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[Health] Still Sleepy
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trueblue Offline

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Posts: 4
Joined: Oct 2013

Machine: Resmed S9 Autoset EPR
Mask Type: Full face mask
Mask Make & Model: F&P- Simplus
Humidifier: Resmed S9
CPAP Pressure: 6-14
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Canada

Post: #11
RE: Still Sleepy
Were can I find the Resmed or the sleepy head software?

Thanks again
(This post was last modified: 10-22-2013 08:05 PM by trueblue.)
10-22-2013 07:55 PM
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trish6hundred Offline

Advisory Members

Posts: 6,436
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: #12
RE: Still Sleepy
Hi robysue, WELCOME! to the forum.!
Your blog is very informative.

trish6hundred
10-22-2013 08:17 PM
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #13
RE: Still Sleepy
If 95% is at or below a certain pressure, that really doesn't tell us much does it (that could be anywhere from 12 to 19.9 in my case) and the 5% is above 19.9% in my case (which you can really go any higher) doesn't tell us much. The graphs in the program can tell us but how many docs really look at the graphs to see where the pressure is? Do I understand this correctly?

Just thinking out loud lol
(This post was last modified: 10-22-2013 09:10 PM by me50.)
10-22-2013 08:30 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: #14
RE: Still Sleepy
(10-22-2013 07:55 PM)trueblue Wrote:  Were can I find the Resmed or the sleepy head software?

Thanks again
http://www.apneaboard.com/forums/Forum-Private-Files-and-Links

ResScan Report Interpretation Guide
http://www.apneaboard.com/ResScan_Interpretation-Guide.pdf
10-22-2013 08:31 PM
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trueblue Offline

Members

Posts: 4
Joined: Oct 2013

Machine: Resmed S9 Autoset EPR
Mask Type: Full face mask
Mask Make & Model: F&P- Simplus
Humidifier: Resmed S9
CPAP Pressure: 6-14
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Canada

Post: #15
RE: Still Sleepy
Thanks for the link I have downloaded the software.
10-22-2013 08:57 PM
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robysue Online
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Advisory Members

Posts: 1,230
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: #16
RE: Still Sleepy
(10-22-2013 08:17 PM)trish6hundred Wrote:  Hi robysue, WELCOME! to the forum.!
Your blog is very informative.
Thanks for the compliment. I've been using a BiPAP for three years now and I've been an active member of two other forums, but only now stumbled across this one.
10-23-2013 12:36 AM
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robysue Online
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Advisory Members

Posts: 1,230
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: #17
RE: Still Sleepy
(10-22-2013 08:30 PM)me50 Wrote:  If 95% is at or below a certain pressure, that really doesn't tell us much does it (that could be anywhere from 12 to 19.9 in my case) and the 5% is above 19.9% in my case (which you can really go any higher) doesn't tell us much. The graphs in the program can tell us but how many docs really look at the graphs to see where the pressure is? Do I understand this correctly?

Just thinking out loud lol

Many docs care about the 95% pressure level because that pressure level is enough to take care of your apneas most of the time. If a doc is using an APAP to do an autotitration to fine tune or confirm a lab titration with the intention of prescribing a fixed pressure setting, that's the number they're going to focus on.

As for auto adjusting ranges, there's some debate about what's the best way to choose an auto range. One school of thought seems to be that the min pressure setting should not be too far below the 95% pressure level: The lower the minimum pressure, the larger the gap between the minimum pressure setting and the actual pressure that you need to properly control your apnea. And the larger that gap, the larger the number of events that gets through the defenses before the pressure is increased enough to provide an adequate level of protection.
10-23-2013 12:44 AM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #18
RE: Still Sleepy
(10-23-2013 12:44 AM)robysue Wrote:  
(10-22-2013 08:30 PM)me50 Wrote:  If 95% is at or below a certain pressure, that really doesn't tell us much does it (that could be anywhere from 12 to 19.9 in my case) and the 5% is above 19.9% in my case (which you can really go any higher) doesn't tell us much. The graphs in the program can tell us but how many docs really look at the graphs to see where the pressure is? Do I understand this correctly?

Just thinking out loud lol

Many docs care about the 95% pressure level because that pressure level is enough to take care of your apneas most of the time. If a doc is using an APAP to do an autotitration to fine tune or confirm a lab titration with the intention of prescribing a fixed pressure setting, that's the number they're going to focus on.

As for auto adjusting ranges, there's some debate about what's the best way to choose an auto range. One school of thought seems to be that the min pressure setting should not be too far below the 95% pressure level: The lower the minimum pressure, the larger the gap between the minimum pressure setting and the actual pressure that you need to properly control your apnea. And the larger that gap, the larger the number of events that gets through the defenses before the pressure is increased enough to provide an adequate level of protection.

I don't know if they used an APAP in the sleep study. I just know that the Sleep Tech could change my pressure without coming to my room. I do know that I was on a set pressure to see what happened and then they went up from there. My SP02 was in the 80's at pressure 14, 15 and 16 and that really concerns me. At 12 and 13, it was 92. At 14 it was 88. At 15 and 16 it was 85. So, I am really concerned about this too.
10-23-2013 01:01 AM
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RonWessels Offline

Preferred Members-2

Posts: 465
Joined: Jun 2013

Machine: REMstar Auto AFlex DS560TS
Mask Type: Nasal mask
Mask Make & Model: ComfortGel Blue
Humidifier: REMstar Heated Tube DS6T
CPAP Pressure: 11 - 20
CPAP Software: SleepyHead

Other Comments: CMS50F Pulse Oximeter

Sex: Male
Location: Ontario, Canada

Post: #19
RE: Still Sleepy
(10-23-2013 12:44 AM)robysue Wrote:  As for auto adjusting ranges, there's some debate about what's the best way to choose an auto range. One school of thought seems to be that the min pressure setting should not be too far below the 95% pressure level: The lower the minimum pressure, the larger the gap between the minimum pressure setting and the actual pressure that you need to properly control your apnea. And the larger that gap, the larger the number of events that gets through the defenses before the pressure is increased enough to provide an adequate level of protection.

The problem with that logic is that, if you need a higher treatment pressure when you are lying on your back (as most do), and you occasionally but not always lie on your back, your lower pressure setting might be higher than what would be needed for when you are lying on your side.

That is also going to be not to far different from simply using a fixed-pressure CPAP treatment at your 95% pressure point. Keep in mind that an auto-CPAP attempts to anticipate apnea events by detecting snoring and flow limitation, so it will typically provide a treatment pressure that is slightly higher than what is actually required to prevent apneas.

Personally, I set the upper limit to the maximum I am prepared to tolerate (typically 20) and the lower limit to around what is the minimum typically needed when I am asleep.
10-23-2013 01:29 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: #20
RE: Still Sleepy
(10-23-2013 01:29 PM)RonWessels Wrote:  Personally, I set the upper limit to the maximum I am prepared to tolerate (typically 20) and the lower limit to around what is the minimum typically needed when I am asleep.
Makes no difference how we go about the business ... all roads lead to Rome
I set the minimum to what feel comfortable (not too low and wait for the magic to happen)
In the past 95% used to hit the roof, may be leaks or the machine chasing flow limitation but now for reason beyond me (no weight loss ... wishful thinking) little variations between median, 95% and maximum
10-23-2013 04:12 PM
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