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04-19-2024, 07:46 PM (This post was last modified: 04-19-2024, 07:49 PM by Sackman101. Edited 2 times in total.)
Sackman101 - Therapy Request
Hey All,
As an introduction, my name is Sean - recently diagnosed with sleep apnea with an AHI of 48. Been using CPAP for a week and feeling a whole lot better. I am not getting much support from my provider so taking action into my own hands with settings.
Started with an open range of 4-20 - felt like i was waking up starving for air so made an intuitive decision to up minimum to 7. Also they provided an EPR of +3 and to my understanding the minimum should thus be 7 at a min.
I would like to know if there are any recommendations to improve current treatment based off my charts.
Thanks.
If you advise would be great to also get the reasons so i can learn.
#power to the people.
Sean
You did very well in raising your beginning pressure to 7. Good for you! Overall things look pretty good. I can't see if you have ramp turned on. If you do I suggest that you turn it off. You get almost no therapy during ramp. Your flow limits are high. At this point, I'm not sure how to advise you on that. Let's see how your therapy goes. Post a report whenever you want, and we will offer additional advice.
Machine: Needing iVAPS but QUACKS refusing to help but they love testing Mask Type: Not using mask Mask Make & Model: F&P Vitera on shelf Humidifier: None/nada CPAP Pressure: 0-0 pressure set CPAP Software: Not using software
Other Comments: SCS PVC K9D** Untreated CA Asthma Dr. Donothings
Welcome to the Apnea circus where everyone is treated poor to fair. Yes, in light of these flow limits giving the busy chart look, your only option after EPR 3 is increasing Min pressure. That’s your likely big area to make this better, as of now.
Keep an eye on your OSCAR reported leaks too. You have some fairly frequent, but at mid levels. If they were to increase, action to correct would be likely.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
No... there is a reason why we recommend the use of EPR 3. In your case, the FL is high, and you show Hypopneas and Reras. (All disruptive to sleep.) You will defeat the purpose of trying to tackle this if you lower EPR.
Since EPR hasn't brought FL down, the only tool left is to increase minimum pressure.
Look at your median and 95% pressure readings... let's try to get the minimum pressure closer at least to the median.
Summary:
No Ramp.
Minimum set to 8 cm. (You may need higher)
Keep EPR set at 3 (full time)
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Morning Guys,
I upped as recommended, felt like a horrible sleep with more OAs than before (attached report).
Should i maintain for a bit and see or adjust - I do know patience is key?
Thanks
Sean
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
