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[Equipment] AHi Highly Irratic
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PaytonA Online
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Posts: 3,020
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #11
RE: AHi Highly Irratic
My first question of BiBob is whether he is sure that his apneas at high pressure are obstructive? Dr. Berthon-Jones of ResMed says that at pressures above 10 cm/H2O the vast majority of obstructive apneas are controlled. He does not say that OAs can't occur above 10cm pressure but it might be worth a double check.

Yes 20 cm/H2O pressure does make obtaining a good mask seal somewhat difficult. BiBob, could you tell us what your median, 95%, and max leak rates were from last night.

Best Regards,
05-09-2014 03:47 PM
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PaulaO2 Offline
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Posts: 8,068
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #12
RE: AHi Highly Irratic
(05-09-2014 08:24 AM)BiBob Wrote:  I would include the Sleepyhead file but don't know how.

How to do attachments:
http://www.apneaboard.com/forums/Thread-How-to-Attachments

PaulaO2
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05-09-2014 07:20 PM
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MAPnea Offline

Advisory Members

Posts: 182
Joined: May 2013

Machine: ResMed S9 AutoSet - currently "set" on CPAP mode
Mask Type: Other
Mask Make & Model: ResMed AirFit F10 and P10 - varies
Humidifier: ResMed H5i
CPAP Pressure: 8
CPAP Software: SleepyHead

Other Comments: New Sleep Doc + New DME = Trying new approach to PAP therapy.

Sex: Female
Location: near Great Basin National Park, Nevada

Post: #13
RE: AHi Highly Irratic
Hi, BiBob,
I had trouble "fitting" my full face mask until I read a post by Jeffy1958 in this thread:
http://www.apneaboard.com/forums/Thread-...GUARANTEED

Jeffy1958's post helped me eliminate most of my face mask leaks and also helped eliminate erratic results.

Good luck with your CPAP therapy.
05-09-2014 11:07 PM
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BiBob Offline

Preferred Members

Posts: 36
Joined: May 2014

Machine: ResMed s9 VAuto
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: H5i
CPAP Pressure: 18/12
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Port Townsend, WA US

Post: #14
RE: AHi Highly Irratic
Thanks again. I'll work on the leakage and see where that takes me.
05-09-2014 11:47 PM
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BiBob Offline

Preferred Members

Posts: 36
Joined: May 2014

Machine: ResMed s9 VAuto
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: H5i
CPAP Pressure: 18/12
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Port Townsend, WA US

Post: #15
RE: AHi Highly Irratic
Good news. AHIs were 4.22 last night. Leaks were 1.20 at the 95% level and 26.4 at the max level. Settings were: VAuto, Max IPap=22, Min EPap=10. Mask was pretty tight. I need to find a better way on the mask. Event Breakdown was: AHI 4.22,Hypopnea 0.18, Apnea 0.00, Obstructive 3.30 and Clear Airway 0.73.

I'm far from understanding all this but lower AHI seems like progress to me. The mask is still a problem, I think. This is just a one night result and I need to see how it goes during the coming nights.

So, thank you all for coaching. It is very reassuring to have your input and encouragement as I pursue a good nights sleep for a change.

Thanks, Bob
05-10-2014 07:33 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: #16
RE: AHi Highly Irratic
Yes, that is good news BiBob. Leak rates are good now. Very good for a FFM. I am concerned that your mask may be too tight, and ultimately that will cause difficulties. Have you tried a liner yet? Such as the Remzzzz liners, or the Pad-a-cheek? You can help a ffm to seal much better by doing that and that should allow you to loosen the straps a bit. In the end, at a higher pressure such as you are using it is always going to be a bit of a challenge to keep a good seal on your ffm. But you're off to a great start.

Now, the next thing you should try? Not much. Make very few if any changes as you proceed from here out. If you leave everything alone today and can repeat last nights success, then that would be the best thing.. You want your body to get used to the new way of living for a little while before you shake things up too much..
05-10-2014 11:44 AM
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PaytonA Online
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Monitors

Posts: 3,020
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #17
RE: AHi Highly Irratic
One other thing. It would not hurt to try easing off the the headgear tension but do not be discouraged if that does not work. At the pressures that you are using the straps may need to be fairly tight. I use 20cm pressure and a Mirage Quattro FFM and my headgear is quite tight. I have tried loosening it up a little to no avail but at least I finally got my leaks under control.

Best Regards,

PaytonA
05-10-2014 12:17 PM
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BiBob Offline

Preferred Members

Posts: 36
Joined: May 2014

Machine: ResMed s9 VAuto
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: H5i
CPAP Pressure: 18/12
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Port Townsend, WA US

Post: #18
RE: AHi Highly Irratic
MAPnea sent me a link for adjusting face mask tension and I'm working on that. I agree that I should leave things with a the machine alone now until I'm satisfied with the ffm and see if I get a repeat on results for a few days.

Thanks so much everyone!!! I finally feel that I'm on the road to a better result than I've had for years.
05-10-2014 05:48 PM
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