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First Night on Bipap-Pretty Rough
#11
RE: First Night on Bipap-Pretty Rough
I also just started bi-pap with a resmed aircurve st machine .  Used a airsence apap since Feb and it cleared up my obstructive apneas but did not clear up my central apneas.  Started Friday and that was a rough night, pressures 14-19.  The second night was better and last night was great.  I absolutely need a full face mask as that is a lot of pressure with a lot of mouth leak. Using airtouch f20 with memory foam. It's a matter of allowing yourself to adjust to this crazy amount pressure but it is worth it to keep trying. First sleep study AHI was 90.  My third sleep study with just 40 with CPAP. With bi-level it was less than 3.  It's what I need to do to sleep well after year of not. Good luck.
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#12
RE: First Night on Bipap-Pretty Rough
I use a airfit P10 with no problem with low pressures like 19cm
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#13
RE: First Night on Bipap-Pretty Rough
(11-13-2017, 02:24 PM)astrodancer Wrote: I also just started bi-pap with a resmed aircurve st machine .  Used a airsence apap since Feb and it cleared up my obstructive apneas but did not clear up my central apneas.  Started Friday and that was a rough night, pressures 14-19.  The second night was better and last night was great.  I absolutely need a full face mask as that is a lot of pressure with a lot of mouth leak. Using airtouch f20 with memory foam. It's a matter of allowing yourself to adjust to this crazy amount pressure but it is worth it to keep trying. First sleep study AHI was 90.  My third sleep study with just 40 with CPAP. With bi-level it was less than 3.  It's what I need to do to sleep well after year of not. Good luck.

Any thoughts on why you were prescribed ST instead of ASV?   Unless you have a low left ventricular ejection fraction ASV is the best solution for complex (obstructive + central) apnea.
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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.
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#14
RE: First Night on Bipap-Pretty Rough
Not sure, that's what my pulmonologist prescribed. My guess is insurance/Medicare climbing the latter of justification. May ultimately go to asv I'd st fails.
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#15
RE: First Night on Bipap-Pretty Rough
"A possible optimal pressure of 14cwp/9cwp was achieved: however supine sleep was not observed. (stayed on right side all night because of the wires-not typical-I move a lot)."

You will likely find you will move around a lot less once you get this sorted out. Pre-cpap I would wake with blankets twisted and wrapped all over me and a very unhappy wife. She now also has a cpap machine and we both sleep a LOT better. Good luck!
I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
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#16
RE: First Night on Bipap-Pretty Rough
Astrodancer, the ST imposes constant high pressure support which will increase your central apnea, and make you dependent on the backup function, assuming it is strong enough. ASV is such an elegant approach because it simply targets your normal minute vent and lets you overcome hypopnea and apnea with just the amount of pressure support needed, and it leaves you alone to breathe on your own when you don't need it. ST is not the solution, but be patient and don't forget to complain frequently. It's your right to get the right treatment.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
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#17
RE: First Night on Bipap-Pretty Rough
In australia the ST is more expensive than the ASV. It really depends on whether you have obstructive, restrictive or OHS lung function, that need the ST or the auto ST avaps/ivaps. The ASV is for normal lung function and not is as specialised for patients requiring more advanced treatment.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#18
RE: First Night on Bipap-Pretty Rough
Nearing a week of bi-pap.  Started Friday with ahi 14.1 and a lot of leaking and getting the hang of it with 5.9 3.8 2.7 2.7 1.7 0.7 with low leaks at 14 and 19 ramp 15 min.  Very happy with my progress.  My  sleepyhead charts are kind of boring now.
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#19
RE: First Night on Bipap-Pretty Rough
You have to be happy with boring charts Smile
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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