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Flow Limitation/UARS and BiPAP
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Sleepster Offline
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Posts: 4,991
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: #21
RE: Flow Limitation/UARS and BiPAP
(07-21-2014 12:44 PM)PaytonA Wrote:  With my vast lack of knowledge regarding dental appliances, whether of the TMJ or OSA variety, what I have read here by some other posters makes me wonder if it would not just add an extra complication for those who are mouth leakers or breathers.

Yeah, I guess the only to find out if it'll work for me is to spend the money on it and see what happens.

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.
07-21-2014 04:55 PM
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car54 Offline

Advisory Members

Posts: 108
Joined: Apr 2014

Machine: PRS1 Model 560P
Mask Type: Full face mask
Mask Make & Model: Airfit F10
Humidifier: PR system one
CPAP Pressure: 9-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Milwaukee, WI

Post: #22
RE: Flow Limitation/UARS and BiPAP
(07-20-2014 08:04 PM)Sleepster Wrote:  
(07-20-2014 06:27 AM)car54 Wrote:  Last night, just for the heck of it, I set my machine back to apap with the lowest amount of pressure and I had about 200 occurrences of breathing problems. Obviously I will switch the machine back.

Set it back to what?
I have a Remstar auto A flex by PR. It is in cpap-check mode with the C-flex + feature which reduces the pressure while exhaling.
There are 3 degrees of pressure relief in the C-flex feature and I have it at #1. My base pressure is set to 10. All I know is that since switching from the auto-cpap mode my rera's have been very low.
Brad
07-21-2014 07:20 PM
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vsheline Offline

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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: #23
RE: Flow Limitation/UARS and BiPAP
(07-21-2014 07:20 PM)car54 Wrote:  I have a Remstar auto A flex by PR. It is in cpap-check mode with the C-flex + feature which reduces the pressure while exhaling.
There are 3 degrees of pressure relief in the C-flex feature and I have it at #1. My base pressure is set to 10. All I know is that since switching from the auto-cpap mode my rera's have been very low.

Hi car54,

What were the settings when on APAP mode?

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.
07-21-2014 10:30 PM
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car54 Offline

Advisory Members

Posts: 108
Joined: Apr 2014

Machine: PRS1 Model 560P
Mask Type: Full face mask
Mask Make & Model: Airfit F10
Humidifier: PR system one
CPAP Pressure: 9-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Milwaukee, WI

Post: #24
RE: Flow Limitation/UARS and BiPAP
(07-21-2014 10:30 PM)vsheline Wrote:  
(07-21-2014 07:20 PM)car54 Wrote:  I have a Remstar auto A flex by PR. It is in cpap-check mode with the C-flex + feature which reduces the pressure while exhaling.
There are 3 degrees of pressure relief in the C-flex feature and I have it at #1. My base pressure is set to 10. All I know is that since switching from the auto-cpap mode my rera's have been very low.

Hi car54,

What were the settings when on APAP mode?
10 was the low and 13 was the high. Nothing more then straight apap. Anything above 13 seemed to leak which interrupted my sleep.

It is only through sites like this and playing with my settings that my results have improved.
07-22-2014 04:36 AM
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car54 Offline

Advisory Members

Posts: 108
Joined: Apr 2014

Machine: PRS1 Model 560P
Mask Type: Full face mask
Mask Make & Model: Airfit F10
Humidifier: PR system one
CPAP Pressure: 9-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Milwaukee, WI

Post: #25
RE: Flow Limitation/UARS and BiPAP
Before switching to Aflex my apneas and hypopneas were low but my rera's could be up to 40 a night. Last night I had no apneas or hypopnea and only 5 rera's. The Aflex pressure is set at 10 but it has a range between 7 and 13.

Brad
07-22-2014 05:16 AM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,991
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: #26
RE: Flow Limitation/UARS and BiPAP
(07-22-2014 05:16 AM)car54 Wrote:  The Aflex pressure is set at 10 but it has a range between 7 and 13.

Hi Brad,

The A-Flex setting can be 1, 2, or 3. That's a comfort setting and is of secondary importance.

The pressure range is more important, and it sounds like you have a minimum of 7 and a maximum of 13. But I don't understand your reference to 10.

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.
07-22-2014 11:26 AM
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car54 Offline

Advisory Members

Posts: 108
Joined: Apr 2014

Machine: PRS1 Model 560P
Mask Type: Full face mask
Mask Make & Model: Airfit F10
Humidifier: PR system one
CPAP Pressure: 9-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Milwaukee, WI

Post: #27
RE: Flow Limitation/UARS and BiPAP
(07-22-2014 11:26 AM)Sleepster Wrote:  
(07-22-2014 05:16 AM)car54 Wrote:  The Aflex pressure is set at 10 but it has a range between 7 and 13.

Hi Brad,

The A-Flex setting can be 1, 2, or 3. That's a comfort setting and is of secondary importance.

The pressure range is more important, and it sounds like you have a minimum of 7 and a maximum of 13. But I don't understand your reference to 10.
10 is what the machine is set to, but on the sleepy head software it shows a range from 7 to 13
07-22-2014 12:05 PM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,991
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: #28
RE: Flow Limitation/UARS and BiPAP
(07-22-2014 12:05 PM)car54 Wrote:  10 is what the machine is set to, but on the sleepy head software it shows a range from 7 to 13

Hmmm... That's weird. Which PR System One do you have?

http://www.apneaboard.com/forums/Thread-...AP-Machine

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.
07-22-2014 05:35 PM
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car54 Offline

Advisory Members

Posts: 108
Joined: Apr 2014

Machine: PRS1 Model 560P
Mask Type: Full face mask
Mask Make & Model: Airfit F10
Humidifier: PR system one
CPAP Pressure: 9-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Milwaukee, WI

Post: #29
RE: Flow Limitation/UARS and BiPAP
(07-22-2014 05:35 PM)Sleepster Wrote:  
(07-22-2014 12:05 PM)car54 Wrote:  10 is what the machine is set to, but on the sleepy head software it shows a range from 7 to 13

Hmmm... That's weird. Which PR System One do you have?

#560 series 60 remstar auto
07-23-2014 04:42 AM
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robysue Offline
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Posts: 1,226
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #30
RE: Flow Limitation/UARS and BiPAP
(07-22-2014 12:05 PM)car54 Wrote:  
(07-22-2014 11:26 AM)Sleepster Wrote:  The pressure range is more important, and it sounds like you have a minimum of 7 and a maximum of 13. But I don't understand your reference to 10.
10 is what the machine is set to, but on the sleepy head software it shows a range from 7 to 13

and

(07-23-2014 04:42 AM)car54 Wrote:  
(07-22-2014 05:35 PM)Sleepster Wrote:  
(07-22-2014 12:05 PM)car54 Wrote:  10 is what the machine is set to, but on the sleepy head software it shows a range from 7 to 13

Hmmm... That's weird. Which PR System One do you have?

#560 series 60 remstar auto

car54,

Which version of SH are you using? And what kind of a computer are you using? And where in the SH program are you seeing the pressure settings being reported as 7-13? In the statistics page or in the daily data pages?

And what do the daily data pressure graphs look like?

Finally, can you confirm what your PR System One Series 60 APAP's therapeutic settings actually are? Go into the clinical menu and find the following settings:
    Min Pressure
    Max Pressure

Also, are you using the RAMP at all? If so, you also need to look at the Starting Ramp Pressure setting.

Once we have all that information, I may be able to help you figure out what's going on in the SH reports.

Questions about SleepyHead?
See my Guide to SleepyHead
07-23-2014 09:35 AM
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