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[Treatment] UARS - BiPAP - just started treatment - need advice
#1
UARS - BiPAP - just started treatment - need advice
Hi all, 

New to this forum. Just did a watchpad sleep test last week. RDI (15.2), AHI (5.0) and % REM of sleep time (12.6%). This was my first time doing a sleep test, and understand that this qualifies as upper airway resistance syndrome, or some would say mild sleep apnea. 

   

Details: 25 male/Singapore
Symptoms: Brain fog, neck pains, fatigue, unrefreshed sleep, joint pains, low energy throughout the day. Issues with concentration/memory
Duration: 3 Months - brain fog is permanently there

What I did:
1. Purchased a DreamStation Auto BiPAP with Humidifier and Heated Tube
2. Started therapy for a full week (6 days)

   

   

Results: - posted in attachment
1. AHI averages around 8, with high amounts of clear airway apneas. 
2. Notice that when i decrease the EPAP to 4.0, instead of above 6.0, my AHI falls (why is this so?)
3. Waking up still having brain fog - also, i get some headaches initially when i wake up


Questions:
1. How can i improve this situation? I adjusted the flex level to 3, and maxed the humidifier as i wake up with dry mouth.
2. How long will this take before the fogginess lifts - feeling like i'm living a sub-human life
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#2
RE: UARS - BiPAP - just started treatment - need advice
Your test is not definitive for UARS but your BiPAP results show you need some help with those settings. Your CA events correspond to higher pressure support, and with a setting of 2.0 to 8.0, that's a lot. I don't like the variable pressure support algorithm on Philips BiPAP for most people, especially in the initial self-titration phase. Let's make some changes.
Mode: BiPAP auto
EPAP min 6.0
PS min 2.0
PS max 2.0
Max pressure 1.2
BiFlex: 2
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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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: UARS - BiPAP - just started treatment - need advice
Thank you for replying. How do i get confirmed for UARS? seeing a sleep specialist to interpret the results on Saturday. 

Will try the setting - what is the reason for upping the EPAP min to 6, instead of 4? My AHI actually do pretty well at 4. Also BiFlex setting of 3 seems to be more comfortable for exhalation. Thanks! You meant max pressure 12 ya? Appreciate it.
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#4
RE: UARS - BiPAP - just started treatment - need advice
The chart you posted has a minimum EPAP of 6.0, and that looks fine. I don't see any reason to reduce to 4.0. By lowering the pressure support, we are looking for a significant reduction of CA, and see if your hypopnea increases or not. At that point we can look at some close-ups of the respiratory flow and see whether flow limitation is as indicated by flattened inspiratory peaks.
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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