01-16-2018, 12:24 PM
(This post was last modified: 01-16-2018, 12:25 PM by Shin Ryoku.)
RE: Bipap advice
(01-16-2018, 09:51 AM)Sleeprider Wrote: Sorry, I'm back to the soft cervical collar... Your choice is to either increase pressure, or resolve the positional apnea. Your latest chart clearly shows the problem, and there is no doubt. You will either need 20+ cm to break the apnea during positional episodes, or you must resolve the problem with chin tucking.
I disagree with this. I had similar charts, and a soft cervical collar had no effect at all in resolving it. I tried several of them of different sizes and firmness, and the only effect they had was to induce discomfort. Raising my minimum pressure did help, and I did not have to go to 20+ pressures.
I don't disagree that a collar
could help you, and I know that sometimes it helps people; but I disagree that the chart you showed is pathognomonic for chin tucking and that a soft cervical collar will definitely help. The only way to know is to try.
-Amin
Nothing I say on the forum should be taken as medical advice.
RE: Bipap advice
I missed the stomach sleeping, and don't know how a CC will work with that. The charts posted so far, show improved obstructive results with pressure. I don't use a cervical collar and never have, but observed it helps people that tend to have OA clusters. I'm not vested in how the treatment results wanted by ReadytoSleep are achieved, but I think there are two alternatives. Pressure or position. Beyond that, the problem is not so complicated and is pure obstructive apnea.
RE: Bipap advice
Even sleeping on your stomach you still can tuck your chin in and cut off the airway. Higher pressure may work but it didn't for me. I got up to 25cm and the only thing that happened was I ended up with mouth leaks. The collar is the only thing that worked for me in preventing cutting off the airway.
RE: Bipap advice
Thanks Guys. I am studying. Like Sleeprider says it is trial and error.
2010 sleep study 63 AHI
RE: Bipap advice
Based on your last chart I'd bump the EPAP up 1cm.
RE: Bipap advice
I agree with Walla. Your results show only OA events which call for higher EPAP, so I would just lt the range go a little higher by bumping both EPAP and IPAP.