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[CPAP] nose surgery = open air way = Bi pap doesn't work?
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TMONK Offline

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Posts: 3
Joined: May 2016

Machine: Responics Bipap AutoSVAvanced sys#1 950
Mask Type: Full face mask
Mask Make & Model: ???
Humidifier: Res Med systm #1
CPAP Pressure: 15
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Arrow nose surgery = open air way = Bi pap doesn't work?
Good Morning,

nose surgery = open air way = Bi pap auto sv advanced doesn't work?

I assume I need new sleep study and new settings, but until that can be arranged can someone give me a good strategy for changing the settings? (I know how to change the settings)

Current settings : Max Pressure 25, epap min 6, epap max 15, PS min 0,
PS max 19, rate auto, Bi flex 3
06-17-2016 09:00 AM
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Sleeprider Online
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Advisory Members

Posts: 3,400
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: #2
RE: nose surgery = open air way = Bi pap doesn't work?
First, you are using a machine typically used to treat central sleep apena or complex apnea. So a surgical solution targeting obstructive sleep apnea may or may not improve your situation.

There is no way to comment on your settings without knowing what is going on. The best way to get there is to look at the machine data to see what pressures are actually being used, and the types and frequency of events. Download the free Sleepyhead program at the link at the top of this page, install it on a computer and load your machine's SD card data. You currently have fairly low EPAPmin pressure of 6.0 and a minimum pressure support of 0.0. So if there are no events or obstruction, you machine may be loitering at 6.0 all night...no problem. OTOH, you have a max EPAP of 15 and PSmax of 15. So if you are having obstructive events, your machine pressure is probably rising, and if it detects central events, your machine may be using considerable pressure support to induce a breath, overcome hypopnea or periodic breathing. Without knowing any of this, no recommendation is possible.

______________________________________________
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Robysue's Beginner's Guide to Sleepyhead
06-17-2016 09:13 AM
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TMONK Offline

New Members

Posts: 3
Joined: May 2016

Machine: Responics Bipap AutoSVAvanced sys#1 950
Mask Type: Full face mask
Mask Make & Model: ???
Humidifier: Res Med systm #1
CPAP Pressure: 15
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #3
RE: nose surgery = open air way = Bi pap doesn't work?
Yes, (machine IS using considerable pressure support to induce a breath, overcome hypopnea or periodic breathing.) It blows out mask ! with the pressure settings that was percribed and that i listed.
But last night I changed the settings and reset the data. Max pressure 20, Min Epap 4, Max epap 12, min PS 0, maxPS 12.
Results: large leak 12%, Blower hrs 3.9, therapy time 3.06, AHI 12.3, perodic b 3, 90% epap 8, ave PS 2.3
06-17-2016 09:45 AM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,400
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: #4
RE: nose surgery = open air way = Bi pap doesn't work?
TMONK, we need to know the breakdown of the AHI between obstructive and central or clear. It sure doesn't sound like you can wean off your Auto SV machine as a result of the nasal surgery. It would really help for you to use Sleepyhead software to get a better overall picture. http://sleepyhead.jedimark.net/

If the results from your pressure changes were not as comfortable or less effective, you might want to return to the previous settings. I think the EPAPmin setting of 6.0 was a good one. You might be able to reduce the PSmax to as low as 10.0. This would avoid the machine going off quite as strongly when you have a CA event. Without looking at data, I can't comment on the EPAPmax as that number is really contingent on obstructive events. Once you have sleepyhead, you can attach a screenshot of the data, or post it from a hosted image. This tutorial might help.

https://sleep.tnet.com/reference/tips/imgur

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
06-17-2016 11:20 AM
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trish6hundred Offline

Advisory Members

Posts: 6,452
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #5
RE: nose surgery = open air way = Bi pap doesn't work?
Hi TMONK,
WELCOME! to the forum.!

trish6hundred
06-17-2016 01:58 PM
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TMONK Offline

New Members

Posts: 3
Joined: May 2016

Machine: Responics Bipap AutoSVAvanced sys#1 950
Mask Type: Full face mask
Mask Make & Model: ???
Humidifier: Res Med systm #1
CPAP Pressure: 15
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #6
RE: nose surgery = open air way = Bi pap doesn't work?
Thank You, I'll try loading the softwar in a few days. don't have the time now.
06-17-2016 05:18 PM
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richb Online

Advisory Members

Posts: 542
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #7
RE: nose surgery = open air way = Bi pap doesn't work?
Hi TMONK,

I recently had nasal turbinate reduction along with revision of a deviated septum. All this did was to make xPAP therapy much easier to do. I have Central Apnea and therefore don't have collapsed airways but for those whose airways collapse during sleep the nasal region is the least involved. You may want to change your settings but as Sleeprider said we need to know much more to provide suggestions.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
06-17-2016 06:07 PM
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