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Need help tweaking settings
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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: #11
RE: Need help tweaking settings
I don't think leaks are a problem. You have not gone into large leak territory at all. So don't get a chin strap. It just complicates life further. I believe that the P10 is suiting you well.

Your VS and VS2 lines in the event chart are concentrated to specific time periods. It may be that you snore only when sleeping in supine position. And overall no. of these lines are fairly small in my opinion. And I think that the machine chases these vs lines with raising pressure unnecessarily. It's probably not halting any impending apneas. But it's waking you up and making you restart the
Ramp.

I would suggest you raise the min to 11, and also cap the top to 17 to begin with. If the max of 17 is not causing any apneas to surface, then you can reduce it even further. Evaluate for 10 days before making more changes.

My guess is that you will ultimately move to a tighter 12.5 - 15.5 range and sleep well. But that's just a guess.

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.
01-12-2016 03:51 AM
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Ghost1958 Offline

Advisory Members

Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #12
RE: Need help tweaking settings
(01-12-2016 03:51 AM)AshSF Wrote:  I don't think leaks are a problem. You have not gone into large leak territory at all. So don't get a chin strap. It just complicates life further. I believe that the P10 is suiting you well.

Your VS and VS2 lines in the event chart are concentrated to specific time periods. It may be that you snore only when sleeping in supine position. And overall no. of these lines are fairly small in my opinion. And I think that the machine chases these vs lines with raising pressure unnecessarily. It's probably not halting any impending apneas. But it's waking you up and making you restart the
Ramp.

I would suggest you raise the min to 11, and also cap the top to 17 to begin with. If the max of 17 is not causing any apneas to surface, then you can reduce it even further. Evaluate for 10 days before making more changes.

My guess is that you will ultimately move to a tighter 12.5 - 15.5 range and sleep well. But that's just a guess.

Agree raise the min pressure.
But the PRS1 machines dont raise pressure to vs2 snores, which arent audible snores .

They will react to vs1 snores about the same as a flow limitation.
01-12-2016 07:07 PM
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ginzo Offline

Advisory Members

Posts: 227
Joined: Aug 2015

Machine: ResMed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Res Med Airfit P-10
Humidifier: Humidair S with heated hose.
CPAP Pressure: 10.0-13.0
CPAP Software: ResScan SleepyHead

Other Comments: I'm a mouth breather!!!

Sex: Male
Location: North Port, FL

Post: #13
RE: Need help tweaking settings
SR,
Thanks for the input. I'm only familiar with Resmed equipment and am paddling as fast as I can to catch up. LOL

As far as chin strap, I just threw that in there...... I didn't see a leak issue either. (grasping at straws)Thinking-about

These threads are great teaching tools!!!like

(01-11-2016 08:59 PM)Sleeprider Wrote:  Ginzo, I agree with slow changes, however, unlike Resmed, PRS1 machines change in 0.5 cm increments. A 1.0 cm change to prevent obstruction, is not excessive given that the machine is going up by 8.0 cm. As far as a chin strap, I don't see a mouth leak pattern in the graph, and a chin strap can move the jaw back worsening OA. Disagree.
01-13-2016 07:17 PM
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Judi Offline

Members

Posts: 13
Joined: Jul 2015

Machine: Respironics PR System One REMstar Auto with A-flex
Mask Type: Nasal pillows
Mask Make & Model: P10
Humidifier: Respronics
CPAP Pressure: 10 - 20
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Female
Location: Louisville, KY

Post: #14
RE: Need help tweaking settings
Sorry I've been late to respond. I cracked the screen on my $1250 TV I bought for Christmas and have been going through some major depression. THEN, I lost a billion dollars last night. 2016 has really sucked so far...Sad

I'll start bumping the low number up .5 each night and lower the high to 17. You are correct in that the machine got so high that it woke me up. I turned off the machine each time so I could mark when it happened. Hopefully lowering the pressure will help.

Thanks for the responses and here's to a better start to the year!
01-14-2016 11:00 AM
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OpalRose Offline

Monitors

Posts: 3,180
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: #15
RE: Need help tweaking settings
[quote='Judi' pid='146433' dateline='1452787223']
Sorry I've been late to respond. I cracked the screen on my $1250 TV I bought for Christmas and have been going through some major depression. THEN, I lost a billion dollars last night. 2016 has really sucked so far...Sad

It could be worse if your in the stock market. Sad

I'll start bumping the low number up .5 each night and lower the high to 17. You are correct in that the machine got so high that it woke me up. I turned off the machine each time so I could mark when it happened. Hopefully lowering the pressure will help.

I think you will end up being around 12-13 as a starting pressure, but make changes slowly, also good you lowered the max.

OpalRose
(This post was last modified: 01-14-2016 11:30 AM by OpalRose.)
01-14-2016 11:29 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: #16
RE: Need help tweaking settings
(01-14-2016 11:00 AM)Judi Wrote:  ...I lost a billion dollars last night.

Actually, I lost the Billion Dollars last night!
One of the three 5+PB winning tickets was sold about 15 miles from me at a 7-Eleven. Ohwell

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.
01-14-2016 11:47 AM
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eseedhouse Online

Advisory Members

Posts: 881
Joined: Dec 2014

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
Humidifier: ResMed
CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #17
RE: Need help tweaking settings
(01-14-2016 11:47 AM)justMongo Wrote:  Actually, I lost the Billion Dollars last night!
One of the three 5+PB winning tickets was sold about 15 miles from me at a 7-Eleven. Ohwell

Well no, there were three tickets so you "lost" a billion divided by three.

Also of course, they don't pay you that right away. The "present value" of the money paid out over ten years is a good deal less.

Actually of course you didn't lose anything. You had several days of fun pretending how generous you would be when you won. That alone is worth the price of the ticket.

Also you won because you weren't struck by lightening, because the chance of that is tens of thousands of times greater than picking all the right numbers.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
01-14-2016 08:08 PM
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