My new doctor didn't like the unevenness of the 02 line on my pulse ox report and wanted my IPAP increased from 15 to 18. I was able to do that slowly over the course of about two weeks. My IPAP is now 18-23. My EPAP is at 9 (regular AVAPS) which is where it has been for a while.jamiswolf wrote:Hi Maddie,
Going back two posts to your question regarding EPAP pressures. I'm a little rusty thinking about all this stuff. You were surprised that your machine was only showing 10cm, but your study recommended 12cm. Whats your IPAP running...just to give me more info.
Next post you commented that you sleep better with avaps, yet you tend to feel more well rested on the ae setting. How are you determining that you sleep better with plain avaps? By machine data?
My comment about sleeping better on regular AVAPS is based on my perceptions. I don't feel I wake up as often and when I do wake, the machine doesn't seem part of the equation. On AE, the FOTs were bothersome, at times, and when awakened, they became part of the equation.
I was hoping that AE would show that it raised my EPAP significantly when sleeping supine, but that wasn't the case. The average EPAP was typically 9.5, which is barely higher than my set EPAP. The last sleep study was pretty clear that an EPAP of 12 was needed to sleep supine. But then again, they weren't using a Trilogy, but the other equipment (can't remember it's name off hand) that can be set to both AVAPS & ASV modes. I suppose there could be a slight discrepancy in how the equipment functions.
Unless there are comments to the contrary, I think my smartest move is to wait until my Trilogy returns then try AE again on that machine. I'll go back through this thread and figure out the starting point. One change at a time.
Until then, regular AVAPS and snoozing in the afternoons. It's still better than before when I slept for HOURS every afternoon. Little cat naps, in my recliner, aren't the end of the world.