Post Reply 
Hi, introduction and my experiences
Author Message
DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,291
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #11
RE: Hi, introduction and my experiences
Hi Sam,

You have no apneas, which is good. What's no so good is the number of hypopneas. These are partial closures of your airway which still affect your sleep and the oxygen concentration. Desirably hypopneas should be eliminated as well. Can you provide a screen dump showing the flow rate and pressure, please? It should also show the details panel (with the pie chart). That will give better information for making a further recommendation.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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.
11-08-2015 06:35 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
sam496 Offline

Preferred Members

Posts: 26
Joined: Sep 2015

Machine: ResMed Autoset CS Pace Wave
Mask Type: Full face mask
Mask Make & Model: Simplus Full face mask
Humidifier: None at present
CPAP Pressure: min EPAP 8 Max EPAP 25
CPAP Software: ResScan SleepyHead Compliance Manager

Other Comments:

Sex: Male
Location: UK

Post: #12
RE: Hi, introduction and my experiences
Thanks for answering,

Please see below screen dump of details tab, I'm not sure which one is flow rate and my pressure is fixed at 11 with a 3 minute ramp from 3.5 to 11.
if you can tell me which graph you want for flow rate if I have not included it below


Attached File(s) Thumbnail(s)
       
11-08-2015 11:48 AM
Find all posts by this user Post Reply Quote this message in a reply
sam496 Offline

Preferred Members

Posts: 26
Joined: Sep 2015

Machine: ResMed Autoset CS Pace Wave
Mask Type: Full face mask
Mask Make & Model: Simplus Full face mask
Humidifier: None at present
CPAP Pressure: min EPAP 8 Max EPAP 25
CPAP Software: ResScan SleepyHead Compliance Manager

Other Comments:

Sex: Male
Location: UK

Post: #13
RE: Hi, introduction and my experiences
I've done a bit of research and it appears my sleep cube does not record flow :-(
11-11-2015 03:21 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DumfriesDik Offline

Preferred Members

Posts: 71
Joined: Nov 2015

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Philips Respironics Nuance
Humidifier: none
CPAP Pressure: auto 4 - 20
CPAP Software: SleepyHead

Other Comments: 2010 - 2015 S8 Escape; 2015 - Date S9 Autoset

Sex: Male
Location: SW Scotland

Post: #14
RE: Hi, introduction and my experiences
Hi Sam

I am a new member from Scotland! I have found this forum to be very active and helpful - just like this thread!
11-12-2015 01:43 AM
Find all posts by this user Post Reply Quote this message in a reply
PaytonA Offline
Wiki Editor
Monitors

Posts: 3,002
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #15
RE: Hi, introduction and my experiences
I do not know where we might find this information but it would be worthwhile finding out what DeVilbiss uses as its requirements for scoring hypopneas. If we think back to the Resmed S8 machines and then the S9 machines. WQith the S8 machine, I could get my apneas very low but still had hypopneas all over the place. When I went to the S9, the hypopneas disappeared.

Resmed decided they had been over-reporting hypopneas and changed the requirements for scoring them. Is this over-reporting a problem with the DeVilbiss?

Best Regards,

PaytonA
11-12-2015 12:50 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
sam496 Offline

Preferred Members

Posts: 26
Joined: Sep 2015

Machine: ResMed Autoset CS Pace Wave
Mask Type: Full face mask
Mask Make & Model: Simplus Full face mask
Humidifier: None at present
CPAP Pressure: min EPAP 8 Max EPAP 25
CPAP Software: ResScan SleepyHead Compliance Manager

Other Comments:

Sex: Male
Location: UK

Post: #16
RE: Hi, introduction and my experiences
Hi Dick,

Nice to see another UK member on here, I'm only a beginner really. visited doc in december, monitored once in feb, issued with CPAP in march.

I've had several masks and the one I am using now is the best yet, mind you as the machine was ramping up to 20 all the time its not surprising they leaked.

I'm sorry to say that the treatment down here is pretty poor, some of the things I have been told are pretty unbelievable. from the pressure increases as it leaks..... all masks are designed for people with flat faces. etc.. saw the consultant for the first time 7 months after treatment started and he did not have any information.... they then reduced my machine to a constant 11cm/h20.. mask does not appear to leak and I dont appear to have any obstructive apnea's but more hypopnea's than is good.

first month with the machine I felt really good and wide awake in the day, that is getting worse week on week.. I even bought my own add on for my machine so i could use sleepyhead software which shows my sleep patterns are pretty consistent. I've recently had a call to ask for my smart codes mind you I had to ring the clinic to remind them they were supposed to be doing a reading, I have the same software they use and it does not say much at all, basically says comply with the requirement to keep my driving licence..

I'm going to give them one more go before I use my private medical insurance and go to someone who knows what they are doing. or can be bothered, the nurse who seems to run it all has mentioned thyroid goitre's and even throat cancer and yet not once has anyone said open wide and say ahhhh... a bit disapointed now I have bought the software and logging to find the machine does not record flow..

hopefully may be better news when I go to the hospital next... somehow based on every visit so far it wont be..



