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Finishing Third Week
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bingo49002 Offline

Members

Posts: 15
Joined: Jun 2012

Machine: Resmed S9 VPAP S
Mask Type: Nasal pillows
Mask Make & Model: Resmed Swift FX
Humidifier: Resmed H5i
CPAP Pressure: Bi Level 15 over 11
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Michigan, USA

Post: #1
Finishing Third Week
Hello all,

I am now finishing my third week on bipap. I use a S9 VPAP S machine and I have a question someone may be able to help me with.

I have a good fit with my Swift FX mask now and my AHI is slowly beginning to drop and I am feeling much better in the morning. My bipap pressures are 14 and 8. I do not use the ramp feature on my machine anymore as the pressure doesnot bother me at startup.

My main question is that lately it seems that as I wake the pressure seems to be "not there" as I inhale and exhale. If I open my mouth I will get air escape but there seems to be very little resistance as I exhale and the inhale does not seems to be as strong as when I start bipap for the night. Am i getting "acclimated" to the pressures ? or should I have the machine checked by the DME for a possible machine problem? Huh
06-21-2012 10:40 AM
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BabyDoc Offline

Preferred Members-2

Posts: 184
Joined: May 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model:
Humidifier: ResMed H5i with Climateline Tubing
CPAP Pressure: 6.0 -16.0 CM
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Beachwood, OHIO

Post: #2
RE: Finishing Third Week
As long as you AHI is looking good, I wouldn't worry about it. I would bet you are just getting acclimated to the pressure as the night goes along. I have experienced the same thing.
06-21-2012 10:58 AM
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bingo49002 Offline

Members

Posts: 15
Joined: Jun 2012

Machine: Resmed S9 VPAP S
Mask Type: Nasal pillows
Mask Make & Model: Resmed Swift FX
Humidifier: Resmed H5i
CPAP Pressure: Bi Level 15 over 11
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Michigan, USA

Post: #3
RE: Finishing Third Week
Thx BabyDoc, It is a very weird sensation when it feels like the pressure is not there to fight you a little. Felt like I wore the machine out already.
06-21-2012 11:06 AM
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312capri Offline

Preferred Members

Posts: 38
Joined: Jun 2012

Machine: Respironics BiPAP Pro
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: Respironics System One Heated Humidifier
CPAP Pressure: 18/14
CPAP Software: SleepyHead

Other Comments: Quattro FX

Sex: Male
Location: New Mexico

Post: #4
RE: Finishing Third Week
I just ended my third week and found it's easier and really best to not ramp. I always start at full pressure which in my case is 18 cmH2O/14cmH2O. This way I can check for leaks and adjust the mask before I fall asleep. A few nights ago I found a better position for my mask lower on my nose and it seems to stop my lower lip from falling out of the mask and waking me up from the gigantic air leak!

After 20+ years of progressively worsening sleep apnea I am feeling so much better... The scary part is even at the age of 75 I am going to be chained to this device the rest of life! But as the credit card used to say, "Don't leave home without it."

Everyone have a wonderful day!
06-21-2012 11:23 AM
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zimlich Offline

Preferred Members-2

Posts: 392
Joined: Feb 2012

Machine: Respironics PR System One BiPap Auto SV Advanced
Mask Type: Nasal mask
Mask Make & Model: ResMed gel Nasal Mask
Humidifier: System One
CPAP Pressure: 8-20 ASV, 8 EPAP,PS 12
CPAP Software: Not using software

Other Comments: I use the Quattro FFM when necessary

Sex: Female
Location: Norfolk, VA

Post: #5
RE: Finishing Third Week
bingo, you are acclimated. Congratulations. I have to feel for the vented air from the mask sometimes to be sure it's working
06-21-2012 12:06 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #6
RE: Finishing Third Week
(06-21-2012 10:40 AM)bingo49002 Wrote:  Am i getting "acclimated" to the pressures ?
Congrats
06-21-2012 02:41 PM
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trish6hundred Offline

Advisory Members

Posts: 6,449
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #7
RE: Finishing Third Week
Hi bingo49002, It sounds like you are getting used to your machine it's become second nature to you, great, congratulations.

trish6hundred
06-21-2012 08:37 PM
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bingo49002 Offline

Members

Posts: 15
Joined: Jun 2012

Machine: Resmed S9 VPAP S
Mask Type: Nasal pillows
Mask Make & Model: Resmed Swift FX
Humidifier: Resmed H5i
CPAP Pressure: Bi Level 15 over 11
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Michigan, USA

Post: #8
RE: Finishing Third Week
Just had my first 4.83 AHI night and feel great. AHI has been falling at a dramatic pace since breathing with no effort. Looking for numbers to continue to fall.

Thanks for all of the great info:grin:
06-22-2012 10:32 AM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,994
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #9
RE: Finishing Third Week
(06-22-2012 10:32 AM)bingo49002 Wrote:  Just had my first 4.83 AHI night and feel great. AHI has been falling at a dramatic pace since breathing with no effort. Looking for numbers to continue to fall.

So, it took three weeks for your AHI to fall below 5? In my case it took only 3 days, but I had lots of other problems.

I'm glad you posted that information here. Many times people ask about this phenomenon of AHI falling after the beginning of CPAP use. It's not always an instantaneous drop in AHI, sometimes it can take awhile.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
06-22-2012 01:17 PM
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bingo49002 Offline

Members

Posts: 15
Joined: Jun 2012

Machine: Resmed S9 VPAP S
Mask Type: Nasal pillows
Mask Make & Model: Resmed Swift FX
Humidifier: Resmed H5i
CPAP Pressure: Bi Level 15 over 11
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Michigan, USA

Post: #10
RE: Finishing Third Week
I felt that I had "acclimated" right away as the pressure didn't seem to bother me. The real proof is in the drop in AHI and feeling better. I wonder if there is a differance in adjusting time between BIPAP and CPAP?
06-22-2012 01:48 PM
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