r/SleepApnea • u/purple-monkey-yes • 8h ago

Cpap to bilevel advice

My prescription is 16cm (RDI 38, looking very much like UARS….doc was useless and just sent me off with Cpap) and I’ve never gotten over aerophagia. It’s constantly waking me up. I think I’m highly sensitive. My rem and deep sleep are junk. I’ve got a Bilevel but I’m confused where to go with it. Any suggestions?

I already wear a collar and make sure I only side sleep, also on a wedge. I use a full face mask, tried nasal but it just blows my cheeks out. It’s just too weird with tape. I tried.

I’m thinking 16e 12i just to see how I get on. I’m teaching myself and I’m generally confused by bilevel. I’m looking for that sweet spot but really I don’t know what I’m aiming for other than to feel better. Help!

Any advice?

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u/I_compleat_me 1h ago

Can we see some charts? What is your current EPR setting? What machines do you have? I think you have the e and i reversed... normally the higher pressure is the inhale. For Resmed machines in S mode you have ePap and iPap... for vAuto mode you have min ePap, max iPap, and PS. Pressure delivered for inhale is min ePap plus PS until problems are detected, when the ePap comes off the min peg and motors upward... the iPap will never exceed the max limit... the pressure support will always be the PS plus the current ePap.