Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

[CPAP] New user
#11
RE: New user
Here you go. Thanks for your patience - new to this Smile

Rich.

   
Post Reply Post Reply






Donate to Apnea Board  
#12
RE: New user
And you don't always see answers. I see no reason for the flow limits, only that they are there. All of the breathing in this segment is flow limited. Note the flat and jagged tops on the Flow Rate chart? Those are flow limits.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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.
Post Reply Post Reply
#13
RE: New user
I see you've got the ramp set for 45 minutes. In my view this is way too long, as the machine can't perform therapy during the ramp. If you start and stop a few times during the night, you will lose hours of therapy time. If possible, turn the ramp off completely. Otherwise reduce it as far as you are comfortable with.

On your charts, can I suggest you turn off the mask pressure graph? You don't need mask pressure and normal pressure.
Post Reply Post Reply
#14
RE: New user
You’re doing great! In addition to reducing or eliminating your ramp time, you might consider raising your minimum by 1 or 2 or 3. Many people find that they feel a bit air-starved at 4.

See how those changes go, and then perhaps the experts will recommend some additional tweaks. But it’s best not to change a lot of things all at once, and it’s wise to give changes at least a few days before you evaluate them.

It can take a while for your body to settle fully into sleeping with the machine, and it can take a while to pay off your “sleep debt.” Keep noticing how you feel, maybe even jot it down every day so you can keep track. Of course, everyone has good and bad nights quite apart from apnea, so you are unlikely to experience anything uniformly.

But it sounds as though you’re off to a very good start, and I bet you notice continuing improvement.

Now all you need is a sure-fire hangover cure....
Post Reply Post Reply






Donate to Apnea Board  
#15
RE: New user
Thanks Dormeo.

So last night wasn't so good - though I'm getting used to sleeping with the mask now.

I've posted the single hour where almost all my events appeared to be. I think I was semi-awake at this point, and can remember thinking it's difficult exhaling against the pressure. Also, I think I was fiddling with the mask slightly to reduce a distracting leak across my chin.

The machine is set to autoramp at the moment, which I thought was supposed to detect the onset of sleep, and ramp more quickly when it detects it?


I'll try your suggestion to raise the minimum pressure by a couple, but should I also turn on EPR full time?

Thanks,
Rich.

   
Post Reply Post Reply
#16
RE: New user
Rich, the clustering of apneas like that usually indicates there is a mechanical obstruction of your airway which the machine can't manage. In many cases this is caused by dropping your chin to your chest - this can really cause big problems. The best solution is to wear a collar to keep the chin up and the neck slightly extended. Alternatively use a pillow which supports the neck and allows your head to fall back slightly.

This wiki article tells you all about it.
Post Reply Post Reply
#17
RE: New user
how did i miss that,

set your min pressure to 7 and EPR = 3 Fulltime!!! That should help with your flow limits. And with your pressures you do NOT need a ramp. The ramp is to hold pressures at where your pressures are startting at.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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.
Post Reply Post Reply






Donate to Apnea Board  
#18
RE: New user
Thanks, I'll give that a go tonight.
Post Reply Post Reply
#19
RE: New user
There is an issue with the Ramp time and pressure display - if the settings panel shows a blank line for Ramp, the Ramp is actually set to Auto an the machine, and the Ramp Time line should be ignored (or not printed)
I'm not sure when that will be fixed, as Ramp Time Auto seems to be a 'Special Case'...
Apnea Board Monitors are members who help oversee the smooth functioning of the Board. They are also members of the Advisory Committee which helps shape Apnea Board's rules & policies. Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
Post Reply Post Reply
#20
RE: New user
Thanks all for your comments over the past few days. Now I've been using the machine for a week (4 days with the suggested minimum of 7 with EPR 3 fulltime) I think I'm starting to catch up on the sleep deprivation.

Other than a hiccup Wednesday night with an AHI approaching 6, my AHI has been averaging around 1 to 1.5, and the best nights around 0.3 to 0.5. (Last night I think I had 1 OA and 2 CA's throughout the whole night excluding sleep-wake junk).

On the catch-up phone-call with the clinician they're going to send me the heated hose, and they suggested trying some mask liners as the silicone mask seems to be irritating my skin causing redness and dryness.

They've said we can try a different mask in a few weeks if the liners don't help.

Rich.
Post Reply Post Reply






Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  Inspire User rbelcastro 6 212 10-03-2020, 06:39 AM
Last Post: rbelcastro
  New CPAP User-Help Steve4cr 13 264 09-23-2020, 10:53 AM
Last Post: Steve4cr
  [CPAP] New user having difficulties jmac862 3 140 09-03-2020, 09:17 AM
Last Post: staceyburke
  [Diagnosis] New User RMac 5 170 09-02-2020, 02:05 PM
Last Post: RMac
  New User - Optimization Help Please! Sam R Squared 34 1,004 08-07-2020, 10:44 AM
Last Post: Sam R Squared
  Another New User marbles 20 569 08-05-2020, 11:50 AM
Last Post: marbles
  New User Oarsman50 18 596 08-02-2020, 02:26 PM
Last Post: Sleeprider


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.