[Treatment] Treating UARS with CPAP and bilevel - Printable Version +- Apnea Board Forum - CPAP | Sleep Apnea (https://www.apneaboard.com/forums) +-- Forum: Public Area (https://www.apneaboard.com/forums/Forum-Public-Area) +--- Forum: Main Apnea Board Forum (https://www.apneaboard.com/forums/Forum-Main-Apnea-Board-Forum) +--- Thread: [Treatment] Treating UARS with CPAP and bilevel (/Thread-Treatment-Treating-UARS-with-CPAP-and-bilevel) |
RE: UARS and APAP - Gideon - 09-20-2019 good choice and I agree that should not have a big impact. RE: UARS and APAP - slowriter - 09-20-2019 (09-20-2019, 10:00 AM)alexp Wrote: No, if it's too high, you'll get centrals but I don't think your mean tidal volume would be higher. Once the flow limitations are gone, your airways are totally clear and air flows easily but pressure can't make your airways bigger after all. It makes sense. My median TV seems to hover right around 500, but I'll take another look later. RE: UARS and APAP - mper6794 - 09-20-2019 (09-20-2019, 08:17 AM)slowriter Wrote: For now (I may change my mind later, in part depending on how this thread develops), I set the machine to stay on VAuto, but dropped the PS to 5.8, and the max IPAP to 11.8. ...for me, It is ok, as you are in the phase of getting data. Whatever PS and EPAPmin you choose is going be very useful for ultimateley fine-tuning the numbers you are going to need! But still eager to see what is going on with your waveforms, particularly those stretches associated with ar/aw/wkps. Good luck RE: UARS and APAP - slowriter - 09-20-2019 (09-20-2019, 10:56 AM)mper6794 Wrote:(09-20-2019, 08:17 AM)slowriter Wrote: For now (I may change my mind later, in part depending on how this thread develops), I set the machine to stay on VAuto, but dropped the PS to 5.8, and the max IPAP to 11.8. Here you go. [attachment=15634] RE: UARS and APAP - sheepless - 09-20-2019 if periodic limb movement hasn't already been established, that flow rate looks suspiciously like the pattern I see in my flow rate that I have associated with my plm by my wife's reports and audio recordings. RE: UARS and APAP - slowriter - 09-20-2019 (09-20-2019, 12:09 PM)slowriter Wrote: Here you go. BTW, in previous nights, that period before that ~2 AM wake up would have been during REM. In this case, not; it's light sleep. RE: UARS and APAP - slowriter - 09-20-2019 (09-20-2019, 12:42 PM)sheepless Wrote: if periodic limb movement hasn't already been established, that flow rate looks suspiciously like the pattern I see in my flow rate that I have associated with my plm by my wife's reports and audio recordings. I've not yet taken the step to video or audio record, but I find it highly unlikely that two separate sleep studies would both turn up no evidence of PLM, but that I would end up having it. But I could be convinced otherwise. Do you think I should get a $25 infrared security camera, even with the above? RE: UARS and APAP - sheepless - 09-20-2019 it would seem odd not to have picked it up in the sleep studies. it may or may not be plm. it looks to be periodic breathing but the source of that periodicity can't be determined by machine data. only reason I feel reasonably secure in my assessment of my respiratory response to plm in the flow rate is because of my wife's reports and audio recordings. a camera would confirm or rule it out. RE: UARS and APAP - slowriter - 09-20-2019 True. Alright, camera ordered. RE: UARS and APAP - mper6794 - 09-20-2019 (09-20-2019, 12:09 PM)slowriter Wrote:(09-20-2019, 10:56 AM)mper6794 Wrote:(09-20-2019, 08:17 AM)slowriter Wrote: For now (I may change my mind later, in part depending on how this thread develops), I set the machine to stay on VAuto, but dropped the PS to 5.8, and the max IPAP to 11.8. ..Well, my friend, I wish not, however: (1) amazingly periodic events; (2) RR increasing associated; (3) leading to wake up; (4) during light sleep; (5) in a person with UARS! Unless you are one those very luck guy, this textbook PLM's would not be PLM's. All my efforts and wishes I am deadly wrong! PS: don't believe in lab studies for PLM. I have two of such studies: zero PLM in one; 97 (31/hr in the second). So, given the importance, I would suggest repeat your study. Good luck |