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[CPAP] Uncomfortable 'chesty' feeling
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PaytonA Offline
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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

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Sex: Male
Location: Orange County,California

Post: #11
RE: Uncomfortable 'chesty' feeling
(09-22-2014 06:13 PM)justMongo Wrote:  The EPAP pressure is capped by the EPAPmax setting.

Mongo,

Did you really mean that the way it sounds. I think that you meant to say that the EPAP pressure is capped by the IPAP max and the PS.

Best Regards,

PaytonA
09-22-2014 10:10 PM
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vsheline Online

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Posts: 1,907
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: #12
RE: Uncomfortable 'chesty' feeling
(09-22-2014 03:11 PM)justMongo Wrote:  In my amateur opinion, the doc should do a chest x-ray to look for a possible spontaneous pneumothorax.
AKA: collapsed lung.

Yes, right away. Pneumothorax can be dangerous.

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: 09-23-2014 05:49 AM by vsheline.)
09-23-2014 01:01 AM
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justMongo Offline

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Posts: 3,847
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Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

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Sex: Male
Location: Калифорния

Post: #13
RE: Uncomfortable 'chesty' feeling
(09-22-2014 10:10 PM)PaytonA Wrote:  
(09-22-2014 06:13 PM)justMongo Wrote:  The EPAP pressure is capped by the EPAPmax setting.

Mongo,

Did you really mean that the way it sounds. I think that you meant to say that the EPAP pressure is capped by the IPAP max and the PS.

Best Regards,

PaytonA

OOps. I meant the IPAP pressure is capped by the IPAPmax setting.
Good catch Payton.

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.
09-23-2014 07:50 AM
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SleepSoldier Offline

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Posts: 4
Joined: Sep 2014

Machine: S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: unsure
Humidifier: S9 VPAP Auto
CPAP Pressure: 11 and 6
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Toronto, Canada

Post: #14
RE: Uncomfortable 'chesty' feeling
I do not have any soreness or pain in my lungs and chest
The sensation is more like I have inhaled a lot of menthol - it's basically like I have a lot of cold air trapped in my lungs.
The sensation decreases during the day so that by evening I feel better but it's always there to some extent.
I recently spent 12 hours in the emergency department of a local hospital in an effort to get to the root of the problem but they found nothing wrong
I have had 3 chest X-rays in the last 2 months but still nothing wrong apparently.
I was told by another specialist I managed to see recently - he thought I might have a Hiatus hernia but it was just an opinion - no tests were ordered.
Does anybody on this forum have a condition similar to mine?
I would be interested to know if anybody feels normal afer a night of CPAP or are there always some lingering effects on the lungs?
01-05-2015 02:32 PM
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vsheline Online

Advisory Members

Posts: 1,907
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: #15
RE: Uncomfortable 'chesty' feeling
(09-22-2014 12:51 PM)SleepSoldier Wrote:  I have been on CPAP for 9 months and do about 5 hours per night.
Lately, I have been experiencing an comfortable chesty feeling after completing my nightly session.
It feels like my lungs are filled with air and is very unnatural.
My sleep doctor said this was how it supposed to be.
I don't think he has experienced a night of CPAP himself.
He did reduce the pressure from 12 over 8 to 11 over 6.
It takes until evening for the symptom to subside.
I reduced my pressure from 11 over 6 to 10 over 5. This helped the first night but it seems to be back.
My AHI is often less than 1 and I have no significant mask leakage.
Any thoughts?
Thanks[/size]

(01-05-2015 02:32 PM)SleepSoldier Wrote:  I do not have any soreness or pain in my lungs and chest
The sensation is more like I have inhaled a lot of menthol - it's basically like I have a lot of cold air trapped in my lungs.
The sensation decreases during the day so that by evening I feel better but it's always there to some extent.
I recently spent 12 hours in the emergency department of a local hospital in an effort to get to the root of the problem but they found nothing wrong
I have had 3 chest X-rays in the last 2 months but still nothing wrong apparently.
I was told by another specialist I managed to see recently - he thought I might have a Hiatus hernia but it was just an opinion - no tests were ordered.
Does anybody on this forum have a condition similar to mine?
I would be interested to know if anybody feels normal afer a night of CPAP or are there always some lingering effects on the lungs?

Hi SleepSoldier,

Is your machine in "S" (Synchronized to your natural breathing, with fixed IPAP and fixed EPAP) therapy mode or "VAuto" (synchronized to your natural breathing, with fixed Pressure Support but auto-adjusting pressure) therapy mode?

If in S therapy mode, regarding having lowered your pressure settings to "10 over 5" does this mean IPAP is 10 and EPAP is 5?

If in S therapy mode, if your AHI is still low, you might want to consider lowering IPAP a little more, like to 9 or 8, while keeping EPAP unchanged.

When we have an overnight lab titration, we are usually asked to sleep at least part of the time on our back. This is because being flat on our back is usually the worst case for obstructive sleep apnea. But if we make sure we are never sleeping on our back, we may be able to use far less pressure than was determined during our overnight titration.

The data from your machine (for example, AHI and Flow Limitation) would likely show whether the pressure has been lowered too far to adequately prevent obstructive events.

Lowering IPAP while keeping EPAP unchanged may make it a little less easy to inhale and may occasionally increase Flow Limitation, but may also reduce stress on your lungs.

Take care,
--- Vaughn

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: 01-05-2015 06:11 PM by vsheline.)
01-05-2015 04:55 PM
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SleepSoldier Offline

Members

Posts: 4
Joined: Sep 2014

Machine: S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: unsure
Humidifier: S9 VPAP Auto
CPAP Pressure: 11 and 6
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Toronto, Canada

Post: #16
RE: Uncomfortable 'chesty' feeling
Thank you Vsheline,
My machine is in S mode with IPAP = 10 and EPAP = 5 with EasyBreathe ON
Last night I had a reasonable sleep with an AHI of 3.8.
Pevious to this I was using IPAP - 11 and EPAP = 6
If this setting does not help; on a permanent basis I will try reducing th IPAP to 9 or 8 as you suggest
01-06-2015 02:20 PM
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