AirCurve 10 ST-A

[zzzZorro]

OK, here we go.  Last night I went through all the settings on the machine and intended to leave it in the S mode at 14/13.  Goofed and left it in CPAP 14 (same as night before).  Developed an 'Owie' on the bridge of the nose from the AirFit FFM and resorted to the P-10 pillow mask, expecting leaks.  There were in fact numerous leakage events but the AHI-7.50 was a big improvement.  There was about a 50 minute pause on the chart at 0125 where I think I woke with my face on the pillow and a leak- although that could have been the LL shown at 0100.  If the 0100 event was what I was thinking of then I have no recollection of the 'off" pause on the chart.

Unknown apneas (OAs and CAs) substantially reduced and no 'nasty' one minute events

The P-10 is the wrong mask for me, even with the chinstrap (useless) but it is going to have to be used for a few more days.  I have never experienced Large Leaks such as this, so would guess they would have skewed the AHI count badly?

[CHART]

[Sleeprider]

As long as you can see the breathing on the flow rate chart, so can the machine. It may under-estimate some events, especially hypopnea, but the apnea should be fairly accurate.

I would guess the difference in efficacy between VPAP-S and CPAP both at 14 should be pretty minimal, and the 1-cm pressure support is simply a comfort feature.

[Shin Ryoku]

OK, here we go.  Last night I went through all the settings on the machine and intended to leave it in the S mode at 14/13.  Goofed and left it in CPAP 14 (same as night before).  Developed an 'Owie' on the bridge of the nose from the AirFit FFM and resorted to the P-10 pillow mask, expecting leaks.  There were in fact numerous leakage events but the AHI-7.50 was a big improvement.  There was about a 50 minute pause on the chart at 0125 where I think I woke with my face on the pillow and a leak- although that could have been the LL shown at 0100.  If the 0100 event was what I was thinking of then I have no recollection of the 'off" pause on the chart.

Unknown apneas (OAs and CAs) substantially reduced and no 'nasty' one minute events

The P-10 is the wrong mask for me, even with the chinstrap (useless) but it is going to have to be used for a few more days.  I have never experienced Large Leaks such as this, so would guess they would have skewed the AHI count badly?

[CHART]

Overall, big improvement.  I would leave everything the same for the next couple days.  Leaks and all, the P10 may be a better mask for you.

[zzzZorro]

CPAP (would you believe) doing best yet, at least so far,  when first sleep test said "Failed CPAP".

Here are the last three days together (Dec.28-30) all using ResMed P-10.

28- CPAP @ 14

29-VPAPS-S @ 14/13   [Had a power failure in the middle of this one]

30- CPAP @ 14

The P-10 I like but it wrecks havoc with my allergies and sinus.  Have problems with mouth leakage/squeaking-snotring-etc. but think maybe there is an adjustment period for it.  Can't help to wonder IF the pillow mask would change all the results on past machines/settings over what the FFM gave me?

[CHARTS]

[Shin Ryoku]

It certainly looks like CPAP beats the other modes, at least when using the settings you were given. I had a lot of nasal issues plus mouth leaks and other leaks with the P10 as well. Now on a consistent regimen of Flonase plus figured out the wearing a chinstrap over the P10 keeps the P10 straps from working their way over the back of my head while I sleep.

[zzzZorro]

It certainly looks like CPAP beats the other modes, at least when using the settings you were given.  I had a lot of nasal issues plus mouth leaks and other leaks with the P10 as well.  Now on a consistent regimen of Flonase plus figured out the wearing a chinstrap over the P10 keeps the P10 straps from working their way over the back of my head while I sleep.

I'm wondering if Flonase, like other nasal sprays (4-Way, etc.) doesn't have a effects-reversal?  Do not know if the pillow blowing through the nose or the Flonase has begun causing off and on, a very runny nose condition. Hay-fever like...  PITA

[Shin Ryoku]

Flonase does not have a rebound like Afrin. I do however find that I get better results with flonase furoate (Sensimist) than with flonase propionate.

[zzzZorro]

Flonase does not have a rebound like Afrin.  I do however find that I get better results with flonase furoate (Sensimist) than with flonase propionate.

Flonase propionate is what I have.  Did not know there was a different one.  Is it a Rx or brand name?

*Disregard* Did an online searh and answered my question.
Thanks

[SarcasticDave94]

Flonase furoate appears to be an OTC item now, or it can be. My version of this is Rx, fluticasone furoate, called Breo Ellipta powdered inhaler. I take this as a maintenance long term COPD Rx.

[zzzZorro]

Flonase furoate appears to be an OTC item now, or it can be. My version of this is Rx, fluticasone furoate, called Breo Ellipta powdered inhaler. I take this as a maintenance long term COPD Rx.

Got it Dave Thanks