Straight CPAP to Auto BiLevel - HELP!

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
kest874
Posts: 26
Joined: Wed Apr 09, 2008 6:25 am

Straight CPAP to Auto BiLevel - HELP!

Post by kest874 » Tue Jan 20, 2009 9:15 am

Hello,

I have been having issues with severe aerophagia for just under a year now. I've also not been feeling very rested even after sleeping on average 7.5 hours a night.

I was using an M Series CPAP Pro at a pressure of 10cm, and supplemental oxygen at 2.5lpm. My AHI is routinely under 2 at an average of 1.2. I visited my sleep doctor and went over what I have been experiencing. In looking at my sleep report from a year ago with the doctor we saw that when CPAP was implemented all my event turned to centrals.

To deal with the aerophagia we determined that I need a lower exhale pressure. He also suggested that I should have an auto to record NR and FL since my machine would not record them. He suspects that I am still having centrals.

So last night was the first night on my new machine "M Series Auto BiPAP". I have included the nightly report below.

He prescribed: Min EPAP of 4, IPAP max of 20, PS Max 8

I had a lot of difficultly falling asleep since the IPAP started at 6. I felt like I wasn't getting enough air being used to 10cm. I notice that my 90% IPAP was 9. I tried several weeks at 8cm on my old machine and did not feel like I was suffocating, and the aerophalgia didn't exist (got the areophalgai symtoms around 9.5 STRAIGHT CPAP).

My real question: Would increasing the EPAP min to 6, allow the IPAP to be a minimum of 8 and reduce my feeling of suffocation, or should I just try to get used to it? Also usually my VS is .1 to 0, should I be concerned with 5.9?

Even thought I had difficulty getting to sleep and woke up several time I do feel a bit more alert.


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jskinner
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Re: Straight CPAP to Auto BiLevel - HELP!

Post by jskinner » Tue Jan 20, 2009 9:25 am

kest874 wrote: My real question: Would increasing the EPAP min to 6, allow the IPAP to be a minimum of 8 and reduce my feeling of suffocation, or should I just try to get used to it?


Yes I would increase the EPAP.
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