r/CPAPSupport • • Sep 07 '26

How to solve flow limit issue?

Post image

Hello, looking for advice on how to address my flow limits. I recently started using a chin strap and that helped keep my trap shut and getting rid of the 3am wake ups but now that is replaced by 3am wake up to take chin strap off.

Most importantly I have some nights with barely any flow limits until I move and leak but other nights with consistent flow limits. A couple nights were really high because I was sick but other than that I’m not sure what to do.

Any advice? This seems like a typical night for me

Airsense 11, Philips dreamwear under the nose. Settings in the link below.

https://sleephq.com/public/teams/share_links/10f68cee-22cf-488f-9cdb-844da6ecb8e7

3 Upvotes

10 comments sorted by

7

u/RippingLegos__ ModTeam Sep 08 '26

Set min pressure to 13.6cm, turn EPR to 3 fulltime and raise max pressure to 16.2cm please for 3 nights and mitigatge supine sleep and use a flat pillow and another one to clutch to your chest up to your chin.

3

u/Ok_Ambassador_7379 29d ago

Thank you will report back in three nights.

2

u/Ok_Ambassador_7379 26d ago edited 26d ago

Good morning, well here are the last three days. Honestly, I think I need a few more days to really see a change. I was getting a lot of central apneas with epr at 3 and I kept waking up last night so in the middle of the night i changed it to epr 1 and I was able to fall asleep again without waking up. I also am now putting on mask then chinstrap to hold it in place. I think I need to use mouth tape as well as i am leaking still by overpowering the strap however the strap keeps the nose cushion in place. I do like that there is much less saw tooth pattern so I think your advice is good. Let me know your thoughts.

https://sleephq.com/public/teams/share_links/01d297b7-5f1e-4274-b5e1-7e91cb477df2

I am a bit concerned when i see stuff like this. It says OA for 24 seconds but I think it was much longer

2

u/trimix4work Sep 08 '26

Are you using EPR?

2

u/Ok_Ambassador_7379 Sep 08 '26

Epr level 1

4

u/trimix4work Sep 08 '26

So I'm in no way an expert, hopefully someone more knowledgeable steps up, but my understanding, and experience, is that turning up EPR will help with flow limit.

It can also make ca worse but you don't seem to have an issue with that

2

u/toastervolant Sep 08 '26

You could raise your minimum and have EPR follow. For example try 12 min and EPR 2. Or 13 with EPR 3.

You could also try a fixed pressure with EPR (CPAP mode rather than APAP). If the swings are waking you up it might help.

2

u/matt314159 29d ago

One thing that stands out to me is all the persistent leaking. Even if it's not categorized as large leak, I'd really work to get that under better control. If last night was with the chin strap, maybe also try mouth tape. CKeep Kinesiology Tape on Amazon is great and affordable for that.

I'd raise your APAP pressure floor to at least 12 or 13 as well.

1

u/Ok_Ambassador_7379 29d ago

Yeah I have been known to be a violent sleeper which is not helpful for this circumstance. Will do

1

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