When I started my treatment I had no titration study to go by so I basicly did it by feel. One thing you might wish to do is post your PSG results and ask about what others have for a pressure with your level of OSA as a starting point. You already have a starting point from your PSG but a lot of times they start you out at the wrong pressure. With a little input from others at your level of OSA you can get a ballpark idea.
After that to find my pressure I did a few things. First when I was awake I put on the mask and laid down in bed on my back. If I felt like I couldn't comfortably breath on my back I upped my pressure. Once I found a pressure I could breath with on my back. I tried it for a week and kept a log of how I felt when I woke up in a little notebook.
I put down things like did I dream? How many times I woke up to use the bathroom, and basicly how I felt when I woke up. I started at 12cmH20 on my plain jane, REMstar pro cpap, no data, no Cflex, with no LED.
After about a week my nocturna went away, but still no dreams and felt like poop in the mornings so the next I upped it 1 cmH20 per week until one week I wrote that I was dreaming, felt good each morning, with no bathroom trips, and my daily naps slowed down. A big sign post was also that I could watch a movie straight through without nodding off every 15 minutes.
That was at 16cmH20 and I used that pressure until a I could get an Apap. After I got my Apap I found my pressure ranged from 16-20 most times and now I am using my Apap in Cpap mode with a straight 17cmH20.
I wouldn't jump around to much with big adjustments as the danger is in causing centrals and even if you feel good you might go a little to high and not know it. Without data to guide you I feel it would be best to error on the side of a little low then a little to high. Also give each change in pressure at least a week. Many things can effect your pressure and how you feel in just 1 or 2 nights.
DISCLAIMER
I don't advocate doing it this way but if you have no other choice, you gotta do what ya gotta do. Try to get an APAP or at least a data capable unit as soon as you can. I live on $750 a month/no food stamps but I was able to swing an APAP for $600 by borrowing the cash from a roommate. Took me 6 months to pay back but it was well worth it. All you need is a script from your Doctor with "Needs APAP or Data Monitoring Cpap". Tell him your buying a unit online and you need a script for it to fax/email/mail them. Or if you hit ebay or some other auction sites you might not even need that.
_________________
CPAPopedia Keywords Contained In This Post (Click For Definition):
cflex,
Titration,
CPAP,
APAP
