limitations that must accompany RERAs and your Hypopneas, I would implement EPR fulltime at EPR=3
Your Obstructive Apneas here are clustered and imply a positional element that we typically see is the chin tucking.  This is best addressed with an anti-snoring collar or a loose-fitting soft cervical collar.

[CROWMAN]

You show 2 RERAs with what looks like the start of a 3rd.  This is Periodic breathing of which I do not see a cause. It is not CSR.  
From what I can tell you are not using EPR

Because of the RERAs and the Flow Limitations that must accompany RERAs and your Hypopneas, I would implement EPR fulltime at EPR=3
Your Obstructive Apneas here are clustered and imply a positional element that we typically see is the chin tucking.  This is best addressed with an anti-snoring collar or a loose-fitting soft cervical collar.

Thanks for responding again. I am on EPR=2 Full Time per your earlier advice. I will change it to 3 tonight and see what happens. Last night AHI was 3.7 or thereabouts. Changing to EPR=3 will mean that I will be at 14/15 for pressure. That is essentially CPAP fixed pressure. Do you want me to raise the upper limit beyond 15 too?
I must say that I do not feel any worse during the day and maybe a bit better with the EPR.
Pat

[Gideon]

Based on your previous graphs you should be able to raise Max to 20 with minimal impact.
Yes I was moving toward 15 but not wanting to jump there.

[CROWMAN]

I will make both changes for sleep tonight. I suspect the first night at EPR3 and max 20 till not be good. My first night with any change tends to be not so good. Thank you again for your time and advice.  Pat

[CROWMAN]

[attachment=12827][attachment=12828][attachment=12827][attachment=12828]Attached are the two that you seem to prefer for analysis. I am happy to post whatever attachments you want. You can see that there was no need to go to a high of 20. The EPR=3 is certainly a different kind of APAP experience. Do you see anything new from these?  Thanks once again, Pat