(03-08-2014 03:42 AM)dustpicc Wrote: Do you think that starting the pressure at 14 is a bit extreme? I have family members who have CPAP and say their max setting is 9. They have mine at 24 and min at 14. Also, why did they refuse to let me have a nasal mask? Don't I have a say in my treatment?
First, I would request all pages of your sleep study so you can look at it and see what happened throughout the night and maybe you will see why they chose that pressure.
I understand why they ask patients to sleep on their back in a sleep study because they are trying to find out what the pressure needed would be when OSA is more likely to happen more often so the patient has that pressure available to them JUST IN CASE they do sleep on their back even if it is just once in a while.
That is the beauty of the auto machines IMHO.
I got these comments from my RT: " The auto machines are designed to attempt to learn your breathing and make its’ pressure changes accordingly but then again they are just machines and they are not perfect. Which is why your pressures go up then down then up then down all night long. Ideally this is why auto machines aren’t prescribed".
I would rather have the pressure increase when I need it rather than have a set pressure all night long that might be too high for me to tolerate the whole time I sleep. JMHO
EDIT: As far as your family members and what their pressure is, you cannot compare yourself to them. Their situation is obviously not at all like yours. I have seen people that have a lot of AHI's in their sleep study and start at a low pressure and I have seen people that have a lower number of AHI's in their sleep study but need a higher pressure to keep their airway open, have REM sleep, keep their O2 up, etc. etc.
EDIT: And you can try any mask that you choose to try. Nobody can make you use a specific mask. They can suggest a mask but if it isn't working, then you need to try other masks.