Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Can’t get to sleep with the BiPAP machine.
#21
(09-16-2016, 04:04 PM)Sleeprider Wrote: It would be interesting to see what would happen to your sleep, and event count if you maintained EPAP at 12 and tried 16 for IPAP. I think you'd find it much more comfortable, and at worst, you'd possibly see an increase in CA events, which I think your machine is labeling UA. If you zoom in on the flow rate line during the UA events, we could probably tell what they are. It would also be interesting to see what the flow rate looks like during a period of sleep. It's your choice, but if I was in an experimenting mood over the weekend, I'd try a night with lower IPAP.

I tried over the weekend IPAP of 16. My AHI went up to average 30 and a max of 43. The second half of the night I went back to 18 and the AHI dropped back to average 5-10. It was definitely easier to fall asleep at 16 but my events went way up. See attached.
My two biggest issue now are falling asleep with all the pressure and the fisher mask leaked really bad last night. I'm wondering if it can handle the pressure.    
Post Reply Post Reply
#22
Well that certainly makes the case for maintaining your pressure support at 6.0. Have you checked what modes are available on the machine?
Post Reply Post Reply
#23
Crazy last 3 days. Day 1. able to use BiPAP and fall asleep. 7 hours of sleep. AHI 4.62. Wake up rested with energy for the first time in maybe years. Day 2. Unable to fall asleep with the mask on/off all night. Had to call off work. Day 3. Unable to fall asleep. Wore mask for 3 hours and gave up. Sleep without the mask for 5 hours woke up exhausted.

So I just go off the phone with my doctor and they are going to try me on the ASV. She said it's a last resort. That's not very encouraging. First I have to get another sleep study (My 3rd. CPAP, BiPAP, now ASV). Will probable be 2-3 weeks before I can get the study and then the machine. Dr. wants me to keep going with the BiPAP in the mean time.

How long should I wear it and not sleep? Not wearing it with 40 AHI seems better than wearing it and getting 0 sleep.
Post Reply Post Reply


#24
Sleeprider,
I finally got them to switch me to a ASV machine. After one night AHI of 2.6 and I was actually able to fall asleep. I uploaded my graphs in case you have any more insight.

Thanks for your help last month. It's been difficult but I think I'm finally on the right path.


Attached Files Thumbnail(s)
   
Post Reply Post Reply
#25
I'm impressed! Congrats on the new ASV, and it sure looks like you're taking to it well. Time will tell. Would you mind transcribing the settings for the forum? I think it helps others to see the setups being used on the ASV machines. The low EPAP of 8.0 and variable PS for IPAP seem to be working.

How did you work it out with your doctor that he got the original machine Rx wrong? You clearly didn't belong on a ST.
Post Reply Post Reply
#26
(10-19-2016, 10:17 AM)Sleeprider Wrote: I'm impressed! Congrats on the new ASV, and it sure looks like you're taking to it well. Time will tell. Would you mind transcribing the settings for the forum? I think it helps others to see the setups being used on the ASV machines. The low EPAP of 8.0 and variable PS for IPAP seem to be working.

How did you work it out with your doctor that he got the original machine Rx wrong? You clearly didn't belong on a ST.

Here's the set up.
Mode: ASV
EPAP 8
Min PS 3
Max PS 11
Mask Pillows
Ramp Time 20 min.
Start EPAP 4

Doctor never said the BiPAP was wrong. They said it was just a process that I had to go through.

PS last night wasn't quite as good as the first night but this way better than the BiPAP. 6.5 hours of sleep with 4.66 AHI. The first two hours wasn't sleep in reality. Seems it's still going to take some getting use to.
Post Reply Post Reply


#27
ASV is a different animal for getting comfortable. Obviously, when you don't intiate breaths, it does. Eventually some images may help. I typically see low EPAP with minimum PS of 2, and max PS of 8-10, max IPAP of 20-25. How does your tidal volume compare? About the same?
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Hi! I have a CPAP machine, but do I need it? Sleep study attached Grazi 12 276 Yesterday, 09:02 PM
Last Post: trish6hundred
Exclaimation CPAP Machine Choices - read this before you accept a new machine SuperSleeper 59 25,756 Yesterday, 01:49 PM
Last Post: VernonBill
  DC Converter for use with Dreamstation Auto BiPAP BiPAPman 5 140 12-08-2017, 10:33 AM
Last Post: BiPAPman
  [Pressure] Centrals increasing; new to BiPap cdbeardie 39 1,014 11-28-2017, 04:05 PM
Last Post: SarcasticDave94
  New Guy, Central Sleep Apnea, wrong machine? Boodmaster 28 908 11-24-2017, 09:08 PM
Last Post: Boodmaster
Question Anyone know the difference? [between AirCurve10 BiPAP ST and the ST-A] zzzZorro 18 554 11-21-2017, 10:52 AM
Last Post: zzzZorro
  High CA in PSG and with Bipap J Duffy 62 1,320 11-17-2017, 11:26 AM
Last Post: J Duffy

Forum Jump:

New Posts   Today's Posts




About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.

For any more information, please use our contact form.