EPR. to use or not to use?

JBarizona · Post by **JBarizona** » Mon Oct 29, 2018 3:04 pm

I've had my epr setting at 3 since I started treatment about 6 weeks ago.... My ahi is around 7 or 8...can the epr setting affect your AHI or is it merely just a tool for more comfortable and tolerable therapy?

chunkyfrog · Post by **chunkyfrog** » Mon Oct 29, 2018 3:17 pm

Whether or not it affects therapy significantly is still open to debate, even among experts.
It is a feature intended to allow an easier transition to therapy.
Since everyone is different, you may try different settings, for a few nights at a time.
Your are free to choose what is most comfortable.
Only your results should determine your choice.

LSAT · Post by **LSAT** » Mon Oct 29, 2018 3:42 pm

It's a comfort tool. If it makes your breathing easier...use it. It has very little effect on AHI..if any. Everyone is different. I have used EPR 2 for a long time. On a few occasions I tried EPR 1 and EPR off. In both occasions , my breathing was uncomfortable and my AHI went up (From the breathing issues). If the machine listed in your profile is correct, it supplies no meaningful data. I would try increasing your pressure to see if the AHI comes down. \

NOTE...If your pressure is 8/15, you have an Autoset and the machine you listed is incorrect. If this is the case..increase your minimum pressure a bit.

Stom · Post by **Stom** » Mon Oct 29, 2018 4:31 pm

Whether EPR affects your therapy may depend on what kind of apnea you have. For some people, EPR can increase treatment emergent central apneas.

JBarizona · Post by **JBarizona** » Mon Oct 29, 2018 6:03 pm

LSAT wrote: ↑
Mon Oct 29, 2018 3:42 pm
It's a comfort tool. If it makes your breathing easier...use it. It has very little effect on AHI..if any. Everyone is different. I have used EPR 2 for a long time. On a few occasions I tried EPR 1 and EPR off. In both occasions , my breathing was uncomfortable and my AHI went up (From the breathing issues). If the machine listed in your profile is correct, it supplies no meaningful data. I would try increasing your pressure to see if the AHI comes down. \

NOTE...If your pressure is 8/15, you have an Autoset and the machine you listed is incorrect. If this is the case..increase your minimum pressure a bit.

I'm not sure about Auto sets or type of machine. It's a ResMed airsense 10 set to APAP... So does that mean I have an autoset machine like you said? Also tell me why you think raising the lower pressure would be helpful as opposed to raising the higher pressure..

Pugsy · Post by **Pugsy** » Mon Oct 29, 2018 6:07 pm

I wouldn't go increasing any pressure until I knew exactly what that AHI is composed of if it were me.

JBarizona · Post by **JBarizona** » Mon Oct 29, 2018 6:09 pm

Stom wrote: ↑
Mon Oct 29, 2018 4:31 pm
Whether EPR affects your therapy may depend on what kind of apnea you have. For some people, EPR can increase treatment emergent central apneas.

I've definitely had an emerging Central apneas but I've heard that this is common and overtime dissipates... I do have obstructive sleep apnea...

JBarizona · Post by **JBarizona** » Mon Oct 29, 2018 6:11 pm

Pugsy wrote: ↑
Mon Oct 29, 2018 6:07 pm
I wouldn't go increasing any pressure until I knew exactly what that AHI is composed of if it were me.

Typically my AHi is around 7... Approximately three out of seven obstructive three out of Seven Central and 1 out of 7 hypopnea

Pugsy · Post by **Pugsy** » Mon Oct 29, 2018 6:14 pm

More pressure won't fix the centrals.
Small chance more pressure might make the centrals worse.

Before advising anything I prefer to see the actual detailed graphs so I know exactly what is going on.
Need to use the software to see the details.
For all we know the majority of the flagged events are right smack after a known awake event and not even real.

JBarizona · Post by **JBarizona** » Mon Oct 29, 2018 6:29 pm

Pugsy wrote: ↑
Mon Oct 29, 2018 6:14 pm
More pressure won't fix the centrals.
Small chance more pressure might make the centrals worse.

Before advising anything I prefer to see the actual detailed graphs so I know exactly what is going on.
Need to use the software to see the details.
For all we know the majority of the flagged events are right smack after a known awake event and not even real.

