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[CPAP] new user having a hard time
#11
RE: new user having a hard time
If it were me I'd set the minimum pressure to 13cm and max pressure to 20cm. Also I'd turn off the ramp.
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#12
RE: new user having a hard time
my concern with raising the minimum that high is getting clear airyway events excessively.
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#13
RE: new user having a hard time
Well the machine pressure is going above that now. So I don' t think raising it to 13cm will cause any more Clear Airway events.
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#14
RE: new user having a hard time
(12-05-2017, 02:18 PM)Walla Walla Wrote: Well the machine pressure is going above that now. So I don' t think raising it to 13cm will cause any more Clear Airway events.

i tried last night with 12-20 and no ramp.  it seemed ok, 13 was a bit too high to start with.

however i guess i woke up with a sore throat and mustive been mouth breathing.  any tips on this?

i had the climate control set to auto but maybe its not enough humidity.
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#15
RE: new user having a hard time
Could just be the humidity setting a bit low with the higher start up pressure - I get sore throat if I run my humidifier dry or forget to adjust it with the changing seasons. My one is not smart enough to auto Sad

I also started mouth breathing about a year ago and not wanting to go to a full face mask - I love my nasal pillows - I bought a chin strap after finding a scarf really doesn't work so I stopped being a tight bas#$%d and bought a proper one. If I mouth breath everything goes south, and I definitely have a dry mouth.

So, if you are actually mouth breathing regularly then changing to a more intrusive mask type, or chin strap are two options. My mouth breathing wasn't bothering me really, but swmbo insisted I fix it as the change in noise levels woke her.
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#16
RE: new user having a hard time
is there any danger in setting my machine 14-20? i seemed to get most events when it dipped below this. also woke up feeling really crappy. my ahi was 3.5 but i feel terrible.
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#17
RE: new user having a hard time
No there's nothing wrong with putting up to 14.
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#18
RE: new user having a hard time
Matt, when you get a chance, please post a new chart.  Walla has done pretty good at identifying a good minimum pressure based on your median pressure at nearly 12 in the last set, and a maximum going to 18.  What we see in the old chart was an abundance of obstructive indicators with snores, flow limits OA, H and just a few CA events.  I would tend to discount the CA at this point.  

When you get a chance, please clarify which Autoset mode you are using. I recommend Standard rather than soft or For Her.  It looks like you are using for her, which will make the machine less responsive to the flow limitations above 12 cm.

[Image: BKEeVEg.png]
[img]drive.google.com/folderview?id=1EDFtCo1S4mBzR0Wa2d5O3TUkFs6BPkce[/img][img]drive.google.com/folderview?id=1EDFtCo1S4mBzR0Wa2d5O3TUkFs6BPkce[/img]
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#19
RE: new user having a hard time
this is from last night, i had it at 12-20, woke up and had been exhaling through mouth so set it back to 11-20.  gave me a sore throat today.  i figure that was from the mouth exhalation. 

https://imgur.com/lyZACW0


and here you can see my machine settings on the left of this image.  i have it on apap mode now since saturday.  the machine model is autoset for her s10.  epr is what they initially prescribed.

https://imgur.com/yhcDGnf

based on this what do you guys think?
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#20
RE: new user having a hard time
(12-06-2017, 03:29 PM)Walla Walla Wrote: No there's nothing wrong with putting up to 14.

i went for 14-20 apap mode, it seems to have done the trick as i feel human today!  have felt horrible for the past few weeks when the pressure was lower.  thank you for your help.  i had some clear airway events and a few obstructions.  the clear airways seem to follow pressure increases based on the sleepyhead.

https://i.imgur.com/QN4ai8Y.png
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