Post Reply 
Back On The Machine
Author Message
eseedhouse Offline

Advisory Members

Posts: 879
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: #31
RE: Back On The Machine
Hypopneas are better than apneas. If your machine is preventing apneas at the cost of a few more hypopneas then you are better off. How long are these events lasting? A few 10 or 11 second hypopneas are really no big deal, especially if these would have been actual apneas without the machine.

Ed Seedhouse
VA7SDH

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

Actually you know, it is what it isn't.
05-04-2015 01:27 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
storywizard Offline

Advisory Members

Posts: 350
Joined: Jul 2014

Machine: ResMed VPAP Adapt S9
Mask Type: Nasal pillows
Mask Make & Model: P10 taped to face
Humidifier: included with machine
CPAP Pressure: CPAP 11cm
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Vancouver, BC, Canada

Post: #32
RE: Back On The Machine
(05-04-2015 01:27 PM)eseedhouse Wrote:  Hypopneas are better than apneas. If your machine is preventing apneas at the cost of a few more hypopneas then you are better off. How long are these events lasting? A few 10 or 11 second hypopneas are really no big deal, especially if these would have been actual apneas without the machine.

Last night I had 76 CA's, 11 Hyp all listed at 10secs), 2 OA's..

very tired today...thinking of biting the bullet and getting an ASV machine...

Storywizard
(This post was last modified: 05-04-2015 01:34 PM by storywizard.)
05-04-2015 01:33 PM
Find all posts by this user Post Reply Quote this message in a reply
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #33
RE: Back On The Machine
Story, I've been following you for quite a while now. In spite of some mis-steps along the way, you have been giving this cpap stuff a very good try. Good job sticking with it and doing the best you can.

But it does sound like it's time for you to migrate to the ASV machines. Where do you stand with the sleep docs? Can you discuss it openly with them and get a good reading on what they think given your latest results?

Cpap pressure of 8 is too low. We've talked about that. But you cannot increase it with the strong central results you are seeing. And clearly with just 2 OA's and a handful of hypops, you don't need to other than for comfort.

So resolve to migrate to the ASV. Talk to the docs. If your insurance cannot help, then get a prescription from the docs and score a good used machine from one of our on-line suppliers, craig's list, or wherever.

Hang in there Story, you are a great testament to the perseverance that we sometimes need.
05-04-2015 01:45 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
storywizard Offline

Advisory Members

Posts: 350
Joined: Jul 2014

Machine: ResMed VPAP Adapt S9
Mask Type: Nasal pillows
Mask Make & Model: P10 taped to face
Humidifier: included with machine
CPAP Pressure: CPAP 11cm
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Vancouver, BC, Canada

Post: #34
RE: Back On The Machine
(05-04-2015 01:45 PM)retired_guy Wrote:  Story, I've been following you for quite a while now. In spite of some mis-steps along the way, you have been giving this cpap stuff a very good try. Good job sticking with it and doing the best you can.

But it does sound like it's time for you to migrate to the ASV machines. Where do you stand with the sleep docs? Can you discuss it openly with them and get a good reading on what they think given your latest results?

Cpap pressure of 8 is too low. We've talked about that. But you cannot increase it with the strong central results you are seeing. And clearly with just 2 OA's and a handful of hypops, you don't need to other than for comfort.

So resolve to migrate to the ASV. Talk to the docs. If your insurance cannot help, then get a prescription from the docs and score a good used machine from one of our on-line suppliers, craig's list, or wherever.

Hang in there Story, you are a great testament to the perseverance that we sometimes need.

thanks for that RG...:-)
The sleep docs don't want to know about the centrals, I did not have any on my overnight sleep test last October...but they come on bad with the pressure. Present doc refuses to read data from machine, the tech sees there is something, he got me to do an overnight oximetry last Tuesday, was sending a report to the doc.
My GP is on my side, will write a prescription for whatever I need to get, so I am thinking it is time to at least try...
Not sure about used machines in Canada, and am leery of the border re customs letting a machine through, so I may go new machine from a supplier here...big bucks, but at this point I realize I need to take care of myself as the system will not...

This is the machine I am thinking of getting:

{link removed}

Thanks again RG, I needed that...

Story...



-----
Moderator Action: Link Removed
To maintain our status as an educational organization, the only commercial links allowed in this forum are to CPAP-related manufacturer websites. This is stated in the Apnea Board Rules with details given in the Commercial Links Policy section.
-----
05-04-2015 01:55 PM
Find all posts by this user Post Reply Quote this message in a reply
Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,335
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: #35
RE: Back On The Machine
It's a shame it has come to this. Your sleep professional should have a keen awareness of complex sleep apnea. I asked you at one time what cereal box his diploma came in, and he has certainly earned that insult since. Is he a health professional, or a gatekeeper to the governments CPAP purse? He deserves some of your scorn.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
05-04-2015 02:32 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
storywizard Offline

Advisory Members

Posts: 350
Joined: Jul 2014

Machine: ResMed VPAP Adapt S9
Mask Type: Nasal pillows
Mask Make & Model: P10 taped to face
Humidifier: included with machine
CPAP Pressure: CPAP 11cm
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Vancouver, BC, Canada

Post: #36
RE: Back On The Machine
Just bought myself a ResMed S9 VPAP Adapt SV with Heated Humidifier - REF - 36007 from Supplier #2.

