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[Treatment] Please review my data.
#1
Question 
Please review my data.
I have recently switched to auto bipap using a Resmed Aircurve 10s (VPAP). Just wondering how my data looks. This is for the past 4 nights. 

https://imgur.com/CHSBQx0
https://imgur.com/EpLTA6l
https://imgur.com/tJcuEIj
https://imgur.com/BAzSDLJ
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#2
RE: Please review my data.
If you could please provide a complete link, but insert a space like this htt p://www.xyz, that will allow us to find your chart.
Sleeprider
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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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#3
RE: Please review my data.
htt ps://imgur.com/CHSBQx0
htt ps://imgur.com/EpLTA6l
htt ps://imgur.com/tJcuEIj
htt ps://imgur.com/BAzSDLJ
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#4
RE: Please review my data.
G'day fakename. Welcome to Apnea Board.

I've edited your original post so all the links show up correctly.
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#5
RE: Please review my data.
Thanks!
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#6
RE: Please review my data.
Try to arrange the data charts as shown in the link below. Also on sleepy head at the bottom of the charts you need to make sure all your flags are turned on. They should show green. By the way Welcome to the Board!
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#7
RE: Please review my data.
This should be the same four days with the graphs organized as directed. All event flags are on.

https://imgur.com/GfopIxM
https://imgur.com/HbslAz1
https://imgur.com/HT4k2Ot
https://imgur.com/BXwEnhg
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#8
RE: Please review my data.
If it were me I'd raise the EPAP to about 13cm and reduce the Pressure Support (PS) to 3. I'd leave the max IPAP at 25cm for now.

Your increase in PS is causing the CA's. Dropping it to 3 should reduce them. Increasing the EPAP to 13cm should help cut out the OA's.
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Organize your Sleepyhead Charts
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Beginner's Guide to SleepyHead
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5
Advisory Members serve as an "Advisory Committee" to help 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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#9
RE: Please review my data.
Hi fakename1845,
WELCOME! to the forum.!
Good luck with CPAP therapy and getting it fine-tuned to meet your needs.
Hang
in there for more answers to your questions.
trish6hundred
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#10
RE: Please review my data.
Your OA event flags are not showing on the event chart. That can be turned on at the lower right corner of the graphs, or in File/Preferences/Events. I think your minimum pressure of 5.0 is not doing you much good. Your settings are pretty wide open at 5-25 PS 5.0. The pressure support does not appear to be a problem, and since OA is not flagged, we can't see the pattern for those events. OA is managed by the EPAP pressure, so it's pretty clear that needs to be higher.

At PS 4 over 10/5 you had AHI of 6.4. At PS 5.0 over 25/5 you got 4.6, 9.8 and 8.3. The problem is not maximum pressure or PS, but the minimum pressure. You need to raise it until OA events are essentially gone. I think you need to set EPAP min to 9.0, PS back to 4.0 and IPAP max at 20. If you need more PS to deal with hypopnea, we an revisit this. I would really like to see a chart that includes the OA events so we an see what is going on, and I'd really like to see why pressure is not increasing ahead of events, so we also need Flow Limitation and Snores. My guess is you don't have much in those charts, or the pressure would rise. It would also help to know how you ended up on a bilevel machine. What was going on in the sleep study that you got bilevel?
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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