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[CPAP] 3rd Attempt in 5 years to use cpap
#1
3rd Attempt in 5 years to use cpap
   
   

Hi!
I’m currently on my third attempt in 5 years to use a CPAP, this time with a nasal pillows mask and mouth tape. However, I’m struggling to keep the CPAP on for more than 4 hours of sleep. I’ve also noticed some Central Apnea flags showing up in my reports.
My obstructions are mainly in the palate, tongue, and epiglottis. Not to mention, I still feel tired despite having a low AHI.
Any advice would be greatly appreciated!
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#2
RE: 3rd Attempt in 5 years to use cpap
just a quicky for now....

Get rid of the EPR,  put to zero.

7 cm fine,

Also, recent testing and advice , and i am doing it for 2 nights.......

use  full face cpap setting with nasal mask  even though you use nose pillows.

Add +1 cm pressure as well. i think this could be a bit less depending on your mask and its differential. i think the pillows have the biggest drop.

Try it, you may/will like it !
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#3
RE: 3rd Attempt in 5 years to use cpap
Your machine is going to be the limiting factor due to it being a fixed pressure only machine. 

You have enough flow limitations to justify using EPR, so I would not suggest removing it at the moment. I would set EPR=3 to get rid of them for now. It may be adjusted depending on how your react to the next suggestion.


Try this for a few nights. Keep your pressure at 7 for now, but increase it by 0.2 cmH2O every other night for a bit to see if the extra pressure helps with sleep quality. Give that a go for a few nights and post some charts. From there we can help adjust to something more to your liking.

Also, please read the link in my signature “Format OSCAR Charts”. That is the format folks prefer. if they want to see something else they will ask.
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#4
RE: 3rd Attempt in 5 years to use cpap
Thanks for all the help!
I am going to try the new settings starting today.

I had a bad night yesterday It felt like Gerd . I have been taking esomeprazole for the last month but it does not work.
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