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Neilmeister's thread of...threadness - Printable Version

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Neilmeister's thread of...threadness - neilmeister - 06-03-2021

Yes, this is apparently MY thread.....for my to put out some details about ME.

Started my CPAP a month ago, but it was on a rental machine and I didn't have an SD card reader (jeez, who uses SD cards these days?)

Wife complaining about me snoring and my dentist urging, I had a sleep study.  Original diagnosis had me on an AHI of 51..... which meant nothing to me at all.  OK.... I have now looked it up and now know I am apparently dying. 

In all seriousness..... its going quite well, and I have trawled these forums a bit....so I thought I may as well start a thread, dedicated to me.  :-)

Nasal cushion (N30i) for the win..... after trying several different masks/types the nasal cushion seems to hold up and I can sleep with this bad boy without noticing too much.

OSCAR screenshot attached.... I suspect I need to raise my minimum pressure...but it does make it easier, and my AHI seems OK.....any thoughts/opinions/criticisms?

ps...Oh, and thank you to anyone who opens this thread....I really appreciate it, even if my pithy opening makes me sound like a smug git (which I am not trying to deny ;-) )


RE: Neilmeister's thread of...threadness - Gideon - 06-03-2021

Welcome to the forum.
Not bad, your AHI is good, a couple minor tweaks with a focus on comfort.
Your min pressure is low. Any time we see 4 we very strongly suspect that your settings are not optimized. Your AutoSet is going to about (med)7,5 so set your min to 7.
Your pressure fluctuates more than I'd like to see. If you look at your pressure and Flow Limit charts you will see a high degree of correlation. This is because flow Limits are a major driver of pressure. The fix for this is to implement a comfort feature, which hAs a very significant therapeutic benefit, EPR. Set EPR to 2, fulltime. This is part of the reason for increasing the min pressure to 7, to give EPR room to work. This will reduce your flow Limits and thus your pressure flucuations.
This means your AutoSet will start with an inhale pressure of 7 (easier inhale), and an exhale pressure of 5 (easier exhale)


RE: Neilmeister's thread of...threadness - neilmeister - 06-03-2021

Thanks Gideon, I will set my minimum pressure to 7....and try to figure out how to change my EPR to 2....it will be a good exercise for me :-)

Ohh, and I love OSCAR....well done. I am an old C/C++ dev so can assist in whatever capacity.


RE: Neilmeister's thread of...threadness - Gideon - 06-03-2021

Would you like to take on some development tasks? If so PM me. We can always use some help.