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Getting a Bipap, need help with settings
Getting a Bipap, need help with settings
Hey all,

I'm about to get an Aircurve 10 VAuto tomorrow and would like some help titrating!

Currently I use a Resmed Airsense 10 Autoset with pressure 9-11 with EPR 3 and a Dreamwear Full Face Mask. I on average have an 95% FL of ~0.05 and a 99.5% FL of ~0.20. My AHI is generally <1. I have enlarged turbinates, especially the left turbinate. I basically can't breathe in my left nostril, even at my current pressure of 9-11. However, on an experiment, my nostril starts to open at ~17/18 pressure. (Even though I know this information, I haven't raised my pressure above 11 since it's quite hard for me to tolerate during exhale. I'm hoping Bipap will resolve this for me.) I also have a narrow pharyngeal airway as confirmed from CBCT scans, likely from 3 years of mouth breathing. I am still very symptomatic (mostly brain fog, also some fatigue), so I am pursuing more advanced PAP therapy. I believe I have UARS, as I have low AHI but high RDI, and am a normal weight 22M.

I'm planning on doing a few days on my current settings on my new machine and looking at OSCAR as a control to make sure OSCAR is displaying stuff the same as before. Assuming all is normal from that, then I'm thinking about trying my current pressure range, but with a PS of 4 for a week. Then maybe PS of 5 for a week. I haven't seen anyone go higher than 5 PS, so after that I guess I'll have to start raising the min pressure. Does this sound reasonable? I'm guessing based on my experiment in the first paragraph, that I'll start feeling noticeable improvements at a pressure of 17/18, which would be something like a EPAP of 12 and PS of 5 from my setup. Is this experiment and rationale legit? Also, how do I set all other settings that BiPAPs have, such as sensitivity and stuff? 

Let me know if you need any other information (e.g OSCAR screenshots). Thanks so much for the help!
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