Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Requesting help w/ CPAP adjustments
#21
RE: Requesting help w/ CPAP adjustments
Setting up at 4 or 5 (possibly w/o EPR) means they're going cheap and trying to use CPAP therapy and not inducing centrals at low pressure. They are failing to help. You will not get proper therapy IMO.

Yes, for ASV you're needing a heart echocardiogram due to a misguided report. This is a test that takes ultrasound images recording both audio and visual of the heart. It'll be possible to get one at a local hospital at or near the radiology dept. once a doctor orders it. You'll lie on an exam table where the tech moves a cold gel coated wand pressed into your chest over your heart. A cardiologist will do a write-up on results. The needed info for ASV is % LVEF of 45 or higher number to pass. Mine was 55%.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
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.
Post Reply Post Reply






Donate to Apnea Board  
#22
RE: Requesting help w/ CPAP adjustments
Honestly I have not used CPAP in about 2 weeks. I tried the settings suggested for about a week and was still getting AHIs 5-10 and was still feeling tired. Should I try CPAP with your suggested settings for another few weeks? 

I don't know what else to do until I see the sleep doctor.
Post Reply Post Reply
#23
RE: Requesting help w/ CPAP adjustments
I don't get why a hospital would try to go "cheap" as they are not the ones paying the end price, its myself of the insurance. 

I was wondering if it was a poor sleep study bc I could not sleep great. I went to sleep around 10:30 and woke up at 3am to use restroom and did not go back to sleep. 

Would you recommend I just keep using CPAP set at 5 w/o EPR until I can see sleep doc?
Post Reply Post Reply
#24
RE: Requesting help w/ CPAP adjustments
(12-16-2019, 09:44 PM)flatlander Wrote: Honestly I have not used CPAP in about 2 weeks. I tried the settings suggested for about a week and was still getting AHIs 5-10 and was still feeling tired. Should I try CPAP with your suggested settings for another few weeks? 

I don't know what else to do until I see the sleep doctor.

If you were asking me, I was mulling over the test implications, I was not suggesting you use 4-5 w/o EPR. Sorry if there's any confusion. I may not have stated that clearly earlier.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
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.
Post Reply Post Reply






Donate to Apnea Board  
#25
RE: Requesting help w/ CPAP adjustments
I guess my concern is how I would progress to the ASV if that is needed if this sleep study is saying my apnea can be treated with low pressure CPAP.

Sorry I think that was supposed to go to Bonjour. Still getting used to this board.
Post Reply Post Reply
#26
RE: Requesting help w/ CPAP adjustments
Honestly I have not used CPAP in about 2 weeks. I tried the settings suggested for about a week and was still getting AHIs 5-10 and was still feeling tired. Should I try CPAP with your suggested settings for another few weeks? 
Post Reply Post Reply
#27
RE: Requesting help w/ CPAP adjustments
With us Try for a night and post. That let's us know what is and leads to how to improve.

The RT suggested a pressure of 4 but with a Flex of 3. That is funny because Flex at any setting, or EPR at any setting with a pressure of 4 is identical to EPR of 0. CPAP pressure cannot go below 4.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Optimizing Therapy
Post Reply Post Reply






Donate to Apnea Board  
#28
RE: Requesting help w/ CPAP adjustments
The RT suggested a pressure of 4 but with a Flex of 3. That is funny because Flex at any setting, or EPR at any setting with a pressure of 4 is identical to EPR of 0. CPAP pressure cannot go below 4.

Can you elaborate more on this statement please? 

OK I will get back on the wagon and post more info. Thank you all so much for the help. Feeling lost right now.
Post Reply Post Reply
#29
RE: Requesting help w/ CPAP adjustments
A titration at 4 infers that the apnea will be central at higher pressure. You will not get Flex or EPR when the pressure is already at the minimum.  I think you need to talk to your doctor and take the position this is not a successful titration but only a mitigation of CPAP therapy that results in central apnea and should be treated with ASV.  You need to get the cardiac echocardiogram out of the way proving left ventricular ejection fraction is outside the risk group for ASV.  

I can assure you that such a low pressure will become uncomfortable or produce inconsistent results, so we will be revisiting the need for ASV. If you doctor has any sleep disordered breathing chops at all, he will see right through this stop-gap measure by the sleep clinic.  Central apnea is consistently inconsistent, and you will return to double digit event rates.  The titration recommendation is simply not any different than this previous result where pressure varied from 4.0 to 5.5 cm pressure.

[Image: attachment.php?aid=17280]
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.
Post Reply Post Reply
#30
RE: Requesting help w/ CPAP adjustments
The RT didn't know what he was talking about. With a setting of 4 Flex or EPR will have no/nothing/zero impact on your therapy.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Optimizing Therapy
Post Reply Post Reply






Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  Requesting Sleep Report Analysis & Second Opinions omariumprime 31 799 10-10-2020, 01:32 AM
Last Post: omariumprime
  [CPAP] Requesting Help with OSCAR Analysis omariumprime 88 4,730 07-17-2020, 06:21 PM
Last Post: SarcasticDave94
  CPAP Adjustments - Waking Unrefreshed climbercpap 10 507 07-13-2020, 02:46 PM
Last Post: climbercpap
  Requesting Help with OSCAR Analysis SSTT2005 10 470 06-05-2020, 12:57 PM
Last Post: tb123
  New Member - Hello! [how long before considering adjustments?] skiajl6297 161 8,939 12-05-2019, 01:05 PM
Last Post: skiajl6297
  High altitude adjustments for iVAPS + O2 Concentrator? marthasecret 4 549 10-09-2019, 04:43 PM
Last Post: Sleeprider
  Requesting some help with evaluating my settings nickbostic 2 471 10-04-2019, 06:10 PM
Last Post: Sleeprider


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.