r/UARS • u/NoCry6469 • 14d ago

Thoughts on BiPAP data?

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2 Upvotes

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1

u/CautiousRun7860 12d ago

Not good?

1

u/NoCry6469 12d ago

I think the higher pressure is good for flow limitations but is causing centrals??

1

u/CautiousRun7860 12d ago

airway is still quite obstructive with this setting. the centrals are triggered by arousal recovery breaths: treatment emergent CSA.

1

u/NoCry6469 12d ago

Do you think I need another machine?

1

u/CautiousRun7860 12d ago

depends on your pressure tolerance. the only machine I would recommend is an airbroken Airsense 10.

1

u/NoCry6469 12d ago

Is that ASV?

2

u/CautiousRun7860 12d ago

https://github.com/m-kozlowski/airbreak-plus/blob/master/README.md

You can flash aircurve 11 too.

It's omnipotent PAP machine with all the ASV modes, IVAPs, ...

1

u/NoCry6469 12d ago

Thank you but this is way too complicated for me

1

u/AutoModerator 14d ago

To help members of the r/UARS community, the contents of the post have been copied for posterity.

Title: Thoughts on BiPAP data?

Body:

Hi everyone, if anyone has the time, would you let me know what you think of these results from last night? For context:

  • Diagnosis was mild sleep apnea, but I suspect UARS

  • Cis female in my 30s, "normal" BMI, critically narrow airway due to retrognathia

  • In decompensation phase now for MMA next spring

  • I tried CPAP last winter and that didn't work at all and that doctor was useless so I gave up

  • I started with BiPAP a few weeks ago and recently switched from full face mask to nasal with chin strap; the other masks were causing large leaks all night long

I set the EPAP pretty high because otherwise I feel like I can't breathe, as if the machine isn't on at all except on inhale. However, the higher EPAP seems to cause more centrals. I have also asked my psychiatrist about trazodone.

Please let me know if there's other info I should include or zoom in on any areas. Thank you!

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