Looking forward to the next part of the journey....

Storywizard
(This post was last modified: 05-04-2015 06:15 PM by storywizard.)
05-04-2015 06:15 PM
Find all posts by this user Post Reply Quote this message in a reply
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #37
RE: Back On The Machine
(05-04-2015 06:15 PM)storywizard Wrote:  Just bought myself a ResMed S9 VPAP Adapt SV with Heated Humidifier - REF - 36007 from Supplier #2.

Looking forward to the next part of the journey....

Storywizard

Good job Story,

Now reach out to the guys around here that are using that machine so you can get some pointers as to set-up and how to adapt to it successfully.

I believe you will do great.
05-04-2015 08:04 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
storywizard Offline

Advisory Members

Posts: 350
Joined: Jul 2014

Machine: ResMed VPAP Adapt S9
Mask Type: Nasal pillows
Mask Make & Model: P10 taped to face
Humidifier: included with machine
CPAP Pressure: CPAP 11cm
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Vancouver, BC, Canada

Post: #38
RE: Back On The Machine
Thanks RG...

I will look at the manual...and start reading....

Storywizard
05-04-2015 09:07 PM
Find all posts by this user Post Reply Quote this message in a reply
DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,294
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #39
RE: Back On The Machine
G'day Storywizard

It's a big step up from an Autoset to an ASV machine, and they have a very different "feel", but you should find that your centrals disappear pretty quickly once you get used to the machine. The biggest difference is that the ASV doesn't operate at a more-or-less constant pressure like a CPAP or Autoset, but breathes with you - every time you inhale, the machine will increase pressure, and every time you exhale it will reduce pressure. This does take some getting used to, and it can feel like the machine is trying to force your breathing. The Resmed has a patented algorithm called Pacewave which adjusts the machine's rate to match your own more closely, so that it works with you, not against you. When you start using it, just breathe slowly and regularly, and the machine will match your rate quite nicely. If it occasionally tries to rush you, just blow back quite forcefully, and it will get the message.

The difficult thing to advise is what pressures you should be using. With this type of machine, you have five settings: EPAP min, EPAP max, PS min, PS max and IPAP max. EPAP is the exhalation pressure, and should be set low enough to be comfortable but high enough to prevent obstructive apnea or hypopnea. IPAP is the inhalation pressure. On an ASV machine this can go up to 25, which you will definitely notice! PS is pressure support, which is the amount of extra pressure to get from EPAP to IPAP. Remember: EPAP + PS = IPAP.

To start out, I'd suggest the following settings: EPAP Min: 7; EPAP Max: 12; PS Min: 3; PS Max: 5; IPAP max: 20. (In fact it won't actually get to 20, but you can leave it there as a convenient ceiling for later adjustments). Try this for a week, review in SleepyHead and see how it goes.

Good luck!

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
05-05-2015 08:06 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
storywizard Offline

Advisory Members

Posts: 350
Joined: Jul 2014

Machine: ResMed VPAP Adapt S9
Mask Type: Nasal pillows
Mask Make & Model: P10 taped to face
Humidifier: included with machine
CPAP Pressure: CPAP 11cm
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Vancouver, BC, Canada

Post: #40
RE: Back On The Machine
Thanks so much for this guidance DeepBreathing, I have printed it off and will use it to set up...Machine is shipping today...

I would be excited if I was not to sleep depraved...lol

ThanksThanks

Storywizard
05-05-2015 09:56 AM
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
  [CPAP] Machine turning self off and back on rstroudmsdwc 36 13,797 Today 09:03 AM
Last Post: Sleeprider
  Can't Find Device Number (DN) on Back of Machine gamegrrl 5 183 11-14-2016 05:32 PM
Last Post: gamegrrl
Gross I AM BACK !! Lost53 15 1,053 10-31-2016 09:14 AM
Last Post: Sleeprider
Exclaimation CPAP Machine Choices - read this before you accept a new machine SuperSleeper 2 6,066 10-12-2016 11:37 AM
Last Post: DariaVader
  BiPAP ST Rx: Back up rate=0 jgoole 3 234 10-10-2016 11:35 AM
Last Post: Sleeprider
  was diagnosed with apnea 10 years ago.... last sleep study came back negative LB1982 13 1,080 10-08-2016 07:34 PM
Last Post: lab rat
  My AHI keeps going back up :/ michaelba72 15 782 10-04-2016 01:18 PM
Last Post: Sleeprider

Forum Jump:

Who's Online (Complete List)