New in this forum. [Snowy2020] Need help to understand the graphs and adjust therapy

[Gideon]

I think you misstated your question. I think you meant EPR and not EPAP.

First now focus on comfort. Your numbers are good.

With Central Apneas present good results are always a balance between obstructive and Central events. At this level IMHO Central apnea is not as bad as obstructive.

That said try EPR=2 and assuming no large changes see which feels better. Small changes. If you were on a BiLevel I'd suggest a smaller change.

[Snowy2020]

thank you so much....I'll give it another week and follow your recommendations

[Snowy2020]

   

Hi,

I think I'm nearly there, thanks to you guys.  I am using cervical collar, and following all you recommendations, and would like to see if there are any other adjustments I could make.  I also feel ok, making it through the day.

Many thanks as always.

[Sleeprider]

This looks like an effective range of pressure for you and there is relatively little pressure fluctuation. If you tolerate EPR, increasing to 3 might be beneficial to further reduce flow limitation. With 95% FL at 0.09 you are in an aceptable range, but it might be more comfortable and reduce those frequent inspiratory spikes we see.