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[Equipment] what are repercussions of capping max pressure?
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01-27-2023, 11:47 AM
RE: what are repercussions of capping max pressure?
I think I am going the wrong direction. Increasing to 10-15 gave me worse numbers....I had two days I couldn't evaluate because apparently I removed the mask and cervical collar in middle of night...I had stop using the anti snoring strap thinking the cervical collar would replace it. I added the strap back and I uncapped it to 20 and was woken up several times with the mask hissing so although AHI was only around 6 I woke up very tired. Flow limits look like they got worse..not better unless I'm misreading the graph?
01-27-2023, 11:56 AM
RE: what are repercussions of capping max pressure?
The 26th is all positional
The 27th is somewhat positional but it also suggests you would benefit from EPR=3 and possibly need a BiLevel but that's getting ahead of ourselves. Set EPR= 3 And eliminate the positional issue first
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter
Download OSCAR OSCAR - The Guide New to Apnea? Helpful tips to ensure success Soft Cervical Collar Mask Primer Dealing with a DME Organize Charts Optimizing Therapy
01-27-2023, 12:07 PM
RE: what are repercussions of capping max pressure?
The 26th is all positional
The 27th is somewhat positional but it also suggests you would benefit from EPR=3 and possibly need a BiLevel but that's getting ahead of ourselves. Set EPR= 3 And eliminate the positional issue first
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter
Download OSCAR OSCAR - The Guide New to Apnea? Helpful tips to ensure success Soft Cervical Collar Mask Primer Dealing with a DME Organize Charts Optimizing Therapy
01-27-2023, 03:04 PM
RE: what are repercussions of capping max pressure?
I don't know what I can do about the positional. I'm sleeping on my back with pillows...if I lay flat I end up with ahi's > 30....I can't sleep on my side because the mask ends up getting pushed out of position by the pillow. EPR 3 left me feel like I was having trouble breathing but I'll try it again. I'm personally leaning towards going back to 7-13 and leave well enough alone...I was sleeping through the night and was having good results for MOST nights.
01-27-2023, 06:03 PM
RE: what are repercussions of capping max pressure?
You may wish to try sleeping on your side with your head at the end of the pillow so that the mask is over the end of the pillow and not pushed out of place by the pillow. I've learned to do this and I get really irritated with myself when a large leak wakes me up during the night because I forgot to position my head at the end of the pillow. I hope this helps.
RE: what are repercussions of capping max pressure?
Thanks for the suggestion...I'll see if I can train myself into that. Not sure I could sleep the whole night like that though. I have degenerative disc disease, a disc pressing on my spin and neuropathy to deal with and a few other health issues...laying on my side for a few hours usually ends up being painful and I have to go onto my back. If it's not one thing it's another.
I'm also going to contact my DME on monday and tell them about the issues with the mask and pressures of higher than 15.
01-27-2023, 07:54 PM
RE: what are repercussions of capping max pressure?
To be clear, if sleeping on your back is best for your spine, do that, no question.
The positional I'm talking about is a cervical misalignment.
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter
Download OSCAR OSCAR - The Guide New to Apnea? Helpful tips to ensure success Soft Cervical Collar Mask Primer Dealing with a DME Organize Charts Optimizing Therapy
01-27-2023, 08:26 PM
RE: what are repercussions of capping max pressure?
Pretty much all levels of the spine from lower lumbar up to cervical have issues so positioning is certainly an issue....I added a soft cervical collar and have been using it the last 4 days or so so if I'm still having cervical positional issue then I guess it's useless. I have a bulging disc around c7 so laying flat was my preferred method to sleep but then again my AHI before starting treatment in that position was 42. Laying against some pillows works as long as it's not putting pressure on lower spine right at the waist area.
I do appreciate all the input and am going to try to incorporate it. For tonight I'm gonna try going from 7 to 15 epr 3 and see where that puts me. With the anti snore chin strap, mask, earplugs and soft cervical collar bedtime has almost become a circus event or possible a semi sensory deprivation chamber. There's been a few nites that have gone really well and I've felt great the next day so I know it can work if I can just figure this out. I'm even willing to buy a mask out of pocket if the current one isn't gonna do the job....so what one would folks recommend that has best chances of working?
01-27-2023, 09:47 PM
RE: what are repercussions of capping max pressure?
What about a different c-collar?
Perhaps the one you're using is still allowing your chin to relax down? How fluffy are your pillows? Could you still be comfortable with less fluff?
*Brazen
Reluctant cpap user just trying to offer support to others going through the same torture. Because, it's the only current solution and breathing is kinda important. OSCAR Chart Organization Attaching OSCAR Charts to Post Mask Primer
01-27-2023, 11:39 PM
RE: what are repercussions of capping max pressure?
As to the pillows, they are memory foam and "queen size". I pile up so I'm sitting kinda like I was in a recliner. The lower I lay the worse my AHI's get. My first cervical collar order ended up shipping from china and has still not arrived...the 2nd which I'm using was the Dr. Dakota one suggested in the forum documentation. I don't think me tucking my chin is the problem cause it doesn't let me do that.
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