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Can you please review my daily charts
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ezdrifler Offline

Preferred Members

Posts: 75
Joined: Oct 2015

Machine: Philips Respironics Remstar
Mask Type: Full face mask
Mask Make & Model: Quattro
Humidifier: Philips Respironics
CPAP Pressure: 6-10
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: San Diego

Post: #1
Can you please review my daily charts
Hi Guys this is my first 4 days using my apap machine.

my first 2 days were miserable since I kept getting a congested nose and leaking trough my mouth since I had improper humidifier settings.

but is becoming easier each day as I learn new tricks, leaks are slowing down, im learning to breathe trough my nose and it seems that my AHI is staying around 5.7 , (it used to be 27 without equipment).

I also wanted to ask you guys if you can let me know how you improved the first 3 months so I know what to expect after this, thank you for all your help.


[Image: day1.png]

[Image: day2.png]

[Image: day3.png]

[Image: day4.png]
01-23-2016 12:29 PM
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justMongo Offline

Monitors

Posts: 3,854
Joined: Sep 2013

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

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: Can you please review my daily charts
Interpreting graphs from a PR machine is a little different than those for a ResMed machine.
Prima facie, you don't seem to be running enough pressure to quash the hypoapneas.
On the other hand, when you do get near the max pressure setting of 10, you have quite a bit of clear airway (CA) apnea.
The CA may be pressure induced; and may abate with time.
Or, you may have mixed apnea. Which would mean your not on the optimal type of machine.
Mixed apnea is best treated by an ASV machine.

Were your pressure ranges determined in a sleep study?

First impression as to pressure is that 5 minimum is too low for you.
And, depending upon whether more max pressure would induce more CA, to quash the hypos, more max pressure may be called for.
You have to do keep from letting your mouth open with a nasal mask.
You should try a chin strap. Or, go to a full face mask.

You should discuss your results with your doctor.

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.
01-23-2016 02:39 PM
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ezdrifler Offline

Preferred Members

Posts: 75
Joined: Oct 2015

Machine: Philips Respironics Remstar
Mask Type: Full face mask
Mask Make & Model: Quattro
Humidifier: Philips Respironics
CPAP Pressure: 6-10
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: San Diego

Post: #3
RE: Can you please review my daily charts
Hi, yes my pressure was prescribed after the sleep study.

I told him during the study i opened my mouth at times to exhale, they said it didnt matter for study purposes.

the sleep clinic will mail me a prescription for a face mask, and told me to try a few weeks this pressure settings before considering adjusting them.
01-23-2016 04:58 PM
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vsheline Offline

Advisory Members

Posts: 1,908
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: #4
RE: Can you please review my daily charts
(01-23-2016 04:58 PM)ezdrifler Wrote:  the sleep clinic will mail me a prescription for a face mask, and told me to try a few weeks this pressure settings before considering adjusting them.

The Min Pressure is mostly just a comfort setting which should be set high enough to not cause discomfort.

If you ever feel like you are not getting enough air or it seems a little too hard to inhale, I recommend immediately increasing the Min Presure a little and keeping Ramp off.

Increasing the Min Presdure would also help prevent many of those Hypopneas and RERAs.

If you turn on A-Flex of 1 or higher, this will lower your pressure around 2cm H2O or more during exhalation. Another reason to raise the Min Pressure, to compensate for A-Flex, if used.

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: 01-24-2016 05:12 PM by vsheline.)
01-24-2016 05:02 PM
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ezdrifler Offline

Preferred Members

Posts: 75
Joined: Oct 2015

Machine: Philips Respironics Remstar
Mask Type: Full face mask
Mask Make & Model: Quattro
Humidifier: Philips Respironics
CPAP Pressure: 6-10
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: San Diego

Post: #5
RE: Can you please review my daily charts
(01-24-2016 05:02 PM)vsheline Wrote:  
(01-23-2016 04:58 PM)ezdrifler Wrote:  the sleep clinic will mail me a prescription for a face mask, and told me to try a few weeks this pressure settings before considering adjusting them.

The Min Pressure is mostly just a comfort setting which should be set high enough to not cause discomfort.

If you ever feel like you are not getting enough air or it seems a little too hard to inhale, I recommend immediately increasing the Min Presure a little and keeping Ramp off.

Increasing the Min Presdure would also help prevent many of those Hypopneas and RERAs.

If you turn on A-Flex of 1 or higher, this will lower your pressure around 2cm H2O or more during exhalation. Another reason to raise the Min Pressure, to compensate for A-Flex, if used.

Take care,
--- Vaughn

Ill read into the manual but I havent hear what the "Ramp" and the "A-Flex" are, I gotta look into those terms
01-25-2016 01:24 AM
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SuperSleeper Offline

Administrators

Posts: 9,974
Joined: Feb 2012

Machine: PR System One REMstar Auto (DS560)
Mask Type: Nasal pillows
Mask Make & Model: ResMed Mirage Swift II
Humidifier: none
CPAP Pressure: 12.5 - 18.5 cmH20 (auto range)
CPAP Software: SleepyHead

Other Comments: Have diabetes Type II

Sex: Male
Location: Illinois, USA

Post: #6
RE: Can you please review my daily charts
(01-25-2016 01:24 AM)ezdrifler Wrote:  Ill read into the manual but I havent hear what the "Ramp" and the "A-Flex" are, I gotta look into those terms

CPAP Ramp:
http://www.apneaboard.com/wiki/index.php?title=CPAP_ramp

A-Flex:
http://www.apneaboard.com/wiki/index.php?title=A-Flex
(a brand-specific type of Exhalation pressure relief)

SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


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.

01-25-2016 08:40 AM
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ezdrifler Offline

Preferred Members

Posts: 75
Joined: Oct 2015

Machine: Philips Respironics Remstar
Mask Type: Full face mask
Mask Make & Model: Quattro
Humidifier: Philips Respironics
CPAP Pressure: 6-10
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: San Diego

Post: #7
RE: Can you please review my daily charts
Ok, changed my min from 5 to 6 and took a 2 hour powernap and got AHI of 1.7

Ill try it out all night long to see what happens.

I was asking my son, "can you imagine the last time I had such a low index in my life?"

ty
(This post was last modified: 01-26-2016 12:17 AM by ezdrifler.)
01-25-2016 11:40 PM
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