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+--- Thread: AHI averages in the 40s. Need help adjusting settings. (/Thread-AHI-averages-in-the-40s-Need-help-adjusting-settings)
AHI averages in the 40s. Need help adjusting settings. - ApneaSufferer - 04-16-2018
Respironics Dreamstation Auto BiPap...
I have it on Bi Level Ipap 14.0 Epap 5.0.
1) Wondering if I should change it to AutoB
and if so, not sure of the appropriate settings?
I've attached a pdf of the last 30-day averages.
Thanks for any help!
RE: AHI averages in the 40s. Need help adjusting settings. - jaswilliams - 04-16-2018
The dream mapper does not give any indication on the type of apnea you are suffering other than there is a lot of them. Download sleepyhead from the link in my signature and then post a daily chart so we can see what’s going on.
RE: AHI averages in the 40s. Need help adjusting settings. - mesenteria - 04-16-2018
I'll do as others here who can safely and effectively help you will ask you to do...download the Beta Version of Sleepyhead.Org freeware from sourceforge. If your unit has an SD card, insert the card in a reader, either on the face of your PC or purchase a reader with a USB end, and get sleepyhead to run the charts. What you have provided is not very useful compared to sleepyhead. When you have the results, post them here (several members have the details under their signatures in their various posts).
RE: AHI averages in the 40s. Need help adjusting settings. - ApneaSufferer - 04-16-2018
RE: AHI averages in the 40s. Need help adjusting settings. - ApneaSufferer - 04-16-2018
I installed Sleepyhead and was able to generate some PDF files. I hope this provides better information.
RE: AHI averages in the 40s. Need help adjusting settings. - holden4th - 04-16-2018
Rather than the stats, some random samples of a complete nights sleep would be far more useful. You can use a program such as imageshack, photobucket or similar to capture and upload these. Instructions are at the top of the page, click on Sleepyhead.
RE: AHI averages in the 40s. Need help adjusting settings. - jaswilliams - 04-16-2018
Based on the stats which only provide basic information you have complex apnea and your stats are showing a mix of obstructive apnea and clear airway apnea. You are not being adequately treated by your machine, an EPAP of 5 is insufficient to treat your OSA and the high pressure support is causing CA’s
You did much better on the Resmed Autoset with an AHI of 8 just before you moved to the BiPap
The bilevel machine is not treating your apnea it looks like an ASV machine may be in your future please go back to your DR as the BiLevel seems to be making everything worse and not better.
Jason
RE: AHI averages in the 40s. Need help adjusting settings. - Gideon - 04-16-2018
I agree with the above, you are showing as classic Complex (mixed between Obstructive and Central) Apnea with the BiPAP. I'm guessing that is why you are using a BiPAP.
Please contact your Dr and say your apnea has increased to SEVERE apnea since using the BiPAP. Indeed an ASV machine may be in your future. (Many here have had GREAT success with the ResMed ASV machine.
My recommendation with your current machine would be to mimic your APAP with the BiPAP. Then attach your screenshot of your SleepyHead daily charts as suggested.
That would mean the following settings
Auto Mode
EPAP range 4 - 10 (Note: the autoset numbers are IPAP and you subtract EPR from that)
PS (Pressure support) 3 (to mimic the EPR setting that you were using).
Fred
RE: AHI averages in the 40s. Need help adjusting settings. - Walla Walla - 04-16-2018
I agree with contacting the Doctor. I'd hold off on making changes until you can talk to the Doctor and find out his plan. If he is just gathering the numbers needed to justify an ASV you might be better off leaving the settings alone to quicken the process.
RE: AHI averages in the 40s. Need help adjusting settings. - Gideon - 04-16-2018
OK WW, good point.
Hold on the changes and contact your doctor and say your apnea has increased to SEVERE apnea since using the BiPAP.
Ask what the plans are to remedy it.