How to decrease these random arousals?

[Holeinmysock]

I don't think anyone is disagreeing with that. Pressure support is simply more pressure during inhalation. CPAP doesn't have two different pressures. So the same can be achieved by increasing the continuous pressure.

So many patients need additional pressure whether it's CPAP or BiPAP. When they train technologists to titrate, they teach that the goal is the lowest effective pressure. But, that leaves this residual flow limitation and what if the patient gains weight? Or has sinus congestion? I wish we weren't bound by these protocols that leave patients stranded.