Help with settings/leaks resolved - Printable Version +- Apnea Board Forum - CPAP | Sleep Apnea (https://www.apneaboard.com/forums) +-- Forum: Public Area (https://www.apneaboard.com/forums/Forum-Public-Area) +--- Forum: Main Apnea Board Forum (https://www.apneaboard.com/forums/Forum-Main-Apnea-Board-Forum) +--- Thread: Help with settings/leaks resolved (/Thread-Help-with-settings-leaks-resolved) |
Help with settings/leaks resolved - Charlie Sue - 10-01-2017 Hi. I recently had some leak problems, which are resolved. I now need help with settings. Quote:Sleeprider said I changed masks, started using a cervical collar, and changed my settings to use EPR 2 as suggested by Sleeprider. Leaks resolved, but my AHI has gone up from an average of 1-2 to 4-6 per night and my sleep time and quality have not recovered. In the past I slept about 7-7.5 hours a night with excessive daytime sleepiness and now I am sleeping between 4 and 5.5 hours a night and am falling asleep at my desk at work despite stimulant meds to keep me awake. Sleeprider suggested that events might increase with EPR and I might need to raise my minimum pressure. Looking for advice on that. I tried to use IMGUR by following instructions in Sleeprider's sig. Be gentle if I screwed it up. Two images follow. [url=]Collapsed graphs[/url] [url=]Expanded graphs to show events in more detail[/url] Thanks for your help. Charlie Sue RE: Help with settings/leaks resolved - OpalRose - 10-01-2017 If you want to tackle the Obstructives, you will need to start inching your minimum pressure up to 9cm. Your leak rate looks good! RE: Help with settings/leaks resolved - Charlie Sue - 10-01-2017 Do I need to increase max as I increase min? How much would you increase min at a time? RE: Help with settings/leaks resolved - OpalRose - 10-01-2017 (10-01-2017, 11:23 AM)Charlie Sue Wrote: Do I need to increase max as I increase min? How much would you increase min at a time? Normally, I would increase minimum pressure by .5 at a time, but for now, I would bump it up to 8. I suspect you will end at at 9cm. I just took another look at your graphs and you seem to be bumping the max pressure quite a bit. You could try increasing the max by 1cm pressure, but watch for Clear Airway events. RE: Help with settings/leaks resolved - Charlie Sue - 10-01-2017 Thank-you! RE: Help with settings/leaks resolved - Sleeprider - 10-01-2017 I would increase both minimum and maximum. You didn't mention comfort, and if your're feeling pretty good, the change should be no problem. Your results are really nice in that the events are simple obstructive apnea, so the EPR is not a problem here, other than the exhale pressure is low enough that your're getting OA. Your closeup graph shows some flow limitation with a recovery breath leading to the OA. At this point your are at 8.2/6.2 pressure. Keep us posted both on your results and comfort. |