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I've been using a BiPAP for about 2.5 weeks now and have noticed that I'm getting quite a few central apneas. I don't really have any obstructive apneas or hypopneas (or RERAs). What do you think I should do?
Also, I'm definitely feeling a little better, but am not where I want to be with my sleep. Does it take a while for your body to heal from years of apnea/UARS?
I've attached 2 screenshots from OSCAR from a typical night to this thread. One is in VPAP-S mode, the other is VAuto mode. I seem to wake up more often with VAuto mode. Maybe that's because the pressure changes wake me up. Not sure though! Either way, I'm still having quite a few central apneas with each mode.
Machine: ResMed AirCurve 10 VAuto Mask Type: Full face mask Mask Make & Model: Resmed Airfit F10 Humidifier: Comes with PAP CPAP Pressure: PS 4.4 over 9.6-15.2 CPAP Software: OSCAR
Other Comments: Trig=VeryHigh, Cyc=L, TiMin=0.7, TiMax=2.4
11-10-2020, 03:44 PM (This post was last modified: 11-10-2020, 03:44 PM by happydreams.
Edit Reason: changed 2 to 2.5
)
RE: About 2 weeks in... a lot of central apneas.
Having just gone through this on my VAuto, I have a couple of questions for you. (I've been doing this for the past 2.5 weeks myself!)
Do you use a soft collar for head and neck support? It really helps. If your collar is older than 6 months it may not give you enough support.
What are your settings for the following: TiMin, TiMax, Trig & Cycle?
At least for me, I found changing those items above helped me a lot. My Centrals were 0 last night. First time in 2.5 weeks! (On VAuto) Actually, first time my CA were zero in over 1 year!
(11-10-2020, 03:44 PM)happydreams Wrote: Having just gone through this on my VAuto, I have a couple of questions for you. (I've been doing this for the past 2.5 weeks myself!)
Do you use a soft collar for head and neck support? It really helps. If your collar is older than 6 months it may not give you enough support.
What are your settings for the following: TiMin, TiMax, Trig & Cycle?
At least for me, I found changing those items above helped me a lot. My Centrals were 0 last night. First time in 2.5 weeks! (On VAuto) Actually, first time my CA were zero in over 1 year!
Ti max = 2.0s
Ti Min = 0.3s
Trigger = high
Cycle. = medium
I have tried a collar before I started on bipap and had a hard time getting used to it, but will certainly try it again!
Machine: ResMed AirCurve 10 VAuto Mask Type: Full face mask Mask Make & Model: Resmed Airfit F10 Humidifier: Comes with PAP CPAP Pressure: PS 4.4 over 9.6-15.2 CPAP Software: OSCAR
Other Comments: Trig=VeryHigh, Cyc=L, TiMin=0.7, TiMax=2.4
The collar can feel awkward at first. Make sure you can easily put two fingers into it when it's around your neck, otherwise it is probably too tight.
Try setting Trig=Very High. If you find that uncomfortable, we can change TiMin, TiMax & Cycle to get you there.
I ended up at TiMin=0.7, TiMax=2.4, and Cycle=Low. You may not have to change any of these. What is interesting to me is that lowest value of TiMin shown in the clinician's manual is 0.5. And that is for respiration rates of 35 breaths per minute. The highest respiration rate that I have observed for myself corresponds to 25 BPM. So I set TiMin=0.7 as in the table on page 6. For myself, I found I could only tolerate Trig=Very High when Cycle=Low, you may differ.
(11-10-2020, 04:37 PM)happydreams Wrote: The collar can feel awkward at first. Make sure you can easily put two fingers into it when it's around your neck, otherwise it is probably too tight.
Try setting Trig=Very High. If you find that uncomfortable, we can change TiMin, TiMax & Cycle to get you there.
I ended up at TiMin=0.7, TiMax=2.4, and Cycle=Low. You may not have to change any of these. What is interesting to me is that lowest value of TiMin shown in the clinician's manual is 0.5. And that is for respiration rates of 35 breaths per minute. The highest respiration rate that I have observed for myself corresponds to 25 BPM. So I set TiMin=0.7 as in the table on page 6. For myself, I found I could only tolerate Trig=Very High when Cycle=Low, you may differ.
Hope this helps.
Okay great! Thank you so much. I'll try this tonight and report back.
Machine: Needing iVAPS but QUACKS refusing to help but they love testing Mask Type: Not using mask Mask Make & Model: F&P Vitera on shelf Humidifier: None/nada CPAP Pressure: 0-0 pressure set CPAP Software: Not using software
Other Comments: SCS PVC K9D** Untreated CA Asthma Dr. Donothings
Sounds like you've got a good idea on the timing edits. Do update after next sleep session so we can track progress. Good luck to ya.
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