Encore Installed - Should I Raise Pressure

RoseY · Post by **RoseY** » Wed Mar 07, 2007 6:48 pm

After two days of stuggling I finally got my Encore Pro and card reader installed and working. I thought I was computer literate, but this was the most difficult thing I have ever had to install.

Looking at my first report, I think I need to increase the max pressure on my Auto machine. Right now it's set 8 to 11. However the report from Encore shows that some nights my 90% pressure is 11 and I'm still having some apneas at that pressure. Am I right in thinking that I should try raising the max pressure to 12 or 13?

Linda3032 · Post by **Linda3032** » Wed Mar 07, 2007 6:53 pm

I would say, yes, if you think you can tolerate it without causing leaks, etc. But go by how you feel. To me, that's just as important as the numbers.

I run my pressure a little low because higher pressures cause me ear pain.

rested gal · Post by **rested gal** » Wed Mar 07, 2007 7:44 pm

RoseY, what was the single prescribed pressure from your sleep study?

Goofproof · Post by **Goofproof** » Wed Mar 07, 2007 7:55 pm

Also you are using a nasal interface, are you sure you aren't mouth leaking?
If you are, that can be the cause of staying at a high pressure and still having a high AHI.

Treatment only works, if your airway is opened by the pressure, if it gets out of your mouth, not enough pressure is left to hold the airway open. Jim

RoseY · Post by **RoseY** » Wed Mar 07, 2007 8:03 pm

rested gal wrote:RoseY, what was the single prescribed pressure from your sleep study?

My doctor prescribed a pressure of 11.

RoseY · Post by **RoseY** » Wed Mar 07, 2007 8:07 pm

Goofproof wrote:Also you are using a nasal interface, are you sure you aren't mouth leaking?
If you are, that can be the cause of staying at a high pressure and still having a high AHI.

I'm pretty sure I'm not mouth breathing. I didn't during my sleep study and don't wake up with a dry mouth.

Goofproof · Post by **Goofproof** » Wed Mar 07, 2007 8:14 pm

RoseY wrote:
Goofproof wrote:Also you are using a nasal interface, are you sure you aren't mouth leaking?
If you are, that can be the cause of staying at a high pressure and still having a high AHI.
I'm pretty sure I'm not mouth breathing. I didn't during my sleep study and don't wake up with a dry mouth.

You should see the leaks get worse in Encore Pro's Daily graphs.

Goofproof · Post by **Goofproof** » Wed Mar 07, 2007 8:20 pm

You need to make decisions based on a few night with the same settings, only making one change for each test. A few nights of taping would help you see a baseline, but 8 to 12 Cm would be a good test too providing you aren't mouthleaking. Jim

RoseY · Post by **RoseY** » Wed Mar 07, 2007 8:32 pm

[quote="Goofproof You should see the leaks get worse in Encore Pro's Daily graphs.[/quote]

I'm still trying to figure out how to read some of the data, but it looks like I'm having 0 large leaks and my average leaks are around 31.9 - 37.3.