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Any way to tackle the remaining CAs?(AutoSet for Her)
#31
RE: Any way to tackle the remaining CAs?(AutoSet for Her)
IMO with an RDI of 1.9 or so, it's best to adjust for comfort rather than numbers and data. Was there a symptom or discomfort of some sort you're trying to adjust for? If it's for chasing the numbers, I think it's a wrong reason with results this chart is showing.
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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#32
RE: Any way to tackle the remaining CAs?(AutoSet for Her)
With 1 CA event per hour, you should be feeling pretty good. About the only move is possibly lowering pressure or pressure support very very slowly (i.e. EPR 2 or minimum pressure 7.6). My best advise is to keep your current settings another week then decide if a change is warranted by how you feel as Dave said.
Sleeprider
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#33
RE: Any way to tackle the remaining CAs?(AutoSet for Her)
(07-13-2020, 07:24 AM)Sleeprider Wrote: With 1 CA event per hour, you should be feeling pretty good. About the only move is possibly lowering pressure or pressure support very very slowly (i.e. EPR 2 or minimum pressure 7.6).  My best advise is to keep your current settings another week then decide if a change is warranted by how you feel as Dave said.



last night RDI jumped to 3.59(CA: 3.29). I woke up feeling terrible. I am using Bleep Mask; any suggestion to fix the mask to increase CO2? E.g., Enhanced Expiratory Rebreathing Space.


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#34
RE: Any way to tackle the remaining CAs?(AutoSet for Her)
It's a lot easier to just reduce EPR.
Sleeprider
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____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
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How To Deal With Equipment Supplier


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#35
RE: Any way to tackle the remaining CAs?(AutoSet for Her)
(07-13-2020, 11:30 AM)Sleeprider Wrote: It's a lot easier to just reduce EPR.

But that would increase the Flow Limitations, right? Recall the terrible FLow Limitations earlier? How to alter the Bleep Mask for Enhanced Expiratory Rebreathing Space? This aritcle may explain: https://www.ncbi.nlm.nih.gov/pmc/article...procedure. Enhanced Expiratory Rebreathing Space[url=https://pubmed.ncbi.nlm.nih.gov/32118574/][/url]
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#36
RE: Any way to tackle the remaining CAs?(AutoSet for Her)
I don't claim to be expert at your events, however I think you're at a point in therapy that you need to decide what aspect is more important to make changes for, CA events or something else. You can lower EPR as suggested and you might encounter FL increases. I don't think you get the luxury to chase down both without some other event increasing. Decide what event you need to keep lower. If for some reason you think you must achieve a zero on events, I think it's an incorrect, inaccurate goal. Comfort is an acceptable and achievable goal, however I do believe comfort and zero events are not the same thing. Choose one or the other.
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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#37
RE: Any way to tackle the remaining CAs?(AutoSet for Her)
Technically EERS is accomplished by moving the exhalation vent away from the mask by plugging mask vents and adding 6-inch sections of Corr-a-Flex tube, then inserting an exhalation vent / anti-asphixiation valve at the end of the existing CPAP tube. It's not expensive or difficult and there are several threads around where members have done this http://www.apneaboard.com/forums/Thread-...light=EERS . I believe the anti-asphixiation valve is optional with a nasal mask. Check the wiki for some links.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#38
RE: Any way to tackle the remaining CAs?(AutoSet for Her)
(07-13-2020, 12:42 PM)Sleeprider Wrote: Technically EERS is accomplished by moving the exhalation vent away from the mask by plugging mask vents and adding 6-inch sections of Corr-a-Flex tube, then inserting an exhalation vent / anti-asphixiation valve at the end of the existing CPAP tube.  It's not expensive or difficult and there are several threads around where members have done this http://www.apneaboard.com/forums/Thread-...light=EERS .  I believe the anti-asphixiation valve is optional with a nasal mask.  Check the wiki for some links.

I am using Bleep mask; do you know how to add the EERS to Bleep Mask?
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#39
RE: Any way to tackle the remaining CAs?(AutoSet for Her)
Pretty mech the same as any other mask. I'd have to dig into the bleep to identify the vents and anti affixation valve, otherwise it's the same as any other mask
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#40
RE: Any way to tackle the remaining CAs?(AutoSet for Her)
(07-13-2020, 05:59 PM)bonjour Wrote: Pretty mech the same as any other mask.  I'd have to dig into the bleep to identify the vents and anti affixation valve, otherwise it's the same as any other mask

The vent holes are tiny on the bleep mask. I don't think I would know how to block only some of them.
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