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[Treatment] I doubt my diagnosis.
#11
RE: I doubt my diagnosis.
Looks like everything for you is hypopnea. You will find bilevel pressure is better to treat it, and the Airsense 10 Auto CPAP or Aircurve 10 bilevel is intended to deal with it. You don't have any obstructive apnea, so a low exhale pressure with higher inhale pressure is ultimately going to work better. If you ever get a chance to work with a Resmed Airsense 10 Autoset, don't turn it down. With settings of 7 to 12 pressure with EPAP at 3 your pressures would be equivalent to bilevel at 7/4 to 12/8, which would work great to eliminate the flow limits and hypopnea that affects your sleep.
Sleeprider
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#12
RE: I doubt my diagnosis.
Yes, your Overview charts really tell a story, don’t they? Keep us posted on how it goes at 8.5.
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#13
RE: I doubt my diagnosis.
You may want to refer to the resmed titration guide. They would suggest you raise the cpap pressure (apap min pressure) to clear obstructive events including hypopnea. I would also use a epr of 2 or 3, which even your like.
https://www.resmed.com/us/dam/documents/...er_eng.pdf
page 24
Increase CPAP ≥1 cm H2O every ≥5 mins for
obstructive apneas, hypopneas, RERAs and at
least 3 min of loud or unambiguous snoring
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#14
RE: I doubt my diagnosis.
So only one nights worth of data but a clear difference in terms of numbers with everything across the board down significantly. I ignore the clear airway events as I always seem to get them once or twice a night on average and I am sure they are likely to be some kind of junk.

I also note that while the majority of my breath waves still seem be distorted, with the tops being very aggressively cut off or at times even flat, I do have actual brief periods where they are nice and rounded looking.

I should also note because its important obviously to judge how I feel. Last night was the first night in a very long time in which two things occurred:

1. I did not physically get up to go to the toilet which normally occurs at least once a night
2. I do not remember being awake at any time full stop. I remember going to bed, then I was awake.

Normally I am at least somewhat able to remember small wake ups almost every single night, its rare for me to ever have a night in which I can not remember at least a single wake event.
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#15
RE: I doubt my diagnosis.
For the flat tops, FL and V, The guide would suggest you raise the min pressure. You could try 9.5, just below the 95% and review.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#16
RE: I doubt my diagnosis.
Oh, very nice in so many ways! My suggestion would be to leave things unchanged for at least a couple of nights to see how it goes. Don’t be discouraged if there are some ups and downs; all sleepers, with and without apnea, see a lot of variation from one night to the next. Keep us posted!
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#17
RE: I doubt my diagnosis.
Sorry, ajack, I didn’t see your post before I hit Post Reply. What do you think about letting 8.5 settle in a bit?
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#18
RE: I doubt my diagnosis.
It's up to you, try 8.5 for a few days and see how it goes. You can then try 9.5 if there are still FL and V's. There is no rush. Either way you are still doing OK and a lot would love to have your chart as it is.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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