General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Sunshine50
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by Sunshine50 » Sat Jun 26, 2021 3:53 pm
Pugsy wrote: ↑Sat Jun 26, 2021 3:22 pm
Have him try 8 cm minimum with same EPR and see how he does.
The machine is going up and down a lot but always pretty much averaging at least around 10 ish pressure.
I wonder what his flow limitation graph looks like? Is he complaining of any nasal congestion to speak of?
Flow limitations can drive the pressure upwards and sometimes nasal congestion can cause flow limitations but for nasal congestion flow limitations more pressure isn't the answer. Instead we have to address nasal congestion by other means.
Thanks Pugsy, will do!
He isn't reporting any nasal congestion, just a dry mouth, which I'm thinking may be due to the FFM that he's using (maybe breathing through his mouth)?
I've attached some more screenshots showing flow limitations.
- Screen Shot 2021-06-26 at 4.48.47 PM.jpg (697.52 KiB) Viewed 223 times
- Screen Shot 2021-06-26 at 4.48.14 PM.jpg (725.23 KiB) Viewed 223 times
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Pugsy
- Posts: 65205
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- Location: Missouri, USA
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by Pugsy » Sat Jun 26, 2021 4:10 pm
Thanks, pretty much what I expected with the Flow Limitation graphs.
Fairly active and likely driving the pressures upwards.
Let's see what happens with the FLs with a little higher minimum.
I may have to RISE but I refuse to SHINE.
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Sunshine50
- Posts: 10
- Joined: Mon May 31, 2021 5:45 pm
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by Sunshine50 » Wed Jul 14, 2021 11:55 am
Pugsy wrote: ↑Sat Jun 26, 2021 4:10 pm
Thanks, pretty much what I expected with the Flow Limitation graphs.
Fairly active and likely driving the pressures upwards.
Let's see what happens with the FLs with a little higher minimum.
Here are 3 charts from the past few weeks and it looks like the flow limitation has improved! Would you recommend raising the pressure a little more?
I have asked him what causes him to take off the mask in the middle of the night, and he perceives it as too humid, so I lowered the humidity from 4 to 3 last night hoping that might help.
- Screen Shot 2021-07-13 at 12.48.20 PM.jpg (696.72 KiB) Viewed 198 times
- Screen Shot 2021-07-13 at 12.48.00 PM.jpg (770.17 KiB) Viewed 198 times
- Screen Shot 2021-07-13 at 12.47.21 PM.jpg (702.62 KiB) Viewed 198 times
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Pugsy
- Posts: 65205
- Joined: Thu May 14, 2009 9:31 am
- Location: Missouri, USA
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by Pugsy » Wed Jul 14, 2021 12:13 pm
You might try the minimum set to 9 for a little while and see what happens.
It's not going to affect the CAs/central apneas most likely though. We can't fix centrals with more pressure but maybe he will sleep a bit more soundly/longer as I suspect some of those centrals are related to being awake/half awake and not real.
I forget...heated hose or non heated hose?
If heated hose you might try reducing the hose air temp and see if that might make things feel a little less "muggy".
I may have to RISE but I refuse to SHINE.
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Sunshine50
- Posts: 10
- Joined: Mon May 31, 2021 5:45 pm
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by Sunshine50 » Wed Jul 14, 2021 12:27 pm
Pugsy wrote: ↑Wed Jul 14, 2021 12:13 pm
You might try the minimum set to 9 for a little while and see what happens.
It's not going to affect the CAs/central apneas most likely though. We can't fix centrals with more pressure but maybe he will sleep a bit more soundly/longer as I suspect some of those centrals are related to being awake/half awake and not real.
Thank you Pugsy--will do! He often is awake in bed listening to music, so I bet you're right.
Pugsy wrote: ↑Wed Jul 14, 2021 12:13 pm
I forget...heated hose or non heated hose?
If heated hose you might try reducing the hose air temp and see if that might make things feel a little less "muggy".
It's a heated hose, so I will look into reducing the temperature (his metabolism runs warm, so maybe that would also contribute to it).
