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Technically Treated - To my core Tired
#61
RE: Technically Treated - To my core Tired
Be careful of death by analysis. You have great results with consistently less than 2 AHI and a low level of flow limitation, all with very low pressure starting at 7/4 (EPR 3). You could stand to increase minimum pressure a bit. Once you're done chasing the other issues down a rabbit hole, start looking outside the CPAP therapy for solutions to fatigue.
Sleeprider
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#62
RE: Technically Treated - To my core Tired
What is an average Tidal Volume? At what numbers would you consider normal, low, high?
Thanks!
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#63
RE: Technically Treated - To my core Tired
Hi cantman!  -  Welcome

How are tidal volumes and rates determined in mechanical ventilation answer is provided by: Christopher D Jackson, MD; Chief Editor: Zab Mosenifar, MD, FACP, FCCP
Dated: Apr 11, 2019
Quote:For a patient without preexisting lung disease, the tidal volume and rate are traditionally selected by using the 12-12 rule. A tidal volume of 12 mL for each kilogram of lean body weight is programmed to be delivered 12 times a minute in the assist-control mode.

For patients with chronic obstructive pulmonary disease (COPD), the tidal volume and rate are slightly reduced to the 10-10 rule to prevent over inflation, hyperventilation, and auto–positive end-expiratory pressure (PEEP). A tidal volume of 10 mL/kg lean body weight is delivered 10 times a minute in the assist-control mode

To convert pounds to kilograms: Divide pounds by 2.205

The unanswered question is; How do you determine lean body weight?  Thinking-about
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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.
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#64
RE: Technically Treated - To my core Tired
>>>How do you determine lean body weight?

Take whatever your doc says you should weigh and add 10-15% Big Grin

There's a difference between 'lean' and 'skinny'...
Apnea Board Monitors are members who help oversee the smooth functioning of the Board. They are also members of the Advisory Committee which helps shape Apnea Board's rules & policies. Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
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