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[Treatment] AHI continues high
#21
RE: AHI continues high
Thanks so much. I am looking at :anti snoring devices & pillows on Amazon. Thanks
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#22
RE: AHI continues high
Keep in mind that you are looking to keep the neck extended, nothing in the nose.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
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#23
RE: AHI continues high
I just ordered a chin strap & a cervical collar to see which one works best for me. Thanks
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#24
RE: AHI continues high
(10-07-2019, 09:33 AM)Elvis Wrote: Thought I'd wait a while before sending another chart. What do you say about this one?

Elvis, I think the soft cervical collar will help as we still see clustered obstructive events.  Other issues I see:

Your minimum pressure of 5.5 is too low. The Philips Auto BiPAP is slow to respond ahead of obstruction.  It is the EPAP that works to prevent obstructive apnea.  I recommend increasing EPAP min to 7.0.  This is slightly above your current median and less than your 95% EPAP pressure.  I see no reason to change maximum (IPAP) pressure at 14.0.

With PS 4.0 your hypopnea and flow limitation is reasonably well controlled.  PS can contribute to central events.  I think we will leave PS alone for now pending your trial of a soft cervical trial.

What is your BiFlex setting?  I found I did best with 1 or 2, but had more events at 3.  YMMV.

[Image: attachment.php?aid=15990]
Sleeprider
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#25
RE: AHI continues high
Sleeprider, thanks for all your wisdom and information. My Biflex is 2, and I will change the Epap to 7. Did I mention that I just bought, it's on the way, a cervical collar & chin strap. I'll try both to see which is best for me.
Thank you, thank you very much! Big Grin
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#26
RE: AHI continues high
I think this thread needs an update to show the results of using a soft cervical collar.  In New Thread, Elvis posted the following results.  This is a good example of what correcting positional apnea looks like.

[Image: attachment.php?aid=16903]
Sleeprider
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____________________________________________
Download OSCAR Software
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Organize your OSCAR Charts
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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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#27
RE: AHI continues high
Maybe I misread your post, but I am, and have been using a cervical collar. Thanks
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#28
RE: AHI continues high
(Yesterday, 10:48 AM)Elvis Wrote: Maybe I misread your post, but I am, and have been using a cervical collar. Thanks

Sleeprider was saying how well your doing now compared to earlier posts in this thread, well done looking much better
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#29
RE: AHI continues high
Okay Thanks
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