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I had a bad night last night
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justMongo Offline

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Machine: ResMed VPAP Auto (S9)
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Mask Make & Model: ResMed Mirage Quattro
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CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

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Sex: Male
Location: Калифорния

Post: #1
I had a bad night last night
Clusters of Apneas that correlate with periods of flow limitation and snoring. I had one central. Leak rate was very good.
I run in S mode with a fixed IPAP and EPAP. Last night, it just didn't get the job done. I could run in Auto... or up pressure. Snoring seems to be on inspiration. Up IPAP pressure?


[Image: April7-8Apnearedacted.jpg]

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.
04-08-2014 11:51 AM
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retired_guy Offline

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Machine: ResMed S9 Autoset
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CPAP Software: ResScan SleepyHead

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Post: #2
RE: I had a bad night last night
Wow Mongo, that's quite a garden you're growing there.. If it were me, I think I'd go to auto, min about 12, max 20 and see what happens. The other thing I'd try is to add a chinstrap into the mix. Not too tight, just enough to encourage your mouth, and tongue, to stay out of the fracas.
04-08-2014 11:59 AM
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robysue Offline
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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: #3
RE: I had a bad night last night
justMongo,

Is this just a random "bad" night or are you seeing these bad nights on a regular basis like once a week?

Me? I'd be inclined to switch to Auto mode for a week or so. Find out what the 95% pressure the machine wants to use is. If you don't like Auto mode, then switch back to fixed mode taking into account what a week's worth of auto data says about the 95% pressures
(This post was last modified: 04-08-2014 01:54 PM by robysue.)
04-08-2014 01:53 PM
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PaytonA Offline
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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

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Sex: Male
Location: Orange County,California

Post: #4
RE: I had a bad night last night
Mongo,

Looks like you were designing a thrill ride for an amusement park in your sleep.

Any possibility that the areas of concern during the night might have been times when you were lying on your back??

Best Regards,

PaytonA
04-08-2014 01:54 PM
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robysue Offline
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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: #5
RE: I had a bad night last night
(04-08-2014 11:59 AM)retired_guy Wrote:  Wow Mongo, that's quite a garden you're growing there.. If it were me, I think I'd go to auto, min about 12, max 20 and see what happens. The other thing I'd try is to add a chinstrap into the mix. Not too tight, just enough to encourage your mouth, and tongue, to stay out of the fracas.
Mongo is using EPAP = 9, IPAP = 14 right now.

Jumping from a fixed EPAP = 9 to an Auto with Min EPAP = 12 is a HUGE change. And HUGE changes are often difficult to sleep with. I'd suggest a much, much small change:

If going with Auto, I'd say set the pressures as:

Min EPAP = 9
Max IPAP = 20
PS = 5 since that's your current PS level (PS = IPAP - EPAP)

You'll start the night off at your current pressures of 14/9, but if a nasty event starts up, the machine can increase the pressure as need. The maximum pressures with these suggested settings are 20/15.
04-08-2014 01:58 PM
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justMongo Offline

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Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #6
RE: I had a bad night last night
(04-08-2014 01:58 PM)robysue Wrote:  Mongo is using EPAP = 9, IPAP = 14 right now.

Jumping from a fixed EPAP = 9 to an Auto with Min EPAP = 12 is a HUGE change. And HUGE changes are often difficult to sleep with. I'd suggest a much, much small change:

If going with Auto, I'd say set the pressures as:

Min EPAP = 9
Max IPAP = 20
PS = 5 since that's your current PS level (PS = IPAP - EPAP)

You'll start the night off at your current pressures of 14/9, but if a nasty event starts up, the machine can increase the pressure as need. The maximum pressures with these suggested settings are 20/15.

It's typical for snore and flow limitation; but, higher in apnea events. I did get up about 2:30 to 3:00... then back to sleep on the xPAP

A more typical night is
[Image: April3-4Apnearedacted.jpg]

Robysue: That's what I was thinking if I went auto. Keep min EPAP at 9. Keep PS = 5. and open up the top (IPAP).

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.
04-08-2014 03:09 PM
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zonk Offline

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Machine: A10 AutoSet
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Post: #7
RE: I had a bad night last night
Leak graph is missing and why are you on S9 VPAP not S9 AutoSet
04-08-2014 08:07 PM
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justMongo Offline

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Posts: 3,851
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #8
RE: I had a bad night last night
(04-08-2014 08:07 PM)zonk Wrote:  Leak graph is missing and why are you on S9 VPAP not S9 AutoSet

Leak graph did not appear on same page -- leaks are not a problem.

I went with the S9 VPAP Auto because I was on BiLevel using an S8 VPAP. The VPAP Auto can run with a wider split in IPAP-EPAP=PS.

It was my intent to run in S mode with fixed IPAP and EPAP as per my Rx. With VPAP auto mode as a backup.

It seems those pressures need some tweaking.

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.
04-09-2014 05:30 AM
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