New User - Request Guidance - 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: New User - Request Guidance (/Thread-New-User-Request-Guidance) |
New User - Request Guidance - Garv21 - 01-23-2021 [attachment=29315][attachment=29317][attachment=29316] Hello All, Due to the pandemic that started last year, I opted to to try a home sleep study to help diagnose a potential sleep apnea issue. I was sent a Alice OneNight device to monitor sleep overnight and was subsequently diagnosed with sleep apnea. I've attached a summary of the report I was provided along with screen captures from OSCAR. Although I had a follow-up video conference with the physician I'm looking for additional advise as I don't feel I'm progressing with my treatment as best that I can. I've had a couple of starts/stops with staying on track with my treatment so trying to stick with is this time around. I'm using a DreamStation Auto BPAP with Heated Humidifier for my treatment. Appreciate any guidance that can be provided on how I may optimize my treatment. Many Thanks! RE: New User - Request Guidance - Garv21 - 01-23-2021 Wanted to follow up with the machine setting that were truncated from the screen captures I attached earlier. Machine Settings Mode: AutoBiLevel Min EPAP: 6.00 cmH2O Max IPAP: 25.00 cmH2O PS Min: 4.00 cmH2O PS Max: 8.00 cmH2O Auto Off: Off Auto On: On Flex Level: 3 Flex Lock: Off Flex Mode: Bi-Flex Hose Diam.: 15mm Humid. Lvl: 2 Humid. Mode: Heated Tube Humidifier: Connected Mask Res. Lock: Off Mask Resist.: 1 Ramp Pressure: 6.00 cmH2O Ramp Time: 30.00 Minutes Ramp Type: SmartRamp Show AHI: On Tube Lock: Off Tube Temp.: 2 RE: New User - Request Guidance - Sleeprider - 01-23-2021 Lots of centrals and occasional OA, FL and H. I think you are a candidate for nearly fixed pressure and you need to dial down the Flex. My impression is you should be at BiPAP auto, EPAP min 8.0, EPAP max 9.0, PS min 3.0, PS max 4.0 Max pressure 13.0. Looking to reduce CA first, then see what is needed for the other events. You might just set PS to 4.0 min and max. It's clear that CA is related to higher PS in your charts. Flex 1 or 2. RE: New User - Request Guidance - Garv21 - 01-23-2021 Appreciate the quick response! I'll dial in these settings for a few nights and see how things go. RE: New User - Request Guidance - Garv21 - 01-28-2021 Hello, Based upon the prior response I made a few changes to the settings. I've been using these settings for the past 5 nights. Appreciate assistance with review and feedback based upon the attached OSCAR screen captures from the last two nights. Many thanks! Machine Settings Mode AutoBiLevel Min EPAP 8.00 cmH2O Max IPAP 13.00 cmH2O PS Minm4.00 cmH2O PS Max 4.00 cmH2O Auto Off Off Auto On On Flex Level 1 Flex Lock Off Flex Mode Bi-Flex Hose Diam. 15mm Humid. Lvl 2 Humid. Mode Heated Tube Humidifier Connected Mask Res. Lock Off Mask Resist. 1 Ramp Time 0.00 Minutes Ramp Type SmartRamp Show AHI On Tube Lock Off Tube Temp. 2 [attachment=29466][attachment=29467] RE: New User - Request Guidance - Sleeprider - 01-28-2021 Well we got the AHI down by 50% plus, but I'm thinking to reduce your PS to 3.5. What do you think? RE: New User - Request Guidance - Garv21 - 01-29-2021 Yes, I was happy to see the results of the recommended changes. Appreciate your continued guidance here as I’m a bit out of my element. I’ll reduce the PS to 3.5 and give it a few nights to see how things look. Thanks again. |