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APAP Titration Help Needed
#1
APAP Titration Help Needed
       
 
Hi Everyone,
 
I have been using APAP (Resmed Air Sense 11). I will be attaching my OSCAR data below. I am still feeling tired, even though AHI is below <1. I noticed in my events that I have a lot of RERA events. I'm not able to consistently sleep 7-8 hours or more. I did have a ramp-off before, but I was always waking up in the middle of the night. I have put the ramp back on, and I am able to sleep for 4 hours + without any interruptions. Any help with titration will be helpful. I usually average 6 or less hours of sleep and i'm trying to improve upon it.
 
Note: I have a range of data available from pressure from 9–20, 11–20, and 12–20 (from 11–20 and 12–20 pressure, I was waking up a lot and decreased pressure to 8–18). If that data is needed, let me know from which pressure, and I can attach it to a reply. I also noticed flow limitations are above 0.10 and RERA events are high. Any help with titration will be helpful.
 
April 8th data (OA Events = 1, RERA Events = 7, Hypopnea = 1)
 
Device Settings
Mode
APAP
Pressure Min
8.00 cmH2O
Pressure Max
18.00 cmH2O
Antibacterial Filter
No
Climate Control
Auto
EPR
Full Time
EPR Level
3 cmH2O
Humidifier Status
On
Humidity Level

Mask
Full Face
Patient View
Off
Ramp
On
Ramp Pressure
6 cmH2O
Ramp Time
30.00 Minutes
Response
Standard
Smart Start
Off
Temperature
26 ºC
Temperature Enable
Auto
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#2
RE: APAP Titration Help Needed
       
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#3
RE: APAP Titration Help Needed
You're likely needing an increase to min pressure to 9. I would turn Ramp off, you'll get minimal therapy on Ramp. At least match your minimum pressure in an auto timing or less than 20 minutes.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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