[Treatment] Please review my data. - 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: [Treatment] Please review my data. (/Thread-Treatment-Please-review-my-data) |
Please review my data. - fakename1845 - 10-26-2017 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 RE: Please review my data. - Sleeprider - 10-26-2017 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. RE: Please review my data. - fakename1845 - 10-26-2017 htt ps://imgur.com/CHSBQx0 htt ps://imgur.com/EpLTA6l htt ps://imgur.com/tJcuEIj htt ps://imgur.com/BAzSDLJ RE: Please review my data. - DeepBreathing - 10-26-2017 G'day fakename. Welcome to Apnea Board. I've edited your original post so all the links show up correctly. RE: Please review my data. - fakename1845 - 10-26-2017 Thanks! RE: Please review my data. - Walla Walla - 10-26-2017 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! RE: Please review my data. - fakename1845 - 10-26-2017 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 RE: Please review my data. - Walla Walla - 10-26-2017 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. RE: Please review my data. - trish6hundred - 10-26-2017 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. RE: Please review my data. - Sleeprider - 10-26-2017 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? |