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Sleepyhead Results (New User)
#11
Flex and EPR are the first thing we turn to when CA is present. The fact you have significantly reduced CA events by turning that off is encouraging, because it leaves us with the need to resolve obstructive events using simple pressure, however, your event rate is actually not improved with increased pressure based on this chart. in fact it is just the opposite. The lower your pressure was, the lower your event rate was. Based simply on what we're seeing here, a fixed pressure of 7 may work okay, but this chart strongly suggests, you do not have simple obstructive apnea.

Your flow chart and respiration statistics have some really strange anomalies. Your inspiration time is 3X your expiration time. The Flow Rate chart has an imbalanced appearance between inhale and exhale. It may be interesting to look at that chart zoomed in to about a 2-minute period so we can see what the respiratory flow actually looks like. You have very little flow limitation events, and almost no snoring. This is telling us your apnea may not be obstructive. Do you have a copy of your sleep study and/or titration study?
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#12
Thank you for the help. The pressure is still set at 6-15 cm H2O. I turned on VS2 as well. I now see what you are talking about a times there is a big difference in the inspiration vs expiration time. Thats puzzling. I do have issues breathing through my nose when lying down. Attached is a screenshot of a two minute window. Let me know what you think. I can take more screen shots in different areas if needed. Thanks. 

Also, I don't have a copy of my sleep study as of yet. I plan on getting it my next appointment. 

[img][Image: yJPXcYbl.png][/img]
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#13
Thanks! I'm seeing inspiration flow limitation that the machine is not picking up, with a very quick exhale, and it looks pretty good in terms of volume. I'd like to see you bump up the minimum pressure to 7.5 and see if we can work out some of the obstruction and flow limit. I think this screenshot is particularly good because you are apparently sleeping here, your leak rate is okay, and pressure is just returning to minimum. This is the setup for the hypopnea about to happen in the next couple minutes.
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#14
I was thinking that would be a good screenshot to start with. I will try increasing the pressure and report back in a few days. Appreciate the help.
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