Post Reply 
7 Day APAP Trial - What pressure to use?
Author Message
green wings Online

Advisory Members

Posts: 551
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #1
7 Day APAP Trial - What pressure to use?
Thanks, OpalRose, for asking yesterday if my machine had the option of APAP trial. I didn't think it did, but I went to double-check a little while ago and it does.

So now I need some advice about what min and max pressures to start my APAP trial with.


I started on CPAP therapy at 7.0 cm H2O in December but didn't really start using the machine regularly until after I found this board in late January.

I got frustrated a couple of weeks ago and increased my pressure to 8.0 and then to 9.0 (probably faster than is recommended). My impression is that things improved a bit in the first half of my sleep but are still taking off in the later part of the night.

I don't have a good idea how my body is going to respond when the pressure starts ramping up while I'm sleeping. I suppose I'm looking for suggestions for safe and comfortable settings for the first night's trial of APAP (and after that, too).

Thanks!

I've attached a couple of screenshots of my AHI for one night at 7.0 and one night at 9.0 if anyone wants to see them.

P.S. When I saw my sleep doctor in late February, he compared the just-over-5 AHI from the Encore Basic general report to my 50-something untreated RDI from my sleep study and pronounced it "very good", so I'm hesitant to call their office to discuss this.

They generally didn't return my calls when I was calling back in the winter with questions about the problems I was having with learning to use the CPAP mask and machine, so pfft on them.

There were even a couple of times I left messages to say that I needed to pay them money and they didn't call back, so maybe they are just really busy.

[Image: IXO5473.png]
[Image: WbiUGyx.png]
03-22-2016 01:16 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #2
RE: 7 Day APAP Trial - What pressure to use?
Hang in there, people in the know will respond. I could tell you what I would do, but there are better sources on this board. The graphs you posted should be enough to help you out.
03-22-2016 01:29 PM
Find all posts by this user Post Reply Quote this message in a reply
OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #3
RE: 7 Day APAP Trial - What pressure to use?
Since your lastest graph shows improvement with a pressure of nine, I would set the APAP trial
to start at 8 with a maximum of 15. This is just a guess. How long will you set the trial for?

Someone else may have a better range to suggest, but you have to start somewhere.

Watch it for at least a couple weeks, and see how you feel. Since you are used to using a straight pressure, you'll know if the pressure ranges bother you. But the purpose of the ATrial is to find the optimum pressure, so give it a chance.

OpalRose
03-22-2016 01:44 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
green wings Online

Advisory Members

Posts: 551
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #4
RE: 7 Day APAP Trial - What pressure to use?
Aw, tell me what you think. Smile

(03-22-2016 01:29 PM)PoolQ Wrote:  Hang in there, people in the know will respond. I could tell you what I would do, but there are better sources on this board. The graphs you posted should be enough to help you out.
03-22-2016 01:54 PM
Find all posts by this user Post Reply Quote this message in a reply
green wings Online

Advisory Members

Posts: 551
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #5
RE: 7 Day APAP Trial - What pressure to use?
Thanks, OpalRose. Smile Your suggestion of 8-15 sounds good. I might use 7 for min, since that's what pressure I was at when I saw my sleep doc in Feb.

I wasn't sure what you meant by "how long will you set the trial for?" I had seen "7 days" in the settings and didn't realize that could be adjusted. I just checked again, and it says "min days" and is adjustable from 7-30. I thought I got only 7 days of APAP trial and then it went back to CPAP.

Do you mean how long will I use the machine in APAP mode before talking to my sleep doctor about getting an APAP machine? (That's not a conversation I'm looking forward to having. Can you be my sleep doctor?)

I suppose I should contact the doctor's office after a couple of weeks and maybe fax them a couple of graphs to see what they say about the APAP usage?

Should I tell the drs office that I'm going to do a trial of APAP?

What do people's doctors usually say when they put themselves on APAP? Huh

If I had had an appropriate titration, this might not have come up at all. For some reason, the sleep technician during my titration set me at 5.0 then bumped me up to 6.0 for the rest of the trial, except for the last hour when they increased my pressure to 7.0 and declared me titrated.

Since they woke me up around 4:30 am to end the test, I suppose I never got into the stuff I'm typically seeing now from 4-7 am.

Thanks again. Smile




(03-22-2016 01:44 PM)OpalRose Wrote:  Since your lastest graph shows improvement with a pressure of nine, I would set the APAP trial
to start at 8 with a maximum of 15. This is just a guess. How long will you set the trial for?

Someone else may have a better range to suggest, but you have to start somewhere.

Watch it for at least a couple weeks, and see how you feel. Since you are used to using a straight pressure, you'll know if the pressure ranges bother you. But the purpose of the ATrial is to find the optimum pressure, so give it a chance.
03-22-2016 02:20 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #6
RE: 7 Day APAP Trial - What pressure to use?
So it sounds like it will let you choose 7 days or a longer trial if you want. I would at least choose a couple weeks and check results on sleepyhead. Or set it for 30 days, that would probably give a more accurate number.

I don't see why your doctor would mind you trying out the Trial mode. It would be interesting to see what the machine would set your pressure to, and if it makes a difference in your AHI.

OpalRose
03-22-2016 02:33 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Medicare Advantage Coverage for APAP Evie 4 241 12-05-2016 09:49 PM
Last Post: Evie
  Which disturbs sleep most? High Pressure or Changing Pressure Rcgop 7 1,279 11-10-2016 07:37 PM
Last Post: Sleep2Snore
  cpap and apap not effictive Ezil71 109 3,143 11-05-2016 11:19 AM
Last Post: sonicboom
  Unable to clear throat while on APAP NorthernGuy 5 313 10-17-2016 08:18 PM
Last Post: Sleeprider
  Apap I_will_never_sleep_again 2 289 10-14-2016 02:58 PM
Last Post: trish6hundred
  Auto-Trial –delivers CPAP therapy adjusting pressure 30days ICEMAN 8 1,237 09-24-2016 12:34 PM
Last Post: green wings
  Travel to Australia with Apap. Newbee2016 10 547 09-24-2016 12:06 PM
Last Post: SharonN

Forum Jump:

Who's Online (Complete List)