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Desperate and Confused
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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: #11
RE: Desperate and Confused
Thanks KG,

Can you get the head of your bed up a bit? That, and try to avoid sleeping on your back for now. There are a number of goofy ideas to help you do that, such as wear a backpack, or sew a tennis ball in the seam of a t-shirt... That sort of thing. But mostly it's whatever works. Maybe even just a pillow strategically placed.

I think that would drive your events down considerably.

Then, once things are calmed down, you could increase the pressure a little bit at a time. Not more than .5 at once. Then run with it for a few days to see what happens. The goal would be to get to that sweet spot where your OA's and Hypop's are lowered considerably without increasing your CA's. Clear Airway has a way of going up whenever you make a change, which is why you only want to make small adjustments, and only one adjustment, at a time.
08-19-2014 07:01 PM
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bwexler Offline

Advisory Members

Posts: 563
Joined: Mar 2012

Machine: PRS 1 BiPAP autoSV Advanced, with Heated Tube humidifier
Mask Type: Nasal mask
Mask Make & Model: Sleepweaver √Član
Humidifier: Resperonics Heated Tube humidifier
CPAP Pressure: Max pressure 25.0 cm H20, Max
CPAP Software: SleepyHead EncorePro

Other Comments: CMS 50i with Software for SpO2

Sex: Male
Location: San Marcos, CA, USA

Post: #12
RE: Desperate and Confused
I don't know a lot about auto Bipap machines but your IPAP and Epap seem to close together.
What is your EPAP min and max settings?
What is your pressure support setting?
Is 8-18 your Epap range?
You don't appear to be getting the benefit of the BIPAP machine.
08-19-2014 08:40 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: #13
RE: Desperate and Confused
(08-19-2014 07:01 PM)retired_guy Wrote:  Thanks KG,

Can you get the head of your bed up a bit? That, and try to avoid sleeping on your back for now. There are a number of goofy ideas to help you do that, such as wear a backpack, or sew a tennis ball in the seam of a t-shirt... That sort of thing. But mostly it's whatever works. Maybe even just a pillow strategically placed.

I think that would drive your events down considerably.

Then, once things are calmed down, you could increase the pressure a little bit at a time. Not more than .5 at once. Then run with it for a few days to see what happens. The goal would be to get to that sweet spot where your OA's and Hypop's are lowered considerably without increasing your CA's. Clear Airway has a way of going up whenever you make a change, which is why you only want to make small adjustments, and only one adjustment, at a time.

THANKS Retired Guy. I'm a side sleeper, but I'll elevate my head a little.

Also, I think I'll go back to the prescribed pressure (8-9) and experiment in 0.5 increments instead of jumping a lot the way I did it.
08-20-2014 03:31 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: #14
RE: Desperate and Confused
(08-19-2014 08:40 PM)bwexler Wrote:  I don't know a lot about auto Bipap machines but your IPAP and Epap seem to close together.
What is your EPAP min and max settings?
What is your pressure support setting?
Is 8-18 your Epap range?
You don't appear to be getting the benefit of the BIPAP machine.

Thanks Wexler.

The machine only asks for Max IPAP (18) and Min EPAP (8) when in auto mode, so I guess the EPAP is 11-16 since the pressure support is 3-8. For simplicity, I think I'll go back to CPAP 8 in order to test only small changes at one time.
08-20-2014 04:01 PM
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