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CPAP Setup help
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PaytonA Offline
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Posts: 3,013
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: #11
RE: CPAP Setup help
Thanks Ghost.
12-22-2015 10:21 PM
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jbsix Offline

Preferred Members

Posts: 20
Joined: Dec 2015

Machine: PR System One
Mask Type: Full face mask
Mask Make & Model: Airfit
Humidifier: PR System One
CPAP Pressure: unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #12
RE: CPAP Setup help
Appreciate all of the warm welcomes Smile

(12-22-2015 01:55 PM)sonicboom Wrote:  I'm not familiar with your particular machine but if you are having trouble exhaling you should turn up the pressure relief.

Yep I had A-flex set to the highest setting of 3 from the start. Since I couldn't take it anymore at 14.8, the exhalation pressure would have been 11.8.

Not sure whether to tag 2nd night as a failure or not. Woke up several times and felt sure there was a leak/not enough pressure. Or maybe it's cause I'm just starting to get used to cpaps. Some feedback based on attached data would be much appreciated.


.zip  P-Series.zip (Size: 125.92 KB / Downloads: 10)
12-23-2015 01:29 AM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #13
RE: CPAP Setup help
Your getting used to pressure.
Also Aflex doesnt work the way you are figuring it.

Aflex is flow based. How much pressure relieve you get is based on your exhalation flow.
Aflex will never end an exhalation lower than 2 cm below the running pressure.
Example setting if three will begin exhaltion with a drop of 3 cm if your flow rate calls for it but by the end of that exhalation itll be at 2 or even 1 below, not 3 . Again based on your flow.
And the 1 2 3 setting also affects the timing.

What is likely making you think you dont feel enough pressure is a combination of you getting used to cpap and the tapering off of aflex at the top of inhalation.
Id suggest a Aflex setting of 2 or even 1 so you dont feel like the last of your inhalation is sort of being "snatched away" too soon.
12-23-2015 02:36 AM
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jbsix Offline

Preferred Members

Posts: 20
Joined: Dec 2015

Machine: PR System One
Mask Type: Full face mask
Mask Make & Model: Airfit
Humidifier: PR System One
CPAP Pressure: unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #14
RE: CPAP Setup help
(12-23-2015 02:36 AM)Ghost1958 Wrote:  Your getting used to pressure.
Also Aflex doesnt work the way you are figuring it.

Thanks for the correction. I think I'll set it to default (2) until the end of a-trial. I'm only complicating things with my tinkering at this point where I'm not even used to it.
12-23-2015 03:34 PM
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OpalRose Offline

Monitors

Posts: 3,180
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: #15
RE: CPAP Setup help
I never used the Auto Trial mode on my machine.

I would think you could come up with the same 90% pressure number just by looking at Sleepyhead over a period of 30 days, or even on the APAP display itself, where it gives the 90% average pressure for 1, 7, and 30 days.

I think the Auto Trial Mode originally was to be used by Doctors or DME's to determine your pressure range. I say this because Auto Trial can only be accessed through the Providers Menu and an average patient is not smart enough to access that. Oh-jeez

OpalRose
12-23-2015 04:11 PM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #16
RE: CPAP Setup help
(12-23-2015 04:11 PM)OpalRose Wrote:  I never used the Auto Trial mode on my machine.

I would think you could come up with the same 90% pressure number just by looking at Sleepyhead over a period of 30 days, or even on the APAP display itself, where it gives the 90% average pressure for 1, 7, and 30 days.

I think the Auto Trial Mode originally was to be used by Doctors or DME's to determine your pressure range. I say this because Auto Trial can only be accessed through the Providers Menu and an average patient is not smart enough to access that. Oh-jeez
Ah but if one does know how to access it using it does away with averaging all those days data. Lol
Plus if one lwts cpap ck mode engage as irs meant to for about two weeks you wind up with a very accurate single pressure titrated over time instead of one night.
12-23-2015 10:49 PM
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vsheline Offline

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #17
RE: CPAP Setup help
(12-22-2015 02:23 AM)big_dave Wrote:  It looks like your machine is chasing leaks. The pressure only increases and never decreases. The machine increases the pressure to try to compensate for a leak, and then the increased pressure makes the leak worse.

Actually, the machine does not chase leaks. It chases breathing restrictions.

As long as the machine continues to sense restriction in our breathing, the machine will continue to raise the pressure, either until the restriction in our airway is counteracted or until we wake up.

The machine does not raise the pressure in response to leaks, it raises the airflow to compensate for the air which is leaking, in order to maintain the pressure unchanged.

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 12-24-2015 04:21 PM by vsheline.)
12-24-2015 04:13 PM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,013
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: #18
RE: CPAP Setup help
Thanks Vaughn,

I think that some on the board have thought that I was picking on them when telling them that the machine does not raise pressure in response to leaks or maybe they just thought that I had been smoking wacky weed.

Best Regards,

PaytonA
12-24-2015 10:43 PM
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