Pushing for better therapy
NJ
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Too much maximum pressure could create central apneas. So as Sierra said come down on the max pressure. Eventually upping the minimum pressure you will find the sweet spot to decrease (prevent them in the first place) events. Hopefully the difference in Pressure support will come in eventually. I take it you have an autoset? aka APAP.
I sure do after wasting 5 months on a APAP. But the bilevel Vauto on Set has settings your airsense doesn't. I'm not getting my hopes up with under 1 AHI.
Obstructive or central apnea is treated with PAP to keep airway clear to provide breathing accessibility and filtering air really doesn't enhance therapy . I use a air purifier to drown out noise.
I guess you missed the end of the night where you leaks escalated and have 4 Hypopneas, which btw are partial obstructions and Five OA's I see, at 3:00 am and following each other, is where your leaks were the greatest, so yes regardless of the mask pressure, you have events coming into play. I would suggest you read the graphs more carefully and you will see.
the Night before is 0.68
I'll go along with the two graphs are misleading however if the minimum pressure has leaks it will not be effective and the reason the machine has to ramp up. Do away with leaks as much as possible now and later when minimum pressure is raised can and leaks will be ruled out. You will not know when the minimum pressure is enough if leaks are present. Leaks means loosing therapy and machine ramping up isn't only about handling events, also means not enough minimum pressure is available.
contact Bonjour on apneaboard forum and run it by him... he's on OSCAR research team
On raising minimum pressure, yes to 7.5 for now, and higher in a few days or so, like 1cmH20. Flex is really worthless on a APAP. As far as your leaks... they are unacceptable to me period. Even though you have an APAP.... and the machine rams up, the minimum pressure could be doing it eventually and to have leaks is defeating the purpose of a higher minimum to prevent events and ramping up to max pressure. I would work on reducing your leak rate upon the pressure you achieve to achieve better therapy. CA's and OA's are next to nill, your hypopneas are alot but are hard to keep away. I manage to keep might few, but I have a bilevel machine. You partial obstructions, hypopneas, come in during the ramp up and is not helping, so to me it's not quite enough pressure.
How do you do this?
post over
can't post chart
