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Bi-level making sleep a LOT worse
#11
RE: Bi-level making sleep a LOT worse
Thanks, Jay, for your insights.  That's a lot to chew on.  I'll need some time to mull this over.
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#12
RE: Bi-level making sleep a LOT worse
To build on Jay's comment, you are using a pressure of 4.0 to 7.0 withe EPR 3 and a ramp time of 15 minutes. That means EPAP can never rise above 4.0 and that is the source of the obstructive apnea. We need higher EPAP to stent the airway and avoid the OA. A rule of thumb is that the minimum pressure on an Autoset should be at least 4.0 cm plus the EPR setting. For you, that is a minimum pressure of 7.0 which allows a 7.0/4.0 (inhale/exhale) pressure. With EPR 2, it is 6.0/4.0. I recommend a minimum pressure of 7.0, maximum pressure of 10.0, EPR full-time at setting 3 and Ramp on Auto or off.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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#13
RE: Bi-level making sleep a LOT worse
Thanks, Sleeprider.  There are so many variables to this PAP game.  It's pretty overwhelming.
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#14
RE: Bi-level making sleep a LOT worse
Do what Sleeprider says. He is VERY knowledgeable about pap issues.
Machine:  ResMed AirCurve 10 Vauto
Mask:  Bleep DreamPort Sleep Solution and F&P Nova Micro

Link to thread about switching from Autoset to Bilevel:
https://www.apneaboard.com/forums/Thread...+a+bilevel

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