Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

[Treatment] Should I change machine
#1
146 days afteer using CPAP. AHI still between 4~6. Mostly Hypopnea and OSA. Spo2 is around 94.5. I have been gradully rasing pressure to 9. It has been stable for 2 months now. Should I consider changing to another type of machine to lower AHI?[attachment=3098]

http://imgur.com/a/h6KTp
Post Reply Post Reply
#2
Your average pressure is less than 10 cm, and it seems you do not produce the cues that would normally raise pressure in advance of OA and H events. You do not seem to have CA problems. For the period of record you have posted, there has been no change in your average or 90% pressures, and I would not conclude your AHI is intractable until your minimum pressure is around 11.5. My suggestion would be to slowly increase your minimum to that level (not coincidentally your consistent 90% pressure), and see where AHI is best treated.

I would not expect bilevel to be therapeutically better than CPAP, and tolerance should not be a problem at these pressures.
Post Reply Post Reply
#3
Thanks Sleeprider. I shall try raising my pressure. However I feel my mouth dry in the morning though humilifier was on. My place is rather humid.

Do you think Resmed Sense 10 worth a try since some commented it more responsive to events?

BTW, does flex matter? I tried 0~3, seems no difference. Also periodic breathings were recorded regularly most of the nights from 1~3%
Post Reply Post Reply


#4
Well, I think the Resmed Autoset is significantly superior to the Philips Auto for both of the reasons you cited. In fact you may have been thinking of posts I have made on the subject. With Resmed you get a 3-cm bilevel. With Philips you get up to 2 cm of flow-based pressure relief at the beginning of exhale. Technically, you will have a very very difficult time pursuading insurance to pay for a bilevel, but the method of EPR in the Resmed can be beneficial to hypopnea and low tidal volume, and it is definitely faster to attack obstructive events from a lower pressure.
Post Reply Post Reply
#5
Raise your low pressure setting is a good idea. It may allow your machine to respond better to events. It worked for me and hope it will for you too.

Sleep-well
For more information explore and read the wiki or just start with the link below.
http://www.apneaboard.com/wiki/index.php...re_success

Just my personal opinion. My posts are not medical advice or a statement of fact. Please consult a qualified physician or other qualified medical personnel. Please comply with all applicable laws, codes, regulations, and protocols.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  "Change Accepted" message over and over again Roncador 19 417 08-10-2017, 07:30 PM
Last Post: Sleeprider
  Change Pressure Settings vailgal 3 196 08-05-2017, 09:10 PM
Last Post: vailgal
Exclaimation CPAP Machine Choices - read this before you accept a new machine SuperSleeper 28 16,971 08-04-2017, 04:10 PM
Last Post: Sleeprider
  How to change Remstar Auto A-Flex to English language Mike2630 5 146 07-31-2017, 12:06 AM
Last Post: Mike2630
  [Equipment] want to change pressure to cpap ECOSTAR fornica 3 340 07-28-2017, 12:40 PM
Last Post: Eroles3353
  [CPAP] change from nasal to full face mask stevenW705 4 243 07-22-2017, 07:15 PM
Last Post: DavePaulson
  [News] CPAP DOES NOT CHANGE CARDIAC MORTALITY srlevine1 5 302 07-14-2017, 10:14 PM
Last Post: quiescence at last

Forum Jump:

New Posts   Today's Posts




About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.

For any more information, please use our contact form.