Pressure Setting Sleepyhead Help Needed

[sack time]

Looking at this chart, it seems to me that the higher number should be increased to greater than 15cm since the red line was to the top of the pressure graph. Does this seem logical? I don't like all the CA's and OA's. Should I leave settings as is or make some changes or wait til I see my doc (he had me set at 7cm - 11cm)? Forgive me since I am a newbie trying to figure out what I am doing. Thanks!

[Julie]

Then increase it... leave it open to 20 as so many do anyway, whether or not their charts look like yours.

[sack time]

Thank you, Julie:
Sorry....I started a new post again instead of going back to my old one. I'm a little confused. Will try to do better

[Pugsy]

It's the minimum pressure setting that is the most critical setting in terms of preventing the airway from collapsing.
If increasing the maximum doesn't give you the desired results...consider a little more minimum.
The machine works best by preventing instead of trying to fix something after it has already happened.

Going from 7 to 15 cm takes a bit of time...the machine doesn't increase the full 8 cm in the blink of an eye...instead it goes up slowly and sometimes so slowly the airway closes and opens back up again before it ever gets to where it needed to be.
Using a little more minimum baseline means it doesn't have to travel so far so hopefully it will get to where it needs to be sooner and better prevent the airway from collapsing in the first place.
Sometimes when the minimum pressure is more optimally set and the machine doesn't have to go so far it works out that it also doesn't have to go as high either.

Most definitely need more minimum with the snores for sure.

[M3T4LLik4]

I was told by a veteran to pin flow rate, pressure, events, and leak rate to my sleepyhead data. It makes it easier for others to observe. I recently moved my lower end pressure up. It doesn't appear that your low end pressure actually reached 11 anyways, and its lowest point was 12. I am super new to this as well, but try sneaking your low end pressure above 12 and your higher pressure to like 16 or 17. My pressures have changed to from my initial of 5-10 to 8-11, and I am hoping over the next two weeks that my changes work out for me. Give your adjustment a try and see how you feel over the course of the next 2-3 weeks. That is what I am planning to do!

Good luck!

[Pugsy]

I am super new to this as well, but try sneaking your low end pressure above 12 and your higher pressure to like 16 or 17.

Actually going from a 7 minimum to above 12 minimum is probably way overkill in terms of pressures needed and could potentially create some problems with that big of a jump. I wouldn't suggest that big of a jump at all. I would think more along the lines of changing the 7 minimum to 8 minimum and see what happens. Go up slowly...might not need nearly as much pressure as first thought. No sense in using more pressure than is really needed for a whole bunch of reasons.

For the bulk of the night the 7 minimum actually does a fairly decent job of things if we remove the snores from the evaluation. Max of 15 is only hit briefly.
I suspect he probably rolled over onto his back and needed more pressure. Might be REM related but that first increase is a bit soon for REM stage sleep.

[M3T4LLik4]

I am super new to this as well, but try sneaking your low end pressure above 12 and your higher pressure to like 16 or 17.

Actually going from a 7 minimum to above 12 minimum is probably way overkill in terms of pressures

Isn't the APAP minimum pressure already at 12 though, or did they change it initially and want to readjust?

[Pugsy]

Isn't the APAP minimum pressure already at 12 though, or did they change it initially and want to readjust?

Yep..you are right and I am colored red.
My bad.
I didn't enlarge to read the numbers well enough and somewhere 7 cm minimum got stuck in my mind probably from what he said he used first.
Never mind what I said.

[M3T4LLik4]

Isn't the APAP minimum pressure already at 12 though, or did they change it initially and want to readjust?

Yep..you are right and I am colored red.
My bad.
I didn't enlarge to read the numbers well enough and somewhere 7 cm minimum got stuck in my mind probably from what he said he used first.
Never mind what I said.

Hey no worries! I am timid to give advice since I am so new to this; so if I was giving the wrong advice, I want to correct it!!!

[sack time]

Actually going from a 7 minimum to above 12 minimum is probably way overkill in terms of pressures needed and could potentially create some problems with that big of a jump. I wouldn't suggest that big of a jump at all. I would think more along the lines of changing the 7 minimum to 8 minimum and see what happens. Go up slowly...might not need nearly as much pressure as first thought. No sense in using more pressure than is really needed for a whole bunch of reasons.

For the bulk of the night the 7 minimum actually does a fairly decent job of things if we remove the snores from the evaluation. Max of 15 is only hit briefly.
I suspect he probably rolled over onto his back and needed more pressure. Might be REM related but that first increase is a bit soon for REM stage sleep.

Confused My doc had me set at 7 - 11. I increased to 12 - 15. Originally started with cpap set at 8cm. A-Flex is 3. Where do I go from here? Thank you everyone for your suggestions!

[Pugsy]

Sorry for the confusion. I was a bit cross eyed and saw 7 for your minimum when it was 12. Ignore the bulk of my comments to M3T4LLik4 and I messed up.
I couldn't enlarge the image to see the actual numbers and for some reason was seeing 7 minimum when it wasn't.

You can try opening the max up and see what happens but I don't think it is going to do as much as you might think. You don't spend much time up maxed out anyway.

Were you by chance on your back when it was pegging out at 15?
Looks like about 1/3 to almost 1/2 of your AHI is Central/Clear Airway and more pressure won't fix that. I don't think they are related to the pressures...you are having them even at the lower pressures and not enough of them to worry about anyway.

I don't know that I would do anything except maybe open the max up and see what happens.
I don't know what to make of the snores or even if anything needs to be made of them.

[mrbreezeet1]

All very interesting, and making more sense to me.

Sent from my MotoG3 using Tapatalk