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[Equipment] Machine with fixed EPAP/IPAP
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DariaVader Offline
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Monitors

Posts: 1,819
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #21
RE: Machine with fixed EPAP/IPAP
That sounds great!

re: being sleepy again 3 hours later - that is exactly what happened to me when I first started sleeping with the xpap! It took a couple weeks for me to feel awake all day! Once I started getting some sleep, I craved sleep badly! I have been on APAP for less than a year still (November) and my sleep is still changing. More REM, More deep sleep. It's been many years (or maybe never) since I was able to both sleep and breathe at the same time Smile

Point is... be patient - it can take a while!

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
08-25-2015 01:12 PM
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storywizard Online

Advisory Members

Posts: 350
Joined: Jul 2014

Machine: ResMed VPAP Adapt S9
Mask Type: Nasal pillows
Mask Make & Model: P10 taped to face
Humidifier: included with machine
CPAP Pressure: CPAP 11cm
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Vancouver, BC, Canada

Post: #22
RE: Machine with fixed EPAP/IPAP
OK...the morning after titration..

OA events totally gone on CPAP with 11cm pressure, few ca's..
Severe PLMS, will get details in one month...looked at the video,
the tech was really nice, it looks crazy seeing the legs go like that...

So a whole new sleep situation..what bugs me most is that in
my initial sleep study I had the same issues but it was not followed up
by either of the docs I have seen...

Oh well, onwards...

all the best,

Storywizard
08-27-2015 12:51 PM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,005
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: #23
RE: Machine with fixed EPAP/IPAP
Some docs some times come up with ideas that seem weird to me. I have a friend in New Mexico that has been suffering from shortness of breath during the day. He has gone through a lot of tests but they have found nothing except that he still has sleep apnea. They put him on a CPAP and told him that would take care of his shortness of breath during the day.

Well short of carrying the CPAP with him all day long (kind of difficult for a contractor) I did not think that would solve the problem. Sure enough it did not. Oh well.
08-27-2015 01:36 PM
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kaiasgram Offline

Advisory Members

Posts: 241
Joined: Aug 2013

Machine: S9 VPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Aloha
Humidifier: H5i
CPAP Pressure: 8-10
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Northern California

Post: #24
RE: Machine with fixed EPAP/IPAP
(08-27-2015 12:51 PM)storywizard Wrote:  OK...the morning after titration..

OA events totally gone on CPAP with 11cm pressure, few ca's..
Severe PLMS, will get details in one month...looked at the video,
the tech was really nice, it looks crazy seeing the legs go like that...

So a whole new sleep situation..what bugs me most is that in
my initial sleep study I had the same issues but it was not followed up
by either of the docs I have seen...

Oh well, onwards...

all the best,

Storywizard

Severe PLMs not followed up? Grrrr.....

But in the spirit of "onwards," do you feel a little more hopeful now about being able to continue with PAP, treat the PLMD, and get more restorative sleep?
08-27-2015 02:29 PM
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storywizard Online

Advisory Members

Posts: 350
Joined: Jul 2014

Machine: ResMed VPAP Adapt S9
Mask Type: Nasal pillows
Mask Make & Model: P10 taped to face
Humidifier: included with machine
CPAP Pressure: CPAP 11cm
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Vancouver, BC, Canada

Post: #25
RE: Machine with fixed EPAP/IPAP
yes very frustrating, but it seems to be the state of medical care, unless you are paying privately for all these things...and even then no guarantee of quality care...

Had a great 90min massage this afternoon, resting now, that was quite a 24 hours...

I am energized to find solutions to the PLMS, open to just about anything...lol

Storywizard
08-27-2015 05:10 PM
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richb Online

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Posts: 525
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #26
RE: Machine with fixed EPAP/IPAP
(08-27-2015 05:10 PM)storywizard Wrote:  yes very frustrating, but it seems to be the state of medical care, unless you are paying privately for all these things...and even then no guarantee of quality care...

Had a great 90min massage this afternoon, resting now, that was quite a 24 hours...

I am energized to find solutions to the PLMS, open to just about anything...lol

Storywizard

Check out the possibility that you have "REM Sleep Behavior Disorder". There are medications that help with this problem.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
08-27-2015 07:15 PM
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Sleeprider Offline
Wiki Editor
Advisory Members

Posts: 3,317
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #27
RE: Machine with fixed EPAP/IPAP
[off-topic]I don't have any experience with PLMs, but I do get a leg tossed across to me for a quick massage as my wife says "cramp, cramp!". LOL

Both conditions are disruptive to sleep, but I still enjoy those legs after all these years. [/off-topic]

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
08-27-2015 07:39 PM
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storywizard Online

Advisory Members

Posts: 350
Joined: Jul 2014

Machine: ResMed VPAP Adapt S9
Mask Type: Nasal pillows
Mask Make & Model: P10 taped to face
Humidifier: included with machine
CPAP Pressure: CPAP 11cm
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Vancouver, BC, Canada

Post: #28
RE: Machine with fixed EPAP/IPAP
(08-27-2015 07:15 PM)richb Wrote:  
(08-27-2015 05:10 PM)storywizard Wrote:  yes very frustrating, but it seems to be the state of medical care, unless you are paying privately for all these things...and even then no guarantee of quality care...

