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First 2 nights with cpap
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HairyMooseKnuckles Offline

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Posts: 2
Joined: Mar 2016

Machine: Resmed Airsense Auto 10
Mask Type: Full face mask
Mask Make & Model: Airsense Auto 10
Humidifier: Airsense
CPAP Pressure: 5-16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #1
First 2 nights with cpap
A little background:

Every single male in my family has sleep apnea. Chances are I was going to have sleep apnea.

My girlfriend used to complain of my snoring and over the past year she has told me it has become increasingly worse with me choking and gasping for breath a lot.

I have always been tired and never really felt 100% myself for as long as I can remember and I'm only 25. Unfortunately, I can't afford a sleep study right now so I borrowed a family members cpap that was not being used. Res med airsense 10. I did some research and tinkered with it for a while before the first night.

These are my first 2 nights. Obviously it's helping. I was surprised I was able to adjust to the awkwardness of the mask so quickly because it seems a large majority of people have a difficult time with this. Is there anything else I can draw from this data that might help me dial in on my correct settings for long term therapy?

I do plan on getting a formal sleep study done when I am financially able to. As of right now though, I have no baseline numbers to go off of. My immediate family members have been diagnosed as severe.


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03-15-2016 03:41 PM
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big_dave Online

Advisory Members

Posts: 411
Joined: Apr 2012

Machine: PR System One DS560
Mask Type: Nasal pillows
Mask Make & Model: F&P Pilairo Q or ResMed Mirage Activa
Humidifier: PR System One
CPAP Pressure: 14 - 20
CPAP Software: SleepyHead

Other Comments: Former ResMed S8 Autoset II user

Sex: Male
Location: Eugene, Oregon

Post: #2
RE: First 2 nights with cpap
Welcome

It looks like you're off to a good start! You will probably want to increase your minimum pressure some more, but you don't have enough data yet to say anything more. Avoid making too many changes all at once, waiting a week or two between changes.
03-15-2016 04:08 PM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #3
RE: First 2 nights with cpap
Welcome to Apnea Board,

Agree with above, don't make pressure changes daily. Watch for a couple weeks, and those changes should only be made after studying your pressure graph and looking at the 90% and medium numbers. A pressure range can be 2 to 3cm below the 90% number, and 3cm above. Also turn off ramp if you don't need it.

With that said, your leak rate is too high. Do you notice air leaks from the full face mask?
You can try liners which sometimes helps. First priority should be to get leak rate under control.

In your screenshots, include the following graphs on the right. (Events graph, Pressure graph, flow rate graph, and leak graph.

Also need to see the Ahi detail under the calendar. (clear airway, Obstructives, hypopneas, etc.)

OpalRose
(This post was last modified: 03-15-2016 04:44 PM by OpalRose.)
03-15-2016 04:40 PM
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big_dave Online

Advisory Members

Posts: 411
Joined: Apr 2012

Machine: PR System One DS560
Mask Type: Nasal pillows
Mask Make & Model: F&P Pilairo Q or ResMed Mirage Activa
Humidifier: PR System One
CPAP Pressure: 14 - 20
CPAP Software: SleepyHead

Other Comments: Former ResMed S8 Autoset II user

Sex: Male
Location: Eugene, Oregon

Post: #4
RE: First 2 nights with cpap
I'll have to disagree about the leaks. Although the max is very high, the median and 95% are good. The high max may be from letting the machine run while not wearing the mask--but I would have to see the leak graph.
03-15-2016 04:55 PM
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HairyMooseKnuckles Offline

New Members

Posts: 2
Joined: Mar 2016

Machine: Resmed Airsense Auto 10
Mask Type: Full face mask
Mask Make & Model: Airsense Auto 10
Humidifier: Airsense
CPAP Pressure: 5-16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #5
RE: First 2 nights with cpap
Here are my graphs. There were a couple of times when I took the mask off without first shutting off the air.

i.imgur.com/gULs2XI.jpg

^add http.

Apparently I have already reached my image capacity and can't post links yet
03-15-2016 05:11 PM
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big_dave Online

Advisory Members

Posts: 411
Joined: Apr 2012

Machine: PR System One DS560
Mask Type: Nasal pillows
Mask Make & Model: F&P Pilairo Q or ResMed Mirage Activa
Humidifier: PR System One
CPAP Pressure: 14 - 20
CPAP Software: SleepyHead

Other Comments: Former ResMed S8 Autoset II user

Sex: Male
Location: Eugene, Oregon

Post: #6
RE: First 2 nights with cpap
No problem at all with leaks. I see that the pressure never goes below 7, so you could immediately increase the minimum to 7. You will probably want to further increase it as Opal Rose suggested after you get more data.
03-15-2016 05:33 PM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #7
RE: First 2 nights with cpap
Looking at the pressure graph. Unless, you feel that you really need to use the ramp feature, I would turn it off. Or it should start a little under your medium pressure, around 7 or 8.

Other than that, looks good. The clear airways tend to settle down after a bit.
Keep us posted and good luck.

OpalRose
(This post was last modified: 03-15-2016 05:47 PM by OpalRose.)
03-15-2016 05:46 PM
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trish6hundred Offline

Advisory Members

Posts: 6,452
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: #8
RE: First 2 nights with cpap
Hi HairyMooseKnuckles,
WELCOME! to the forum.!
Great job taking the bull by the horns as you did.
Much success to you with your CPAP therapy and getting it fine tuned to meet your needs.
Keep up the good work and hang in there for more responses to your post.

trish6hundred
03-15-2016 06:38 PM
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DariaVader Offline
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Monitors

Posts: 1,828
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: #9
RE: First 2 nights with cpap
you got some great advice ^^^. I agree that your min could be immediately raised to 7 - or even 8, and then i would get a couple weeks data before trying to change anything else.

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
03-15-2016 07:00 PM
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