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CPAP therapy doesn't seem to be working
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Michael4786 Offline

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Posts: 7
Joined: Jul 2015

Machine: ResMD Aircurve 10
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Part of ResMD machine
CPAP Pressure: BiPap @ 15-20cmH20 W HH
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #1
CPAP therapy doesn't seem to be working
I got my machine this past Friday, July 26 (ResMed AirCurve 10). I've used it every night, but each night my events per hour shoot up. Last night it was 60 (which is well over my initial diagnosis.) Something is wrong but I don't know what. I called my doctor yesterday but didn't hear back. Very frustrated (and I'm going out of town tomorrow for six days). I don't know what to do.
07-01-2015 08:47 AM
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Sleeprider Online
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Posts: 3,381
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: CPAP therapy doesn't seem to be working
Michael, it's unclear if you had 60 total event or have an AHI of 60. It is important to determine what kind of events you are having, as well as whether they occur as a pattern related to sleep position, sleep stage and other possible factors. The approach to resolve an AHI of 60 consisting of obstructive apneas will differ from what would be recommended if you are having predominately clear (central) apnea and hypopnea.

Since you are new to the forum, it will take several posts until you can attach images from your software. I also recommend you try Sleepyhead software as it provides much more detail. http://www.sleepfiles.com/SH2/

Given the very high event rate you are reporting, I suspect you may be experiencing CPAP induced complex apnea. It would be great if we could see some data to confirm that suspicion or point another direction. If true, then you're on the wrong machine. If false, we may be able to make some suggestions. It is very early on in your therapy, and your doctor will be interested in these results.

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07-01-2015 09:01 AM
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Michael4786 Offline

Members

Posts: 7
Joined: Jul 2015

Machine: ResMD Aircurve 10
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Part of ResMD machine
CPAP Pressure: BiPap @ 15-20cmH20 W HH
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #3
RE: CPAP therapy doesn't seem to be working
Thanks Sleeprider. I believe last night my AHI was 60.4 over a total of 6 hours. The previous day, it was in the upper 30s. It's been high every night, but I don't have a record of past reports that I can see. I'm not really sure what software I have. It's transmitted directly from my machine. Something seems to be wrong.
07-01-2015 09:06 AM
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Mosquitobait Offline

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Posts: 746
Joined: Apr 2015

Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12
CPAP Software: ResScan SleepyHead

Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #4
RE: CPAP therapy doesn't seem to be working
My first question is How do you feel? It could be that there is something wrong with the machine and not you. My brand new Airsense For Her machine worked, but gave off an odor and stopped recording partway through the night. So, I think these things get damaged in shipping sometimes.
07-01-2015 10:35 AM
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MobileBasset Offline

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Posts: 198
Joined: May 2015

Machine: ResMed AIRCURVE 10 V Auto
Mask Type: Nasal mask
Mask Make & Model: Fisher Paykel Zest
Humidifier: Integrated
CPAP Pressure: 10 (minE 6,maxI 12, PS 3)
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Female
Location: Florida

Post: #5
RE: CPAP therapy doesn't seem to be working
I have that machine and the first time I used it I had a very bad night. It turned out to be the PS setting, which was too high and was disruptive and causing a high number of CAs. I lowered the PS setting and everything calmed down nicely. Don't know if that is your issue but I agree, data evaluation is called for.

if you can't decide then you don't have enough data.
07-01-2015 11:16 AM
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Michael4786 Offline

Members

Posts: 7
Joined: Jul 2015

Machine: ResMD Aircurve 10
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Part of ResMD machine
CPAP Pressure: BiPap @ 15-20cmH20 W HH
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #6
RE: CPAP therapy doesn't seem to be working
(07-01-2015 10:35 AM)Mosquitobait Wrote:  My first question is How do you feel? It could be that there is something wrong with the machine and not you. My brand new Airsense For Her machine worked, but gave off an odor and stopped recording partway through the night. So, I think these things get damaged in shipping sometimes.

I don't feel so well this morning. My breathing is very shallow.


(07-01-2015 11:16 AM)MobileBasset Wrote:  I have that machine and the first time I used it I had a very bad night. It turned out to be the PS setting, which was too high and was disruptive and causing a high number of CAs. I lowered the PS setting and everything calmed down nicely. Don't know if that is your issue but I agree, data evaluation is called for.

I wish my doctor would call! Thanks for the tip.
(This post was last modified: 07-01-2015 11:35 AM by Michael4786.)
07-01-2015 11:33 AM
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Sleeprider Online
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Advisory Members

Posts: 3,381
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: #7
RE: CPAP therapy doesn't seem to be working
Do try downloading the software linked at the top of the forum. It's free and will give you and the rest of us the missing information. http://www.sleepfiles.com/SH2/

If you want to post charts, here is a tutorial on how to get them on our screens. https://sleep.tnet.com/reference/tips/imgur

You are using a bilevel machine and it can cause some CA in some people, but an AHI of 30 to 60 is excessive. If you can look at the breakdown of AHI events (OA, H, CA) it would be helpful, although posting a chart would be best.

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07-01-2015 11:58 AM
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tedburnsIII Offline

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Posts: 196
Joined: Mar 2015

Machine: 3B RESmart APAP
Mask Type: Nasal mask
Mask Make & Model: Wisp nasal; ResMed FX nasal
Humidifier: came with unit-I vary it, currently set at '3', '5' is max
CPAP Pressure: 10 cm CPAP
CPAP Software: Other Software

Other Comments: Dx moderately severe OSA. Overnight pulse oximeter-CMS50D Plus

Sex: Male
Location: San Diego

Post: #8
RE: CPAP therapy doesn't seem to be working
In the meantime, call a supervisory clinician at your DME and relay this information.
(This post was last modified: 07-01-2015 12:31 PM by tedburnsIII.)
07-01-2015 12:29 PM
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trish6hundred Offline

Advisory Members

Posts: 6,450
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: #9
RE: CPAP therapy doesn't seem to be working
Hi Michael4786,
WELCOME! to the forum.!
Hang in there for more suggestions and answers to your questions and much success to you with your CPAP therapy and getting it fine tuned to work for you.

trish6hundred
07-01-2015 01:32 PM
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Michael4786 Offline

Members

Posts: 7
Joined: Jul 2015

Machine: ResMD Aircurve 10
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Part of ResMD machine
CPAP Pressure: BiPap @ 15-20cmH20 W HH
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #10
RE: CPAP therapy doesn't seem to be working
(07-01-2015 12:29 PM)tedburnsIII Wrote:  In the meantime, call a supervisory clinician at your DME and relay this information.

I talked to my respiratory therapist at my medical device company. She is also very concerned about my readings.
07-01-2015 02:49 PM
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