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

Self Titrating UARS - Need Help
#21
RE: Self Titrating UARS - Need Help
           

EPAP Min of 6, IPAP max 16 PS 4 Ti min .3 and Ti max at 2.2  Trigger Med

still have fragmented sleep and tired with brain fog
Post Reply Post Reply



Donate to Apnea Board  
#22
RE: Self Titrating UARS - Need Help
   

If you need anymore data to make an assessment let me know. I'll be leaving it at those settings above until told to change
Post Reply Post Reply
#23
RE: Self Titrating UARS - Need Help
Results are looking pretty good with minimal flow limitation, however most events are obstructive, and the close-ups of the flow rate show some breathing pauses with arousal. Those pauses are not typical of apnea as they are preceded by a large breath that might be movement or a spontaneous arousal. The presence of OA events suggest a higher minimum EPAP. I would suggest slowly increasing the minimum and observing comfort and efficacy. There is no appreciable CA going on, so again, you can increase PS according to comfort and see if it helps. These are fine-tuning adjustments and are not necessarily going to change numerical results. The objective here is to experiment with these small changes until you arrive at something that feels good to you and helps you maintain sleep. There are no right or wrong answers in this procedure, it is trial and error to see what works best, now that you have achieved good treatment results
Post Reply Post Reply
#24
RE: Self Titrating UARS - Need Help
Sleeprider Wrote:Results are looking pretty good with minimal flow limitation, however most events are obstructive, and the close-ups of the flow rate show some breathing pauses with arousal. Those pauses are not typical of apnea as they are preceded by a large breath that might be movement or a spontaneous arousal.  The presence of OA events suggest a higher minimum EPAP. I would suggest slowly increasing the minimum and observing comfort and efficacy. There is no appreciable CA going on, so again, you can increase PS according to comfort and see if it helps.  These are fine-tuning adjustments and are not necessarily going to change numerical results. The objective here is to experiment with these small changes until you arrive at something that feels good to you and helps you maintain sleep.  There are no right or wrong answers in this procedure, it is trial and error to see what works best, now that you have achieved good treatment results

I think I'll keep it at the current settings for a couple more nights and observe the results then make the changes you recommended and go from there.

Leave the trigger and ti min/max where they are at?

I also noticed my med inspi/expiration time really changed from the apap to bipap.  Before it was closer to 1:1, now the inspi time is much shorter.  Is that all good??
Post Reply Post Reply



Donate to Apnea Board  
#25
RE: Self Titrating UARS - Need Help
Your average inspiratory time is 1.4, and the max is 2.2. I see no need for a longer inspiratory time. If you want to use a longer TiMin of 0.5 that might be worth a try.  There is nothing to suggest a different trigger or cycle sensitivity will be advantageous. If anything I would reduce sensitivity for trigger as there are some pre-inspiration spikes. Reducing trigger sensitivity will ensure those are not picked up as the start of inhale.

[Image: attachment.php?aid=10453]
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  UARS / Irregular breathing pattern nevermind 15 558 04-19-2019, 07:50 AM
Last Post: Sleeprider
  Flow Limitations, For Her, UARS, etc. WakeTired 13 668 03-20-2019, 05:08 PM
Last Post: Sleeprider
  UARS ZSleepN 7 267 02-28-2019, 03:34 PM
Last Post: Sleeprider
  Titrating RERAs logit 15 539 02-25-2019, 02:23 PM
Last Post: Sleeprider
  Are auto titrating bipap devices as effective as in lab manual titration? Michaely6 22 578 01-09-2019, 10:33 PM
Last Post: Michaely6
  Question on sleep titration study -- arousal index, uars dcg494 19 591 12-28-2018, 08:58 AM
Last Post: Sleeprider
  My experience with UARS namealreadyregistered 9 1,687 12-26-2018, 12:41 PM
Last Post: SHargett


New Posts   Today's Posts






About Apnea Board

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