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After 3 Weeks
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ST1300 Offline

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Posts: 40
Joined: Feb 2016

Machine: System One REMstar 60 Auto Machine
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: System 1
CPAP Pressure: 13.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Nova Scotia, Canada

Post: #1
After 3 Weeks
Can someone look and see if these numbers are ok. I slept really good last night
My H looks to be to high. What setting should I use to lower it
(This post was last modified: 02-28-2016 06:23 AM by ST1300.)
02-28-2016 06:14 AM
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OpalRose Offline

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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: #2
RE: After 3 Weeks
ST1300,
Sleepyhead says your 95% pressure was at 8cm, but from your pressure graph, I'm not seeing that it went that high. Dont-know

Your profile has a pressure of 4cm listed. It doesn't look like you are using ramp, but turn it off if you are.

Yes, you need to tame the hypopneas, and it wouldn't hurt to raise your start pressure to 7cm.

OpalRose
02-28-2016 09:17 AM
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ST1300 Offline

Preferred Members

Posts: 40
Joined: Feb 2016

Machine: System One REMstar 60 Auto Machine
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: System 1
CPAP Pressure: 13.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Nova Scotia, Canada

Post: #3
RE: After 3 Weeks
My pressure starts at 6.5 and I use ramp. I will update my profile
02-28-2016 10:11 AM
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eseedhouse Online

Advisory Members

Posts: 882
Joined: Dec 2014

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
Humidifier: ResMed
CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #4
RE: After 3 Weeks
I think the hypopneas are actually good news, in that they would be probably full on obstructive apneas if not for the machine. Your AHI is low enough so that they are really not a huge worry, but can probably get even better with some careful adjustments as have been suggested.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
02-28-2016 01:52 PM
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PaytonA Offline
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Posts: 3,019
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #5
RE: After 3 Weeks
(02-28-2016 10:11 AM)ST1300 Wrote:  My pressure starts at 6.5 and I use ramp. I will update my profile

Is 6.5 the start pressure for your ramp???

Since your minimum pressure is 6 and the machine stays at 6 for a large part of the night, ramp starting at 6.5 is counterproductive. I would turn it off. I would also change your minimum pressure to 6.5 or 7 as Rose suggested.

Best Regards,

PaytonA
02-28-2016 02:21 PM
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ST1300 Offline

Preferred Members

Posts: 40
Joined: Feb 2016

Machine: System One REMstar 60 Auto Machine
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: System 1
CPAP Pressure: 13.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Nova Scotia, Canada

Post: #6
RE: After 3 Weeks
Ya sorry I screwed up. I'm doing this from my phone. Ramp starts at 4.5 with a min of 6.5. When I get home I will turn off the ramp and increase the start to 7. I updated my profile

Thanks for all he comments and suggestions. I will repost the outcome next Sat.

Which graphs should I post. I done a screenshot but it missed some.

Pressure. .. events... and what else?
Thanks again for all the help
02-28-2016 04:01 PM
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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: #7
RE: After 3 Weeks
Thanks for responding. You did just fine with your screenshot. Smile
Let us know if your Hypopneas improve.

OpalRose
02-28-2016 04:09 PM
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ST1300 Offline

Preferred Members

Posts: 40
Joined: Feb 2016

Machine: System One REMstar 60 Auto Machine
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: System 1
CPAP Pressure: 13.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Nova Scotia, Canada

Post: #8
RE: After 3 Weeks
7 seems to be a bit high. I had on min 7 last night and it was way too much inward pressure.I woke up at 4am and tried to get back to sleep.. NO GO.


Should I keep it on 7 or back it off to 6.5? I'll check back before bed time if I can stay awake...

Thanks again
02-29-2016 06:51 PM
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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: #9
RE: After 3 Weeks
If you are unable to tolerate a min pressure of 7, either back it up to 6.5 or go back to using ramp.

But remember, your start pressure of 6 didn't help eliminate the hypopneas, and if that continues, you will need a higher pressure to be treated effectively.
But for now, just take it slower.

OpalRose
02-29-2016 07:03 PM
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Sleeprider Online
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Advisory Members

Posts: 3,400
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #10
RE: After 3 Weeks
I realize the PRS1 algorithm is reluctant to increase pressure, but this graph shows all obstructive events (including RERA) and no sustained increase in pressure.

Quote:I slept really good last night
My H looks to be to high

This trumps all data. You're fine. If I was going by the data, I'd increase the minimum pressure, but if you're sleeping well and feel good, that's the goal.

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02-29-2016 07:22 PM
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