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Desperate and Confused
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kgriggs Offline

Members

Posts: 18
Joined: Aug 2014

Machine: PR System One Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: TapPap + Ruby Chinstrap
Humidifier: PR System One
CPAP Pressure: 15 - 25
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Crystal Beach, Texas

Post: #1
Angry Desperate and Confused
I'm new at this, and don't know what to do. I would appreciate some ideas on what I can try to get my AHI down. The consensus on the board seems to be a goal of 5 or less, but nothing seems to help mine.

Leaks are not a problem. Does anybody think my pressure range (see left) is too wide? I've got the Min/Max Pressure Support Setting on 3 and 8, respectively, so the wide range between Min EPAP and Max IPAP shouldn't matter, right?

Thank you ladies and gentlemen, I feel pretty stupid right now.

Desperately seeking ideas...........
08-18-2014 05:56 PM
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drgrimes Offline

Preferred Members-2

Posts: 235
Joined: Sep 2013

Machine: S9 Resmed Autoset
Mask Type: Nasal pillows
Mask Make & Model: Philips Dreamwear
Humidifier: resmed
CPAP Pressure: 5-15
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Texas

Post: #2
RE: Desperate and Confused
First of all, don't feel stupid. We all start off knowing little about CPAP. I am not familiar with your machine but there will be people on this forum that can help you with more specific advice.

You are using Sleepyhead software. You might post some of your results, like AHI and actual pressures, min/max/avg. The machine should adjust pressure to fit your breathing needs, so the min/max are just there as outer limits. My actual pressure never get any where near the min. or max.

So, be patient, the "stupid" feeling passes rather quickly. You will find excellent resources here.
08-18-2014 06:27 PM
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Marnid2014 Offline

Preferred Members-2

Posts: 187
Joined: Mar 2014

Machine: ResMed S9 Elite
Mask Type: Nasal pillows
Mask Make & Model: P10 & Circadience Advance Cloth Mask
Humidifier: H5i
CPAP Pressure: 4
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: Florida

Post: #3
RE: Desperate and Confused
Welcome to the board and Cpap, hang in there, it gets better and everyone here is super helpful. You will find answers, this board is a God send, you will learn a lot. I will leave this, however to the pros, they have a ton of knowledge.
08-18-2014 06:29 PM
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justMongo Offline

Monitors

Posts: 3,853
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: #4
RE: Desperate and Confused
Did you have a sleep study? What pressure did they find optimal?

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.
08-18-2014 06:39 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #5
RE: Desperate and Confused
Yes, I actually do think your range is too wide. In theory and often in practice it doesn't matter. But there are occasions that it can be an issue. To recommend any narrowing it though, we would need to see what your experience actually is. So come back with your actual pressures, 90% and so forth. Also, if you're using a ramp feature, consider not doing that, or shortening it considerably. Often at default it stays on "ramp" for too long and you fall asleep and your machine doesn't start working on the apneas for another 10 minutes or so. Doesn't sound like much, but it could have an impact. What are your leak numbers? I know you don't feel they're an issue but often they can be without you knowing it. For instance a nasty little short term leak might encourage your machine to blast up to 20, then the leak goes away and the machine decides to drop to the basement. Or even start the ramp again........

So download and install the Sleepyhead stuff and come back with as much detail as you can.

Oh, by the way, welcome to the site! You'll get this figured out!!! I will stake Mongo's reputation on it.
08-18-2014 07:00 PM
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trish6hundred Offline

Advisory Members

Posts: 6,449
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: #6
RE: Desperate and Confused
Hi kgriggs,
WELCOME! to the forum.!
Please, don't feel stupid, there is a learning curve but you'll get there, it just take time.
Hang in there for more responses to your post and best of luck to you.

trish6hundred
08-18-2014 07:01 PM
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archangle Offline
Wiki Editor
Advisory Members

Posts: 3,159
Joined: Feb 2012

Machine: ResMed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: ResMed S9 H5i
CPAP Pressure: 16-20
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments: Happy PAPper

Sex: Undisclosed
Location: USA

Post: #7
RE: Desperate and Confused
Welcome.

What is your AHI?

Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
08-18-2014 11:16 PM
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kgriggs Offline

Members

Posts: 18
Joined: Aug 2014

Machine: PR System One Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: TapPap + Ruby Chinstrap
Humidifier: PR System One
CPAP Pressure: 15 - 25
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Crystal Beach, Texas

Post: #8
RE: Desperate and Confused
(08-18-2014 11:16 PM)archangle Wrote:  Welcome.

What is your AHI?

This is my first thread and I already like your humor Archangle (for thos of you unaware, click on the link re: alternative to CPAP)

Can I post my data file up here for experts to review? How?
08-19-2014 09:44 AM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #9
RE: Desperate and Confused
Well the BB Program wants you to have x number of posts before it lets you upload an attachement. It's how we stay safe from the V***** salesmen.

In the meantime however, just some numbers will help:

AHI, number of events OA, CA, Hypop.... that sort of thing.

Your min/max and average pressures.

Your leak numbers.

A complete DNA analysis........ Oh, maybe forget that one.
08-19-2014 11:14 AM
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kgriggs Offline

Members

Posts: 18
Joined: Aug 2014

Machine: PR System One Auto BiPAP
Mask Type: Nasal pillows
Mask Make & Model: TapPap + Ruby Chinstrap
Humidifier: PR System One
CPAP Pressure: 15 - 25
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Crystal Beach, Texas

Post: #10
RE: Desperate and Confused
Here's representative numbers.
Comments?

Pressure 8-18
Avg IPAP 14.22
Avg EPAP 14.13
Avg Leak Rate 4.05
90% Leak Rate 20.00
% Time ^ Leak Rate Threshold 0.23%

Obstructive 10.40
Hypopnea 4.99
Clear Airway 2.91
Total AHI 18.30

Flow Limitation Index 0.42
Effort Related Arousal Index 0.21
Periodic Breathing % 3.44%
Resp Rate 15.4
Tidal Volume 360
Minute Vent 5.75
08-19-2014 06:50 PM
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