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[Diagnosis] Sleeping positions and AHI?
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retired_guy Offline

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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: Sleeping positions and AHI?
(06-23-2014 11:37 AM)Caddyshack Wrote:  
(06-23-2014 09:14 AM)jaycee Wrote:  If you are going to adjust your own auto cpap pressures, I would recommend increasing the starting pressure to what you can comfortably tolerate.

4 is too low IMO. You may be having apneas/hypopneas when you are first getting to sleep and the auto starts to kick up the pressure to deal with them. But if you start at a higher starting pressure you may be able to cut down on the amount of them when you are first getting into deep sleep.

So, when I am asked to recommend auto pressures on a patient:

Low = what they can comfortably tolerate
High = a little bit above their 95% pressure

So while a patient might start with a range of let's say 4 to 16 (I would never recommend personally starting a patient as low as 4 unless they absolutely couldn't tolerate more), as you get more and more used to the pressure I would keep increasing the low pressure as tolerated. I usually put the high pressure 1 or so above the 95% pressure.

Let's say your 95% pressure is 12. If you tolerate 12 with no difficulties, I would set your starting pressure at 12. As time passes, you may need to tweak your settings occasionally (especially with weight gain or loss).


I'll try this and get back to you. A little fuzzy on the high end pressure. If for example, I am at 12 starting pressure (Low) am I looking at 13 as the High pressure? I think that I am missing something here. Dont-know

There are a few other settings I may have changed, or need to be changed. I recognize the intelligence of changing one thing at a time and plan to start with pressure.

But, is there a way to bring the S9 back to factory defaults?

I really like Jaycee's advice on the starting pressure. You don't want the S9's default values because they are 4 and 20, as in "4 and 20 blackbirds baked in a pie." 4 is too low. 20 is too high (usually)

If it were me, I'd change the starting/minimum pressure to something like 10 and see what happens for a day or two. Then re-evaluate and go from there.
(This post was last modified: 06-23-2014 12:36 PM by retired_guy.)
06-23-2014 12:34 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: #12
RE: Sleeping positions and AHI?
By the way, you don't want/need to "export" the data from Sleepyhead. Once you have "imported" it, then you click on "Daily" to see the daily results. If nothing is there, then there is a setting on your Resmed that needs changed. I forget what it is, but someone else will fill that in for us..........
06-23-2014 12:38 PM
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diamaunt Offline

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Posts: 436
Joined: May 2012

Machine: S9 VPAP Auto 36006
Mask Type: Full face mask
Mask Make & Model: mirage quattro/pilairo q
Humidifier: none
CPAP Pressure: 9-20ish
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: texas

Post: #13
RE: Sleeping positions and AHI?
(06-23-2014 12:38 PM)retired_guy Wrote:  By the way, you don't want/need to "export" the data from Sleepyhead. Once you have "imported" it, then you click on "Daily" to see the daily results. If nothing is there, then there is a setting on your Resmed that needs changed. I forget what it is, but someone else will fill that in for us..........

there's no setting on resmed s9 machines that affects whether it writes detailed data on the card.
06-23-2014 12:39 PM
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diamaunt Offline

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Posts: 436
Joined: May 2012

Machine: S9 VPAP Auto 36006
Mask Type: Full face mask
Mask Make & Model: mirage quattro/pilairo q
Humidifier: none
CPAP Pressure: 9-20ish
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: texas

Post: #14
RE: Sleeping positions and AHI?
(06-23-2014 09:10 AM)Caddyshack Wrote:  I have imported data into SLeepyhead. I see a place to export, but seems to be doing so in a CSV file format. Will this work for you, or is there a better format? Also should I export for last six months or what?

Bill

PS, I noticed that my max pressure is at about 12 and before I had it set at 17. Don't know why I changed it, but seems like it should be back at 17. Los pressure is about 5.

screenshot, (f12) upload to imgur or other photo sharing site, post link to the uploaded images here.
06-23-2014 12:47 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: #15
RE: Sleeping positions and AHI?
(06-23-2014 12:38 PM)retired_guy Wrote:  By the way, you don't want/need to "export" the data from Sleepyhead. Once you have "imported" it, then you click on "Daily" to see the daily results. If nothing is there, then there is a setting on your Resmed that needs changed. I forget what it is, but someone else will fill that in for us..........

