Post Reply 
How Low Can (should?) I Go?
Author Message
Terry Offline

Advisory Members

Posts: 553
Joined: May 2014

Machine: Philips Respironics RemStar Auto with A-Flex (560P)
Mask Type: Nasal pillows
Mask Make & Model: P/R Nuance & Pap Cap
Humidifier: Integrated
CPAP Pressure: Auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #1
How Low Can (should?) I Go?
I've been gradually bumping up my pressure to lower my AHI, Snoring and Flow Limitation, and it's been working nicely.

My AHI dropped from .4 down to 0 as I've increased the pressure from 12 to 16. It also dropped my "vibratory snore" down from 6 to 1.

While it's a huge improvement from the 50+ I have without the machine, 16cm seems like a lot of pressure.

Aside from needing a good chin strap are there problems associated with increased pressure?

Somehow it seems like I shouldn't need to set my machine this high, since most other people I know are in the 10-12 range. OTOH, most other people I know still feel like crap in the morning, and I'm feeling pretty great.

Anybody have any thoughts? Is there something that I should know about increased pressure?

Thanks!

Terry
(This post was last modified: 08-06-2014 10:02 AM by Terry.)
08-06-2014 09:01 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #2
RE: How Low Can (should?) I Go?
Terry I think you're spot on where you need to be. I wouldn't do any further adjusting..... Actually, that's a lie. I just can't leave well enough alone. After a month or so I just have to find something to fool with.

But, do as I say, not as I do, as they say.....

You're doing great!
08-06-2014 12:15 PM
Find all posts by this user Post Reply Quote this message in a reply
Terry Offline

Advisory Members

Posts: 553
Joined: May 2014

Machine: Philips Respironics RemStar Auto with A-Flex (560P)
Mask Type: Nasal pillows
Mask Make & Model: P/R Nuance & Pap Cap
Humidifier: Integrated
CPAP Pressure: Auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #3
RE: How Low Can (should?) I Go?
(08-06-2014 12:15 PM)retired_guy Wrote:  Terry I think you're spot on where you need to be. I wouldn't do any further adjusting..... Actually, that's a lie. I just can't leave well enough alone. After a month or so I just have to find something to fool with.

But, do as I say, not as I do, as they say.....

You're doing great!

Thanks!

Just looking for a sanity check, since I don't know anybody with a minimum of 16.

Terry
08-06-2014 01:29 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #4
RE: How Low Can (should?) I Go?
(08-06-2014 01:29 PM)tcarmen Wrote:  Thanks!

Just looking for a sanity check, since I don't know anybody with a minimum of 16.

Terry

Well anytime you need to check your sanity just ask me.... If I don't know the answer I'll ask one of the voices to help us out.
08-06-2014 01:47 PM
Find all posts by this user Post Reply Quote this message in a reply
becker44a Offline

Advisory Members

Posts: 181
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus Lg
Humidifier: ResMed H5i
CPAP Pressure: Rx 10 - 20cm, Usually 10-14cm
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: NE Ohio, USA

Post: #5
RE: How Low Can (should?) I Go?
(08-06-2014 01:29 PM)tcarmen Wrote:  Thanks!

Just looking for a sanity check, since I don't know anybody with a minimum of 16.

Terry

Hi Terry,
I believe PaytonA is running fairly high settings - maybe he'll chime in here. His profile indicates 20cmIPAP/16cmEPAP.

In my case, I experience aerophagia more frequently and with higher discomfort at higher pressures. This is one reason why I was so fortunate to figure out that sleeping on my back was bad. More obstruction meant higher pressures, which caused more leaks and aerophagia. I'm not aware of any other negative effects, but I only started PAPing in January. Maybe others will have more tales to tell.

A.Becker
PAPing in NE Ohio, with a pack of Cairn terriers
08-06-2014 03:34 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
NickDanger Offline

Preferred Members

Posts: 91
Joined: Jun 2014

Machine: Resmed S9 Autopap
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: 5i
CPAP Pressure: 9
CPAP Software: ResScan SleepyHead

Other Comments: ResMed Chinstrap

Sex: Male
Location:

Post: #6
RE: How Low Can (should?) I Go?
If your AHI was 0.4 at 12, why would you increase the pressure to 16?
(This post was last modified: 08-06-2014 03:39 PM by NickDanger.)
08-06-2014 03:38 PM
Find all posts by this user Post Reply Quote this message in a reply
Terry Offline

Advisory Members

Posts: 553
Joined: May 2014

Machine: Philips Respironics RemStar Auto with A-Flex (560P)
Mask Type: Nasal pillows
Mask Make & Model: P/R Nuance & Pap Cap
Humidifier: Integrated
CPAP Pressure: Auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #7
RE: How Low Can (should?) I Go?
(08-06-2014 03:38 PM)NickDanger Wrote:  If your AHI was 0.4 at 12, why would you increase the pressure to 16?

Because I still had a lot of flow limitations and snoring and wasn't feeling right.
08-06-2014 03:40 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
NickDanger Offline

Preferred Members

Posts: 91
Joined: Jun 2014

Machine: Resmed S9 Autopap
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: 5i
CPAP Pressure: 9
CPAP Software: ResScan SleepyHead

Other Comments: ResMed Chinstrap

Sex: Male
Location:

Post: #8
RE: How Low Can (should?) I Go?
gotcha - glad it is working for you!
08-06-2014 03:47 PM
Find all posts by this user Post Reply Quote this message in a reply
PaytonA Offline
Wiki Editor
Monitors

Posts: 3,005
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: #9
RE: How Low Can (should?) I Go?
As Becker said I am chiming in. Yes my VPAP pressure is 20/16. I do not have any problem with it and there are others on the forum that are at a higher pressure than mine and a lot that are higher than your 16. It does make it a little trickier to maintain a good mask seal.

Sometimes when I have everything going just right I can not even feel the pressure until I turn the machine off and then it feels suddenly hard to breathe. Actually it is only by comparison that it feels that way since it has been so easy to breathe with the VPAP on.

I do occasionally get leakage through my tear ducts but have pretty much decided that is not a real concern.

I think that the only 2 potential negatives are aerophagia and increased central apneas. If you are not seeing either of those, I can not think of anything else that you need to worry about

Worry more about sanity checks from retired_guy, who is certifiable.................certifiably funny that is. he is only slightly off center

Best Regards,

PaytonA
08-06-2014 05:00 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Terry Offline

Advisory Members

Posts: 553
Joined: May 2014

Machine: Philips Respironics RemStar Auto with A-Flex (560P)
Mask Type: Nasal pillows
Mask Make & Model: P/R Nuance & Pap Cap
Humidifier: Integrated
CPAP Pressure: Auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #10
Cool RE: How Low Can (should?) I Go?
(08-06-2014 05:00 PM)PaytonA Wrote:  I think that the only 2 potential negatives are aerophagia and increased central apneas. If you are not seeing either of those, I can not think of anything else that you need to worry about

Thanks!

No CAs or anything else, so I think I'll leave it alone now. 8-)
08-06-2014 05:44 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Forum Jump:

Who's Online (Complete List)