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Volunteers to Read SH Data
#1
Question 
Volunteers to Read SH Data
Hi all, I'm a newbie here. Six months on AirSense 10. Diagnosis was very mild sleep apnea (study AHI 5.3) and UARS. I feel no different at all on CPAP but faithfully wear it regardless. AHIs each night are typically under 5. I plan on learning more about SleepyHead when I can sit down with the tutorials. In the meantime, does someone mind taking a look and seeing if anything appears unusual? Thank you!
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#2
RE: Volunteers to Ready SleepyHead Data
You would probably breath easier if you used 3cm of EPR and increased your minimum pressure by the same amount.
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#3
RE: Volunteers to Ready SleepyHead Data
I just have EPR for ramp, then turned off. Is the data showing my breathing is labored?
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#4
RE: Volunteers to Ready SleepyHead Data
(10-16-2018, 10:09 PM)rockyrhode Wrote: I just have EPR for ramp, then turned off. Is the data showing my breathing is labored?

No I just mentioned it for comfort purposes. If your sleeping well with no breathing discomfort than disregard.
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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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#5
RE: Volunteers to Read SleepyHead Data
People with UARS generally do much better wit EPR on, full time at 3. This treats flow limitations and hypopnea, and makes breathing easier. CPAP pressure without EPR will maintain the airway and avoid OA, but adding pressure relief does much more. If you go to EPR 3 you should consider a minimum pressure of 7.0. Usually these changes actually decrease the maximum pressure you will need.
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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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#6
RE: Volunteers to Read SleepyHead Data
First I'll say welcome to the forum.


Your numbers are extremely good.  They say that you are "successfully treated" (under 5 AHI).  At this stage, most setting adjustments are based on how you are feeling.  So How are you feeling?  This question is VERY important.  Granted you stated that you felt no difference between before and after your CPAP treatments I can take that as a negative comment, that your CPAP is not being effective, or it could be that you cannot tell.

You state mild AHI and UARS as your diagnosis.  Flow limitation is frequently associated with UARS.  I would suggest that working to minimize your mild flow limitations would be a good direction to proceed.  EPR as WW described the settings that will help with minimizing your Flow Limitations so I would suggest that you implement those.  Set EPR to 3and raise your Min by 3 to compensate for the EPR and keep your actual minimiun the same.
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#7
RE: Volunteers to Read SleepyHead Data
Thank you for much for this response. For some reason, I didn't get notified about it. I'll experiment with EPR on!
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#8
RE: Volunteers to Read SleepyHead Data
Thanks so much for your reply! I wasn't getting notifications for some reason, so just saw this. I will try increasing the EPR. You are correct, I've had lifelong daytime sleepiness and even with CPAP I only feel a bit better. My sleep test AHI was 5.3, so I was curious about the need to use CPAP in the first place, but if the increased EPR helps with the UARS, it could definitely be beneficial. I'll report back and let you know how it goes. Thanks again!

Thanks for the reply! I'm going to experiment with the EPR and seeing if I feel better.  Smile
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#9
RE: Volunteers to Read SleepyHead Data
(10-17-2018, 10:12 AM)bonjour Wrote: First I'll say welcome to the forum.


Your numbers are extremely good.  They say that you are "successfully treated" (under 5 AHI).  At this stage, most setting adjustments are based on how you are feeling.  So How are you feeling?  This question is VERY important.  Granted you stated that you felt no difference between before and after your CPAP treatments I can take that as a negative comment, that your CPAP is not being effective, or it could be that you cannot tell.

You state mild AHI and UARS as your diagnosis.  Flow limitation is frequently associated with UARS.  I would suggest that working to minimize your mild flow limitations would be a good direction to proceed.  EPR as WW described the settings that will help with minimizing your Flow Limitations so I would suggest that you implement those.  Set EPR to 3and raise your Min by 3 to compensate for the EPR and keep your actual minimiun the same.

Thanks so much for your reply! I wasn't getting notifications for some reason, so just saw this. I will try increasing the EPR. You are correct, I've had lifelong daytime sleepiness and even with CPAP I only feel a bit better. My sleep test AHI was 5.3, so I was curious about the need to use CPAP in the first place, but if the increased EPR helps with the UARS, it could definitely be beneficial. I'll report back and let you know how it goes. Thanks again!
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