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Need help setting pressure
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jen61 Offline

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Posts: 26
Joined: Jun 2016

Machine: DreamStation Auto CPAP
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: Built In
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Missouri USA

Post: #1
Need help setting pressure
Okay, so I've been using the Philips Dreamstation for a couple months now at the auto setting. After doing an in lab sleep study a couple of weeks ago, the Dr. who read the report recommends a setting of 16.
I'm on my own when it comes to setting it I guess, and the manual doesn't explain how. Can someone guide me on how to do this? Also should I set a minimum or just a straight "16"...?? Sorry kind of clueless about setting it on my own.
Thanks.
08-15-2016 05:12 PM
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OpalRose Offline

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Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #2
RE: Need help setting pressure
Order the Clinicians manual and that will explain how to get into the menu.
http://www.apneaboard.com/adjust-cpap-pr...tup-manual

What has your 90% pressure reading been? I would normally suggest setting a minimum pressure 2cm below the 90% number and 2cm above.

Also, do you know the breakdown of your AHI ......any clear airways? Obstructives, hypopneas?
Would like to see what your Doctor bases the setting of 16 on.

You have been using a wide open range of 4-20, so you should have those numbers after 4 weeks.

Ideally, you should send us a screenshot and someone here can better advise.
https://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur

OpalRose
08-15-2016 05:31 PM
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jen61 Offline

Preferred Members

Posts: 26
Joined: Jun 2016

Machine: DreamStation Auto CPAP
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: Built In
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Missouri USA

Post: #3
RE: Need help setting pressure
Here are my statistic from Sleepyhead
[Image: SBypsC4l.png]
08-15-2016 06:39 PM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #4
RE: Need help setting pressure
That's pretty hard to read, but I think it says your 90% number is around 15 to 16. That's seems to also be the number your doctor is using.

Since you are at a low pressure of 4, you should start inching your minimum pressure upwards until you reach at least 12.
That seems like quite a hike, but staying at 4 will not bring the obstructives, hypopneas, and flow limitations in line, not to mention it must be hard to breath with a pressure at 4.

For now, I would change the minimum pressure to 6 or even 7, and watch your data weekly, and inch it up .5cm weekly until you see improvement. If it were me, I would move mine up by 1cm at a time, but you need to do what is most comfortable for you.

So ideally, from what I can see above, your pressure range should be around 12-18, with a 90% pressure of 15+, that's about right.

Next time, follow the links I gave you above and post data from the daily page of Sleepyhead and organize the graphs as shown in the links. That way we can better help you.

For comfort, use one of the Flex settings, either 2 or 3.

OpalRose
08-15-2016 07:00 PM
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kwhenrykerr Online
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Posts: 245
Joined: May 2016

Machine: DreamStation Auto, AirSense 10 Auto
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Philips, AirSense 10
CPAP Pressure: 12-20
CPAP Software: SleepyHead

Other Comments: 2L added oxygen with CMS50F to check usage

Sex: Male
Location: Florida

Post: #5
RE: Need help setting pressure
I would set my ramp to 6 or 7 and my min. pressure to 16 and max to 20.
Sleep-well

Just my personal opinion. My posts are not medical advice or a statement of fact. Please consult a qualified physician or other qualified medical personnel. Please comply with all applicable laws, codes, regulations, and protocols.
08-16-2016 05:29 PM
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Mosquitobait Offline

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Posts: 746
Joined: Apr 2015

Machine: Resmed AirSense 10 For Her
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10
Humidifier: integrated, Climate line tube
CPAP Pressure: 9-12
CPAP Software: ResScan SleepyHead

Other Comments: RLS and Bradycardia

Sex: Female
Location: Minneapolis

Post: #6
RE: Need help setting pressure
The advantage to slowly raising your bottom number, as Opal Rose indicates, is that it gives you time to adjust to the higher starting pressures. I had difficulty falling asleep when I jumped from 6 to 9, so I went back and set it to 7 for 4 or 5 nights and then 8 for 4 or 5 nights. I stopped using the ramp when I had it set at 9 - never needed it after that since I was comfortable starting the night out at 9.
08-16-2016 05:55 PM
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jen61 Offline

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Posts: 26
Joined: Jun 2016

Machine: DreamStation Auto CPAP
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: Built In
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Missouri USA

Post: #7
RE: Need help setting pressure
Ok I tried to set it and can't get it to do anything. I pushed the round button on the front along with the ramp button for more than 5 seconds and nothing happened.(I tried several times)... Is there something else I'm not doing right?
08-17-2016 04:39 PM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #8
RE: Need help setting pressure
Are you following the instruction from the Clinicians Manual? After holding both the round knob and the ramp button for 5 sec., it should take you to the provider menu. You have to use the round control knob to navigate the menu.

If this doesn't work, unplug your machine, and then plug it back in to set. Then try again.

OpalRose
08-17-2016 04:59 PM
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chill Online

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Posts: 864
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #9
RE: Need help setting pressure
You also have to be at the top level menu when you do this. I think. That or I am clumsy.
08-17-2016 05:51 PM
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pupcamper Online

Advisory Members

Posts: 401
Joined: Nov 2015

Machine: PR DreamStation CPAP Pro
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 Pillows; Quatro Air FFM
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 10.5 cmH2O; no ramp; no C-Flex
CPAP Software: SleepyHead EncorePro

Other Comments: Lung cancer survivor since 11/2004; CPAP since 11/2015

Sex: Male
Location: Van Buren, Arkansas, USA.

Post: #10
RE: Need help setting pressure
(08-17-2016 05:51 PM)chill Wrote:  You also have to be at the top level menu when you do this. I think. That or I am clumsy.

That is right, chill. Or I'm clumsy, too.

"....respiration,—a troublesome practice, but one which custom has rendered necessary to our easy existence...." Oliver Twist, Charles Dickens- 1837

I use FlashPAP to load data from a FlashAir III wifi sd card in my machine to my computer and display it with SleepyHead .
robysue's Beginner's Guide to SleepyHead
08-17-2016 06:42 PM
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