Yes I'm trying to fix the obstructive not the centrals...I will do my best to post a few nights of sleepyhead day to here shortly and appreciate any feedback

palerider · Post by **palerider** » Mon Oct 29, 2018 6:40 pm

JBarizona wrote: ↑
Mon Oct 29, 2018 3:04 pm
I've had my epr setting at 3 since I started treatment about 6 weeks ago.... My ahi is around 7 or 8...can the epr setting affect your AHI or is it merely just a tool for more comfortable and tolerable therapy?

Yes, it absolutely can, because EPR drops the pressure, and if it drops it too much, you'll have obstructive events.

EPR also increases ventilation, and if you're sensitive to that, it can cause central events.

Post some charts.

JBarizona · Post by **JBarizona** » Mon Oct 29, 2018 6:45 pm

palerider wrote: ↑
Mon Oct 29, 2018 6:40 pm

JBarizona wrote: ↑
Mon Oct 29, 2018 3:04 pm
I've had my epr setting at 3 since I started treatment about 6 weeks ago.... My ahi is around 7 or 8...can the epr setting affect your AHI or is it merely just a tool for more comfortable and tolerable therapy?
Yes, it absolutely can, because EPR drops the pressure, and if it drops it too much, you'll have obstructive events.

EPR also increases ventilation, and if you're sensitive to that, it can cause central events.

Post some charts.

I'm having trouble figuring out how to get the charts posted

JBarizona · Post by **JBarizona** » Mon Oct 29, 2018 6:47 pm

palerider wrote: ↑
Mon Oct 29, 2018 6:40 pm

JBarizona wrote: ↑
Mon Oct 29, 2018 3:04 pm
I've had my epr setting at 3 since I started treatment about 6 weeks ago.... My ahi is around 7 or 8...can the epr setting affect your AHI or is it merely just a tool for more comfortable and tolerable therapy?
Yes, it absolutely can, because EPR drops the pressure, and if it drops it too much, you'll have obstructive events.

EPR also increases ventilation, and if you
're sensitive to that, it can cause central events.

Post some charts.

okay this is strange I toggled my keyboard in the sleepyhead software and now I can't seem to close out of the sleepyhead software or do anything in it. It's like a jammed up my computer or something anybody going to know what's going on?

palerider · Post by **palerider** » Mon Oct 29, 2018 6:49 pm

JBarizona wrote: ↑
Mon Oct 29, 2018 6:47 pm

palerider wrote: ↑
Mon Oct 29, 2018 6:40 pm

JBarizona wrote: ↑
Mon Oct 29, 2018 3:04 pm
I've had my epr setting at 3 since I started treatment about 6 weeks ago.... My ahi is around 7 or 8...can the epr setting affect your AHI or is it merely just a tool for more comfortable and tolerable therapy?
Yes, it absolutely can, because EPR drops the pressure, and if it drops it too much, you'll have obstructive events.

EPR also increases ventilation, and if you
're sensitive to that, it can cause central events.

Post some charts.
okay this is strange I toggled my keyboard in the sleepyhead software and now I can't seem to close out of the sleepyhead software or do anything in it. It's like a jammed up my computer or something anybody going to know what's going on?

Try hitting F11

JBarizona · Post by **JBarizona** » Mon Oct 29, 2018 6:53 pm

palerider wrote: ↑
Mon Oct 29, 2018 6:49 pm

JBarizona wrote: ↑
Mon Oct 29, 2018 6:47 pm

palerider wrote: ↑
Mon Oct 29, 2018 6:40 pm

JBarizona wrote: ↑
Mon Oct 29, 2018 3:04 pm
I've had my epr setting at 3 since I started treatment about 6 weeks ago.... My ahi is around 7 or 8...can the epr setting affect your AHI or is it merely just a tool for more comfortable and tolerable therapy?
Yes, it absolutely can, because EPR drops the pressure, and if it drops it too much, you'll have obstructive events.

EPR also increases ventilation, and if you
're sensitive to that, it can cause central events.

Post some charts.
okay this is strange I toggled my keyboard in the sleepyhead software and now I can't seem to close out of the sleepyhead software or do anything in it. It's like a jammed up my computer or something anybody going to know what's going on?
Try hitting F11

That didn't work. I can navigate on the charts but up at the top where there's file and View and data I can't do anything with it and I can't close down the program without restarting my computer and then when I restart it again the same thing happens. This is messed up

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