Trombasolo - Therapy Assistance

[Trombasolo]

[attachment=75663] I apologize if I already posted this. I thought I had but didn't find it when did a search. I need some help interpreting my data.
Thank you all. 
Dennis

[OpalRose]

Welcome to Apnea Board!

Question:  Did you have a sleep study done?  If yes, did it show any Central Apnea events?  If not, then we won't worry over the few CA events showing on your graph, as they just may be treatment emergent and will lessen in time.

I think we can tweak your settings a bit to give you more comfort and better results.

First, your 95% flow limitation reading is too high at 0.11, and can cause sleep disruptions.  We like to get that at 0.05, preferably below.  So we will keep your EPR setting at 3.  But to see a benefit from using EPR, your minimum setting should be no less than 7cm.   A pressure of 4 is way too low.

Since your median pressure reaches 8.82, let's set your minimum pressure at 9cm.  

Summary:

Set minimum pressure at 9cm. (If you feel this is too high, use ramp for a short period of time)
Set maximum pressure at 15cm.
Keep EPR setting at 3 full time.  

This should help control the Obstructives, Flow Limitation and Hypopnea.  

Nothing is written in stone... try these settings for a few days and repost.

[Trombasolo]

Thanks SO much for these suggestions. I will implement them tonight. Excited!
I did have a 2 night home sleep study done.
I think this is what you are asking about. Central Apnea - [attachment=75675]

Dennis

[Trombasolo]

     Hello again, I tried your suggestions and still feel pretty tired in the mornings and most of the day. Here's my data from last night. Thanks.

[SarcasticDave94]

We'll need the full chart not just the left panel.

[Trombasolo]

Thanks. I can't get the first 5 graphs in one screen shot. Here's my oscar data in 2 separate screenshots.

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Opal, here's my latest oscar data. I have to post 2 separate screenshots, sorry.
Thanks, Dennis

[Trombasolo]

Sorry, looks like I sent duplicate oscar screenshots.

[Trombasolo]

Thanks. I can't get the first 5 graphs in one screen shot. Here's my oscar data in 2 separate screenshots.

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Opal, here's my latest oscar data. I have to post 2 separate screenshots, sorry.
Thanks, Dennis

Hi Dave,

Any comments on my oscar screenshots that I posted. 
I'm still waking top feeling like crap.
My AHI is always below 5.

Thanks.
Dennis

[SarcasticDave94]

I would consider eliminating the Ramp. It's robbing therapy time.

Also, it appears there's hints of Positional Apnea patterns at times. Check to see if you're doing any chin tuck in which this kinks off your airway.

[Trombasolo]

        Hello. Could someone give me some advice on my settings. Here are 2 screenshots - one is my best AHI and one is my worst AHI. 
Thanks.