Had a great 90min massage this afternoon, resting now, that was quite a 24 hours...

I am energized to find solutions to the PLMS, open to just about anything...lol

Storywizard

Check out the possibility that you have "REM Sleep Behavior Disorder". There are medications that help with this problem.

Rich

I will, thanks for the suggestion...
08-27-2015 09:04 PM
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storywizard Online

Advisory Members

Posts: 350
Joined: Jul 2014

Machine: ResMed VPAP Adapt S9
Mask Type: Nasal pillows
Mask Make & Model: P10 taped to face
Humidifier: included with machine
CPAP Pressure: CPAP 11cm
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Vancouver, BC, Canada

Post: #29
RE: Machine with fixed EPAP/IPAP
(08-27-2015 07:39 PM)Sleeprider Wrote:  [off-topic]I don't have any experience with PLMs, but I do get a leg tossed across to me for a quick massage as my wife says "cramp, cramp!". LOL

Both conditions are disruptive to sleep, but I still enjoy those legs after all these years. [/off-topic]

Funny man....Too-funny

Well at least I can stop trying machines now...lol

As for masks, well who knows...

Storywizard
08-27-2015 09:05 PM
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vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #30
RE: Machine with fixed EPAP/IPAP
(08-22-2015 03:43 PM)richb Wrote:  All Hypopnea and periodic breathing at low pressure and nearly all Centrals at higher pressure. I am currently on a ResMed S9 ST machine. My current settings are EPAP 11 IPAP 15 and a backup rate of 8. The backup rate of 8 BPM is at the same pressure as the normal settings. Last night I had an AHI of 9 and felt terrible when I got up this AM. I looked at my waveform and found erratic breathing for most of the night. ( The machine doesn't score a Hypopnea when it is providing backup breaths). I only had about 1 hour of smooth waveform indicating some level of sleep. I am trying to get an ASV machine but am worried that might not work either. I have an appointment with a new sleep center in a month.

Hi richb,

During your centrals the ST machine is initiating IPAP for you at the backup rate (8 seems kinda slow, I think the default may be around 15, have you tried 9 or 10?), but with IPAP only 4 higher than EPAP the machine will not be able to keep you adequately ventilated.

I suggest decreasing EPAP by 1 (to 10) for a week. If the obstructive apneas stay low, I suggest lowering EPAP again, to 9 for a week. If you can manage to sleep only on your side(s) you may be able to keep lowering EPAP each week until you see an increase in your obstructive events and know you've backed off EPAP too much.

Each time you decrease EPAP (keeping IPAP unchanged) the Pressure Support (PS is the difference between EPAP and IPAP) will increase, better allowing the machine to keep you adequately ventilated during central events.

If you find you can't lower EPAP to achieve a higher PS, I recommend increasing IPAP 1 cmH2O per week, in order to increase PS.

When the PS gets as high as 8 the machine may be able to keep you adequately ventilated during central events.

But I suggest wearing a recording pulse oximeter at least once a week while experimenting, until things settle down. If your SpO2 is staying at 98% and higher most of the night, I would be concerned. When SpO2 is too high (caused by PS being constantly high) I think this would interfere with prescription meds and would be a high oxidative stress on the body, which could lead to many health problems. The type which is worn on the wrist, with separate finger sensor cup, is more comfortable and more reliable.

When I stop breathing my ASV machine increases the PS to around 8 or 9 or 10, which a big enough difference between EPAP and IPAP to do for me all the work of breathing.

If the CA Index (number of central apneas per hour) is at least 5 and larger than your OA Index then I think you will qualify for an ASV machine.

If you do get an ASV machine, I would suggest the PRS1 BiPAP autoSV Advanced with heated tube. This machine is versatile and can be operated like an ASVAuto, ASV, BiPAP ST, BiPAP Auto, fixed BiPAP, APAP or CPAP machine. (Very much unlike the ResMed AurCurve 10 ASV which can only be operated in a particularly dumb (no CA versus OA detection!) version of basic CPAP therapy mode, or in ASV modes which are restrictive and require the difference between Min PS and Max PS be at least 5.)

In my view, ResMed has shamefully disserved their ASV customers by not including central apnea detection when in CPAP mode (in a machine targeted toward patients with central apnea issues!) and by not including other therapy modes than their restrictive versions of ASV therapy. (But it's all so simple to set up and automatic.... no thanks.)

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 08-29-2015 09:00 PM by vsheline.)
08-29-2015 07:44 PM
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