Help Self-Titrating Autopap

[saltyk9]

Does anyone have a 'tutorial' on how to self-titrate their autopap machine if they were never formally titrated?
I have the software to review my data and do so every night. I have about 20 days worth of data in a row that I can review in order to determine the correct pressure settings.
I would like to know what I should be specifically looking at when determining how to set the pressures.
Thank you!

[BlackSpinner]

Post some of them.

[Pugsy]

There is no tutorial on how to interpret specific data only how to use the software.
For data interpretation we usually post the reports and ask questions about what each item means and the members will explain and then you will hopefully understand and be able to figure out best settings for you.

[Uncle_Bob]

Hopefully rested gal will be along shortly

[Pugsy]

Hopefully restedgal will be along shortly

Yep, with her links on how she did it. I don't have them handy anymore.

[moresleep]

If you use the search function at the top, you should be able to find some discussions here on point. Also, you can Google some of the manufacturer's titration protocols for various machines (which are, of course, intended for the laboratory). Self-titration essentially involves nudging the settings in one direction or another, with some guidance from the software, until the best results are obtained. Proceed slowly and cautiously, but, read the study report at the link below, which shows that in a controlled study, self-titration was as accurate as titration performed in a lab: "Self-adjustment of CPAP at home will provide equal or superior efficacy in the treatment of obstructive sleep apnea (OSA) as compared with in-laboratory titration. " For many people who don't really sleep the same in the lab as they do at home, self-titration may also be the practical option--unless you have a sleep tech with lab equipment who makes house calls...

ajrccm.atsjournals.org/cgi/reprint/167/5/716.pdf

[Pugsy]

What to look for?
Low leak.. Low AHI (less than 5 at least) with minimal to zero clusters.

[moresleep]

If you use the search function at the top, you should be able to find some discussions here on point. Also, you can Google some of the manufacturer's titration protocols for various machines (which are, of course, intended for the laboratory). Self-titration essentially involves nudging the settings in one direction or another, with some guidance from the software, until the best results are obtained. Proceed slowly and cautiously, but, read the study report at the link below, which shows that in a controlled study, self-titration was as accurate as titration performed in a lab: "Self-adjustment of CPAP at home will provide equal or superior efficacy in the treatment of obstructive sleep apnea (OSA) as compared with in-laboratory titration. " For many people who don't really sleep the same in the lab as they do at home, self-titration may also be the practical option--unless you have a sleep tech with lab equipment who makes house calls...

ajrccm.atsjournals.org/cgi/reprint/167/5/716.pdf

And note that (if I understand the report properly) the self-titration performed in this study was without the aid of software; participants just made adjustments to the machine based on comfort and how well they thought the therapy was working.