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[Treatment] New Member- Need advise on ongoing therapy
#1
New Member- Need advise on ongoing therapy
Hi all,

Diagnosed with severe OSA (RDI at 122 events/hr during sleep study)  and prescribed a Bilevel machine. Got a dreamstation auto bipap and just had my first night with it and I can say that it's been the best sleep i've had in years. 

Current settings are:

IPAP: 22
EPAP: 16
I'm very happy to find out about this forum and my thanks to all the people that made OSCAR.  Thanks  I thought that I would be forever "chained" to my DME and doctor in treating my OSA. 

Attached are my OSCAR graphs. Would appreciate any advise on how to improve these results.

Thanks,


Attached Files Thumbnail(s)
       
hearsay73
Hosehead padawan 
Repaying my sleep debt, 1 night at a time...
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#2
RE: New Member- Need advise on ongoing therapy
The numbers look great, I wouldn't change a thing based on your numbers. Your leaks are not a problem but keep an eye on them.

What is important now is how you feel. You said "it's been the best sleep i've had in years", Any negatives in how you feel, and please be specific.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

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#3
RE: New Member- Need advise on ongoing therapy
Thanks Fred.

On the negatives, I woke up (on an alarm) feeling a little bit groggy. I don't know if this qualifies as a negative but I thought this was because I slept straight through the night without waking up to pee (which I usually did at least once every night).

Also, a few minutes after waking, I had runny nose and a spell of sneezing. Was this because of the humidifier?
hearsay73
Hosehead padawan 
Repaying my sleep debt, 1 night at a time...
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#4
RE: New Member- Need advise on ongoing therapy
I agree with Fred, but will reserve judgement. Except for the first half-hour of your night, the settings were at the minimum EPAP of 16 with PS 2. Most of your AHI was related to the obstructive events within 15 minutes of starting therapy. It may be you can tolerate lower pressures, and higher minimum PS, but I'm unclear on the issues being treated. Your respiration rate of 26 BPM is high, with a fairly low tidal volume, but resulting in pretty high minute vent. I don't know what leads to such high breaths per minute, but I suspect we don't know everything yet or why you are being treated with BiPAP.
Sleeprider
Apnea Board Moderator
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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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#5
RE: New Member- Need advise on ongoing therapy
(07-11-2019, 08:54 PM)Sleeprider Wrote: I agree with Fred, but will reserve judgement. Except for the first half-hour of your night, the settings were at the minimum EPAP of 16 with PS 2.  Most of your AHI was related to the obstructive events within 15 minutes of starting therapy.  It may be you can tolerate lower pressures, and higher minimum PS, but I'm unclear on the issues being treated. Your respiration rate of 26 BPM is high, with a fairly low tidal volume, but resulting in pretty high minute vent.  I don't know what leads to such high breaths per minute, but I suspect we don't know everything yet or why you are being treated with BiPAP.

Thanks for your thoughts Sleeprider.

Would posting the results of my sleep study help?
hearsay73
Hosehead padawan 
Repaying my sleep debt, 1 night at a time...
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#6
RE: New Member- Need advise on ongoing therapy
It can't hurt. Your events were completely clustered in the first 20 minutes, and I suspect you may not have even been asleep at that time. Really, everything looks very good here, and you called the therapy comfortable, so I should probably not raise concern with the issues I pointed out as they really are not something we look at unless there are issues.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files

How To Deal With Equipment Supplier


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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#7
RE: New Member- Need advise on ongoing therapy
Thank you Sleeprider and Fred for the responses!
hearsay73
Hosehead padawan 
Repaying my sleep debt, 1 night at a time...
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