PS they told me that a new mask should last 12 months, the one i had for 3 was looking pretty tatty and unlikely to last much longer.. it appears different areas prescribe different machines.. I was told I might need a BIPAP whatever one of them is...

be lucky

Sam
11-14-2015 11:28 AM
Find all posts by this user Post Reply Quote this message in a reply
AshSF Offline

Advisory Members

Posts: 356
Joined: Oct 2014

Machine: PRS1 D560TS
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10, Bkup: Airfit F10 & Quattro Air
Humidifier: PRS1 60 series with Heated Tube
CPAP Pressure: 8 - 8 w/ Aflex 3
CPAP Software: SleepyHead

Other Comments: Using APAP mode with fixed pressure

Sex: Male
Location:

Post: #17
RE: Hi, introduction and my experiences
Sam: I am assuming that your devilbiss auto has smart flex and that you are not using it currently. . If all you are getting are hypopneas at your pressure of 11, here is what you can do:
1) Initiate smart flex at setting of 1 and raise your pressure to 12 at the same time.
2) Evaluate the effect on hypopneas for 7 days.
3) If some hypopneas are still there then go to smart flex setting of 2 and raise pressure to 13.
4) Evaluate for 7 Days.
5) If hypos are still there then go to smart flex 3 and pressure of 14.

If hypos are still not down to acceptable level, then you May need a bilevel machine.

Started APAP 4-20, Closed range to 7.5-14, then straight 8.0 w/ Aflex 3
RDI always below 1. But sleep much much better at straight pressure.
Started on F10, Tried Quattro Air successfully. Finally settled on P10.
11-14-2015 07:17 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaytonA Offline
Wiki Editor
Monitors

Posts: 3,002
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #18
RE: Hi, introduction and my experiences
Or you may just need a new machine from a different manufacturer. DeVilbiss, at the time this machine was manufactured, may not have optimized their scoring logic for hypopneas to more accurately reflect the real world. If that is the case all you need is a newer machine from ResMed or Philips or maybe even DeVilbiss.
(This post was last modified: 11-14-2015 11:28 PM by PaytonA.)
11-14-2015 11:28 PM
Find all posts by this user Post Reply Quote this message in a reply
sam496 Offline

Preferred Members

Posts: 26
Joined: Sep 2015

Machine: ResMed Autoset CS Pace Wave
Mask Type: Full face mask
Mask Make & Model: Simplus Full face mask
Humidifier: None at present
CPAP Pressure: min EPAP 8 Max EPAP 25
CPAP Software: ResScan SleepyHead Compliance Manager

Other Comments:

Sex: Male
Location: UK

Post: #19
RE: Hi, introduction and my experiences
(11-14-2015 07:17 PM)AshSF Wrote:  Sam: I am assuming that your devilbiss auto has smart flex and that you are not using it currently. . If all you are getting are hypopneas at your pressure of 11, here is what you can do:
1) Initiate smart flex at setting of 1 and raise your pressure to 12 at the same time.
2) Evaluate the effect on hypopneas for 7 days.
3) If some hypopneas are still there then go to smart flex setting of 2 and raise pressure to 13.
4) Evaluate for 7 Days.
5) If hypos are still there then go to smart flex 3 and pressure of 14.

If hypos are still not down to acceptable level, then you May need a bilevel machine.

Thanks for the input, yes it does have smart flex and that was switched on but it always ramped top to 20 and that caused me lots of problems with mask leaks.
I will try the steps you suggest and see how it goes.

This morning I woke to find I was wearing the mask but the hose had come off, probably as I woke up anyway.. acording to the machine my AHI was 31.5 over 4.2 hours, all of which were hypopnea. still not sure how it works out the difference the hypopnea score was 8.1 (thats about 20% higher than recently)

they also mentioned at my last visit to the clinic that if the current settings do not work I may need a different machine (bilevel) but they would probably do a proper sleep study first.

The only study so far has been using a home test kit for one night, well two as the machine did not work on the first night.

I might give them a ring tomorrow and find out what is going on..
11-15-2015 06:14 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
sam496 Offline

Preferred Members

Posts: 26
Joined: Sep 2015

Machine: ResMed Autoset CS Pace Wave
Mask Type: Full face mask
Mask Make & Model: Simplus Full face mask
Humidifier: None at present
CPAP Pressure: min EPAP 8 Max EPAP 25
CPAP Software: ResScan SleepyHead Compliance Manager

Other Comments:

Sex: Male
Location: UK

Post: #20
RE: Hi, introduction and my experiences
(11-14-2015 11:28 PM)PaytonA Wrote:  Or you may just need a new machine from a different manufacturer. DeVilbiss, at the time this machine was manufactured, may not have optimized their scoring logic for hypopneas to more accurately reflect the real world. If that is the case all you need is a newer machine from ResMed or Philips or maybe even DeVilbiss.

I only got this machine in March and it was brand new. I'm really not very happy with the clinic and the way they work, or not as seems to be the case.
11-15-2015 06:21 AM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  introduction I guess SleepyWrench 8 324 10-20-2016 03:57 PM
Last Post: Sleeprider
  Introduction; Periodic Apnea without hypoxia hobanfan 12 665 08-17-2016 02:17 AM
Last Post: hobanfan
  Introduction Outrageous 2 261 08-08-2016 09:03 PM
Last Post: trish6hundred
  Introduction & Questions Pettirosso 5 387 06-24-2016 12:36 AM
Last Post: sdb7802
Smile Introduction of new User SleepMeister007 14 1,196 05-19-2016 06:46 PM
Last Post: Rcgop
  Hi, introduction and my experiences [Recommendation on settings?] 12344321 11 1,193 05-18-2016 05:31 AM
Last Post: sam496
  [Equipment] Any personal experiences with BMC Luna GII 2.4 Auto Machine Yuley 3 642 05-02-2016 05:38 PM
Last Post: trish6hundred

Forum Jump:

Who's Online (Complete List)