Here it is:
"If you only see the Usage data, your DME has locked you out of the full Sleep Report Data. From the clinician menu, change the setting for Sleep Quality from Usage to On."
06-23-2014 01:02 PM
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diamaunt Offline

Members-b

Posts: 436
Joined: May 2012

Machine: S9 VPAP Auto 36006
Mask Type: Full face mask
Mask Make & Model: mirage quattro/pilairo q
Humidifier: none
CPAP Pressure: 9-20ish
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: texas

Post: #16
RE: Sleeping positions and AHI?
(06-23-2014 01:02 PM)retired_guy Wrote:  Here it is:
"If you only see the Usage data, your DME has locked you out of the full Sleep Report Data. From the clinician menu, change the setting for Sleep Quality from Usage to On."

that is incorrect. the "sleep quality" setting in the clinician menu *ONLY* affects what is displayed on the LCD when you press the 'i' button to view the "sleep quality" screen.

if it's set to 'usage' then *all* you see on the 'sleep quality' screen is how many hours you used it in the last 24 hours, rolling over at noon. if it's set to "on" then you get the ahi, mask fit face and the usage. This is documented in the clinician manual. check page 15 of the elite/autoset clinicians manual, pg 22 of the vpap auto/st/s, pg 19 of the vpap adapt, pg 26 of the st-a

that setting has *no* effect whatsoever on what is written to the card.[/i]
(This post was last modified: 06-23-2014 02:01 PM by diamaunt.)
06-23-2014 02:00 PM
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Dolla Bill Offline

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Posts: 72
Joined: Feb 2012

Machine: ResMed AirSense Autoset S10
Mask Type: Nasal pillows
Mask Make & Model: Swift Air fit P10 nasal pillow
Humidifier: Airsense 10 Humidifier
CPAP Pressure: avg. 10.1
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Male
Location: Atlanta

Post: #17
RE: Sleeping positions and AHI?
some screenshots - no changes have been made yet

   
06-23-2014 02:35 PM
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Dolla Bill Offline

Preferred Members-2

Posts: 72
Joined: Feb 2012

Machine: ResMed AirSense Autoset S10
Mask Type: Nasal pillows
Mask Make & Model: Swift Air fit P10 nasal pillow
Humidifier: Airsense 10 Humidifier
CPAP Pressure: avg. 10.1
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Male
Location: Atlanta

Post: #18
RE: Sleeping positions and AHI?
Reset the lower pressure to 12 and have an AHI of .8 sleeping on my back. This is very good. I may be able to go more pressure because I don't feel any discomfort.

Been up since 2:00am, it is now 3:00am. Not sleeping well. I can't tell if business problems are keeping me awake (they are really not all that bad), or the APNEA is acting up, causing me to have mini-panic attacks that focus me on problems.

Took a small part of a sleeping pill. Don't like doing this, but want to sleep.

Thank you all for your kind input.
Bill
06-24-2014 02:07 AM
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JimZZZ Offline

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Posts: 370
Joined: Dec 2013

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: ResMed H5i (not using)
CPAP Pressure: 9 - 14
CPAP Software: ResScan SleepyHead

Other Comments: CareFusion PureSom Ultra Chinstrap

Sex: Male
Location: Western North Carolina

Post: #19
RE: Sleeping positions and AHI?
(06-23-2014 07:13 AM)Caddyshack Wrote:  Looking for a solution where I can sleep on my back. Have developed slight arthritis in left shoulder that makes this position more difficult.
I too have some arthritic pains (hips) when sleeping on my side but have more events when sleeping on my back. I found that wearing a chin restraint under my mask harness helps me keep my lower jaw from falling down and back. That, in turn, helps keep my airway open.
06-24-2014 06:27 AM
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