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First Night
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PaulaO2 Offline
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Posts: 8,065
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: #11
RE: First Night
Leave. It. Alone.

Don't mess with the numbers. You just got the dang thing. Your body is still going "what the....". Use it for 2 weeks minimum before you start mucking about. The vast majority of medications do not start working immediately. Same with the CPAP.

Your body and brain and habits and sleep and all that stuff are all changed. You have a lot to get used to.

One night of data is not a trend. Two weeks of data is. In two weeks, look at all the data and see what your high is and where you stay the most. THEN set the machine. Feel free to look at the data each night. It's cool to see. But don't make any conclusions from it.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
04-18-2012 10:09 AM
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CHanlon Offline

Advisory Members

Posts: 292
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Activa LT
Humidifier: ResMed Hi5
CPAP Pressure: 12 -20
CPAP Software: ResScan SleepyHead

Other Comments: Mirage Activa LT nasal mask

Sex: Male
Location: Ontario, Canada

Post: #12
RE: First Night
(04-18-2012 10:09 AM)PaulaO2 Wrote:  Leave. It. Alone.

Don't mess with the numbers. You just got the dang thing. Your body is still going "what the....". Use it for 2 weeks minimum before you start mucking about. The vast majority of medications do not start working immediately. Same with the CPAP.

Your body and brain and habits and sleep and all that stuff are all changed. You have a lot to get used to.

One night of data is not a trend. Two weeks of data is. In two weeks, look at all the data and see what your high is and where you stay the most. THEN set the machine. Feel free to look at the data each night. It's cool to see. But don't make any conclusions from it.

I agree with Paula - patience is good. One night's data isn't a trend, its an anomaly. While I personally think that the numbers need tweaking, there's no huge rush to get there. The first month, two months, etc, you're tweaking to get the ideal setup, both for the pressure settings and the hardware. Not to mention, just plain getting used to it all.
04-18-2012 11:10 AM
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JumpStart Offline

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Posts: 297
Joined: Feb 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model:
Humidifier: ResMed H5i
CPAP Pressure: 10 - 20 (auto range)
CPAP Software: ResScan SleepyHead

Other Comments: ResMed Mirage Quattro

Sex: Male
Location: Houston, Texas

Post: #13
RE: First Night
(04-18-2012 09:58 AM)Abearir Wrote:  I'll go out on a limb and say I'll tweak a setting or two and be close to that number for tomorrow.

I agree completely with both Paula02 and CHanlon. Don't make hurried adjustments - and anything less than 2 weeks data for a new cpap user would be hurried, IMO. Among other things, make sure you take note of whether the data seems to indicate an increase in clear airway apneas, or however your software reports these issues. Increasing pressure can lead to an increase in this type of apnea, and have critical results.

Breathing keeps you alive. And PAP helps keep you breathing!
04-18-2012 12:57 PM
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Abearir Offline

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Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
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CPAP Pressure: 15
CPAP Software: ResScan SleepyHead

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Post: #14
RE: First Night
Duly noted and understood. Hopefully night 2 won't be another waterboarding exercise until it gets up to pressure.
04-18-2012 02:42 PM
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CHanlon Offline

Advisory Members

Posts: 292
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Activa LT
Humidifier: ResMed Hi5
CPAP Pressure: 12 -20
CPAP Software: ResScan SleepyHead

Other Comments: Mirage Activa LT nasal mask

Sex: Male
Location: Ontario, Canada

Post: #15
RE: First Night
(04-18-2012 02:42 PM)Abearir Wrote:  Duly noted and understood. Hopefully night 2 won't be another waterboarding exercise until it gets up to pressure.

It could be, but even if it is, that's a good thing. Its all part of the process, and we've all been there... fore 99% of the people here, CPAP wasn't an instant fix, no matter how much we wanted it to be. Not to mention the fact that you're still in a sleep deficit situation - you've been sleep deprived so long that you're going to feel tired even after a good nights sleep. Once you've banked a few good nights, even if they're not *perfect* nights, you'll start to feel better, one way or another. At *that* point, and with the data of several days as a starting point, then you can start fine tuning and tweaking out the numbers. Get used to the mask, the noise of the machine, the feeling of the air pressure, etc. and let your body become more accustomed to actually having O2 in your bloodstream, and do anything you need to to manage and minimize leaks, then look for ways to improve your numbers once you've reached a comfort level with all this stuff.
04-18-2012 03:03 PM
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PaulaO2 Offline
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Moderators

Posts: 8,065
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: #16
RE: First Night
Do you have ramp turned on? If so, turn it off. That might help.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
04-18-2012 05:50 PM
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CHanlon Offline

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Posts: 292
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Activa LT
Humidifier: ResMed Hi5
CPAP Pressure: 12 -20
CPAP Software: ResScan SleepyHead

Other Comments: Mirage Activa LT nasal mask

Sex: Male
Location: Ontario, Canada

Post: #17
RE: First Night
(04-18-2012 05:50 PM)PaulaO2 Wrote:  Do you have ramp turned on? If so, turn it off. That might help.

Yeah, that's true too, I turned it off on mine in the first few days. I found that while it made it easier to ignore the pressure, by the time it ramped up to the "low" pressure in my range *that's* then it started to leak...and woke me up again anyhow. Found it much easier to just start it up, fix leaks, and then go to sleep. :-)
04-19-2012 10:49 AM
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Abearir Offline

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Posts: 22
Joined: Apr 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model:
Humidifier: H5i
CPAP Pressure: 15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location:

Post: #18
RE: First Night
Turned the ramp off last night. Found it to be better but the "low" end of the settings I think are still too low (6cm). Might try the machine in straight cpap tonight and see how that works. I don't have issues with the pressure or leaks. Pretty much plug and play for me. Mask goes on, hit run, fall asleep. No big deal.

Last nights AHI score 18.4

First nights score was 8.1 and the software showed no central, 1.8 Hypopnea, 6.3 OSA...all at max pressure. My 95th was 15cm.

We'll see what the software says for last night when I get a chance.
04-19-2012 11:20 AM
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CHanlon Offline

Advisory Members

Posts: 292
Joined: Mar 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal mask
Mask Make & Model: ResMed Activa LT
Humidifier: ResMed Hi5
CPAP Pressure: 12 -20
CPAP Software: ResScan SleepyHead

Other Comments: Mirage Activa LT nasal mask

Sex: Male
Location: Ontario, Canada

Post: #19
RE: First Night
Yeah, so, *probably* you'd be better off with something like 8 to 16, or something like that. Don't change it. Keep watching, see what you get for another couple nights, then talk to your RT and give him the numbers you're getting... for that matter, print 'em out and take the reports in, or bring him your sd card. He'll touch base with your dr, and make the changes (or at least confirm them for you.)
04-19-2012 02:42 PM
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zonk Offline

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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: #20
RE: First Night
What is the leak shown on the S9 screen and how many hours you sleep with the mask
I don,t use SH but on the Rescan you would see when events occurred, the duration of each apnea, if spaced out during the night or in clusters and the pressure breath by breath so really cant say if you need more pressure bc the more pressure the more side effect and the idea to be at the lowest pressure possible without compromising the therapy. Don,t you have a follow up appointment with the sleep doctor bc medically qualified sleep professional knows more how to interpret the data and make sense out it.
04-19-2012 04:02 PM
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