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Increased Treatment Pressure-No Noticeable Effect
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stanleydean Offline

Preferred Members

Posts: 85
Joined: Aug 2014

Machine: Resmart CPAP
Mask Type: Full face mask
Mask Make & Model: Drive Medical Comfort Fit Deluxe
Humidifier: Resmart
CPAP Pressure: 10.5 cm H2O
CPAP Software: Not using software

Other Comments: No downloadable software available for Resmart. Partial data available via icodeconnect.com

Sex: Male
Location: Central Florida

Post: #1
Increased Treatment Pressure-No Noticeable Effect
Hello everyone,

Over the past couple of weeks I have bumped pressure from 9 to 10 to 10.5 and to 11. The SD card report from the past 42 days, included with this post, shows about the same treatment level before and after increasing the pressure. I can't get enthusiastic about continuing to increase the pressure with my current machine. I'll be traveling over the next two weeks or so and plan to leave the pressure as is or, at the most, go up to 11.5 and maybe 12 to see if there is any improvement. Then, I will either try for approval of a new in-clinic study or obtain a used APAP machine.

Since becoming active in the forum I have a much better understanding of this apnea journey and hope to help myself and others in the long run. I three immediate family members currently using CPAP as I did for many years, "take what they give you and don't worry about details". There is also one that has been diagnosed with apnea but seldom uses the machine for various reasons. If I can help these family members in any way I will be happy.

By the way,practically every morning I feel rested when I get up and most nights I believe I sleep well. My increased pressure does not seem to cause a leakage rate problem.
09-12-2015 10:07 AM
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sonicboom Offline

Advisory Members

Posts: 474
Joined: May 2015

Machine: Airsense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10, Dreamwear
Humidifier: Integrated
CPAP Pressure: 4.6-7.6
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Washington

Post: #2
RE: Increased Treatment Pressure-No Noticeable Effect
Keep at it. It will be much better when you get a machine that is compatible with Sleepyhead software. I think then the folks here will be likely to help you better adjust your settings. For instance, currently it can't be gleaned whether you are having many or few Central Apnea events. Sometimes the instances of CAs can rise with increased pressures which leads to higher AHI scores.

The key lies in your last statement: "By the way,practically every morning I feel rested when I get up and most nights I believe I sleep well." While you definitely want to work toward getting your AHI under 5, the way you feel is ultimately the best test of whether the therapy is working for you.

Coffee
09-12-2015 10:30 AM
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justMongo Offline

Monitors

Posts: 3,853
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: #3
RE: Increased Treatment Pressure-No Noticeable Effect
Stan: If that's your true name and address on the PDF attachment; I highly recommend you delete the attachment; and in the future, find a means to redact personal information for reasons of medical privacy.

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.
09-12-2015 01:12 PM
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SaldusMiegas Offline

Advisory Members

Posts: 228
Joined: Apr 2015

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: P-10, F&P Simplus
Humidifier: integrated
CPAP Pressure: Rx:14, Set:Auto 8.0-15.0
CPAP Software: ResScan SleepyHead

Other Comments: Woot! P-10 pillows plus Ruby chinstrap for side-sleeping mouth breathers

Sex: Male
Location: Virginia

Post: #4
RE: Increased Treatment Pressure-No Noticeable Effect
hi stanleydean,

I think you are wise to not mess with the pressure while on travel. So many other variables already come into play, you won't be able to tell much about what the effect of the pressure change is until you get back home to a stable routine again.

justmongo made a good catch on your personal data if you didn't intend publish it. If you can't edit your original post (you can for a while, then the edit button goes away) then ask a moderator for help. You can do that by clicking on the Report Post button.

The best news is you are already feeling better and getting restful sleep.

Saldus Miegas
09-12-2015 01:52 PM
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justMongo Offline

Monitors

Posts: 3,853
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: #5
RE: Increased Treatment Pressure-No Noticeable Effect
Best way to ask for moderator help is to see who is moderating the forum by going back one level.
Moderators for this forum are: DeepBreathing, PaulaO2, Sleepster, SuperSleeper.
Then look in who is online to see if a mod is online.
At present, moderator DeepBreathing is online. A PM to a mod will get help.

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.
09-12-2015 03:29 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #6
RE: Increased Treatment Pressure-No Noticeable Effect
I did a recent shift to CPAP and tried each setting from about 7 to 12, each for 3 or 4 nights. I noticed that results did not make too much sense. There is so much variability in each night that I could not see a gradual better score as I was increasing the pressure.

It is still a potentially good thing to do, and maybe if I had done this more gradually I would have seen the averages gradually diminish.

Three things I did take from this were (1) I did feel better at higher pressures of 11 and 11.5, (2) aerophagia (swallowing air) set in at 12 cmH2O, and (3) ironically higher readings at 10.5 cmH2O almost like a boundary.

Here are my trial nights and their average RDI score (AHI plus Respiratory based awakenings), in the last to first order.

Nights RDI Setting
3 6.72 C-Flex x3 CPAP Fixed 12 (cmH2O)
2 4.94 C-Flex x2 CPAP Fixed 11.5 (cmH2O)
6 2.26 C-Flex x2 CPAP Fixed 11 (cmH2O)
3 12.30 C-Flex x2 CPAP Fixed 10.5 (cmH2O)
5 4.05 C-Flex x2 CPAP Fixed 10 (cmH2O)
2 5.07 C-Flex x2 CPAP Fixed 9.5 (cmH2O)
3 6.80 C-Flex x3 CPAP Fixed 9 (cmH2O)
1 3.39 C-Flex x3 CPAP Fixed 8.5 (cmH2O)
3 7.20 C-Flex x3 CPAP Fixed 7.5 (cmH2O)

I chose to set my APAP at 11 min and 12 max A-Flex x1. Over 11 days, my RDI was 4.32, better than any of the settings I had tried with minimum set in the 5 to 8 cmH2O range.

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. 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.
09-13-2015 11:47 AM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #7
RE: Increased Treatment Pressure-No Noticeable Effect
You said you made the changes over the past couple of weeks.

Changes should be made then data gathered over several weeks before another change is made. We usually recommend at least 10 days between changes. This is because there are soooo many variables that go into a night's worth of sleep. We look at trends, not day-by-day data. While each night's data is useful and necessary, you need to look at the larger picture when trying to determine optimum pressure ranges.

This means, yeah, it's going to take a while. But it is necessary.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
09-14-2015 05:43 PM
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cowboy1970 Offline

Preferred Members

Posts: 67
Joined: Jun 2012

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Puritan Bennett Breeze
Humidifier: H5i
CPAP Pressure: around 11 now (2/20/13)
CPAP Software: ResScan

Other Comments: Try not to think about a spider crawling up your nose from inside your tubing as your drift off. lol

Sex: Male
Location: Tacoma, WA

Post: #8
RE: Increased Treatment Pressure-No Noticeable Effect
ya, i agree with the staff here. take it slow. gather data.
09-14-2015 06:10 PM
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