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New BiPAP User
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cate1898 Offline

Advisory Members

Posts: 781
Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #11
RE: New BiPAP User
Glad to hear things are going well! And it should get better with time too.

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

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EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-26-2015 06:17 PM
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Lisamarieknits Offline

Members

Posts: 11
Joined: Oct 2015

Machine: Resmed air curve vauto
Mask Type: Full face mask
Mask Make & Model: Resumed Quattro fx
Humidifier: Yes
CPAP Pressure: Unsure
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location:

Post: #12
RE: New BiPAP User
(11-23-2015 09:00 PM)cpdaniel Wrote:  Hello forum!

I'm a recently diagnosed patient with severe OSA - while the diagnosis was recent, I suspect that I've been suffering for at least 20 years.

I just got my machine today - sadly, I'm 3,000 miles away from it, so my first night of non-trial use will be Wednesday night - wish me luck!

I'm a software nerd and data nut, so I'm totally onboard with SleepyHead and ResScan - I can't wait to start looking at my data and zeroing in on what my settings really ought to be. My current settings are based on 4 in-home, 7-night studies over the past year, the most recent of which was completed just a couple weeks ago.

I'm sure I'll have questions over time -I've read hundreds of posts on this and other online support forums, but there's nothing like getting started to really see where the gaps in one's knowledge lie!

I am also on BiPAP. It's made a big difference. I also have severe osa. My biggest issue is swallowing air which causes a bunch of bad GI symptoms. I am playing with the settings to get it right. Unfortunately working with the doctors office has not worked so well. They are slow to respond and don't understand the latest machines. I have the air curve 10 Vauto. I wish you the best. Hopefully you will get some good rest soon!!
11-26-2015 07:47 PM
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cpdaniel Offline

Preferred Members

Posts: 61
Joined: Nov 2015

Machine: Resmed AirCurve 10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P SimPlus
Humidifier: Built-in
CPAP Pressure: IPAP: 9-17, PS: 4
CPAP Software: ResScan SleepyHead

Other Comments: Untreated AHI: 58. Undiagnosed years: 20+

Sex: Male
Location: Central California, USA

Post: #13
RE: New BiPAP User
(11-26-2015 11:07 AM)cpdaniel Wrote:  Night number one is in the can Smile. Not bad for a first night, I think. Didn't manage to get too much sleep, but when I was asleep, my AHI was <2, which is better than on any of my sleep studies.

Just a few OAs - the machine registered some CAs too, but I know that most (or all) of these occurred when I was awake, or transitioning in/out of sleep. Pressure got pretty high (hit the configured upper limit of 20), but was 13.7 average for the night.

Looking at the data in both SleepyHead and ResScan - both are nice programs, easy to use. I'll keep using both until a clear winner arises.

Three nights now. AHI holding at around 3.6, but I'm pretty sure that's artificially inflated due to all the SWJ time as I'm waking up quite frequently. My AHI was 58 in my sleep study, so 3.6 is a huge improvements. During any long periods of sleep (2+ hours), I'm seeing zero/one events. More "getting used to" time needed still.

Smile
11-28-2015 09:05 AM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,309
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #14
RE: New BiPAP User
Sounds excellent. What range has the pressure settled into?

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11-28-2015 10:10 AM
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cpdaniel Offline

Preferred Members

Posts: 61
Joined: Nov 2015

Machine: Resmed AirCurve 10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P SimPlus
Humidifier: Built-in
CPAP Pressure: IPAP: 9-17, PS: 4
CPAP Software: ResScan SleepyHead

Other Comments: Untreated AHI: 58. Undiagnosed years: 20+

Sex: Male
Location: Central California, USA

Post: #15
RE: New BiPAP User
(11-28-2015 10:10 AM)Sleeprider Wrote:  Sounds excellent. What range has the pressure settled into?

Median IPAP is ~13, 95% percentile is 19 - but whenever the pressure gets over ~15, I'm suspicious that it's reacting to me waking up - thinks I'm having CA's. Time will tell - ordered a second mask today, will see if a different mask changes things.
11-28-2015 11:03 PM
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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: #16
RE: New BiPAP User
Your machine will not raise pressure in response to CAs.

Best Regards,

PaytonA
11-29-2015 12:15 PM
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cpdaniel Offline

Preferred Members

Posts: 61
Joined: Nov 2015

Machine: Resmed AirCurve 10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P SimPlus
Humidifier: Built-in
CPAP Pressure: IPAP: 9-17, PS: 4
CPAP Software: ResScan SleepyHead

Other Comments: Untreated AHI: 58. Undiagnosed years: 20+

Sex: Male
Location: Central California, USA

Post: #17
RE: New BiPAP User
(11-29-2015 12:15 PM)PaytonA Wrote:  Your machine will not raise pressure in response to CAs.

Guess it must be something else then Smile

I'm going to observe and record - over time I'm sure the picture will become clearer. Meanwhile, 1.38 AHI last night, so headed in the right direction.
11-29-2015 08:55 PM
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cpdaniel Offline

Preferred Members

Posts: 61
Joined: Nov 2015

Machine: Resmed AirCurve 10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P SimPlus
Humidifier: Built-in
CPAP Pressure: IPAP: 9-17, PS: 4
CPAP Software: ResScan SleepyHead

Other Comments: Untreated AHI: 58. Undiagnosed years: 20+

Sex: Male
Location: Central California, USA

Post: #18
RE: New BiPAP User
(11-29-2015 12:15 PM)PaytonA Wrote:  Your machine will not raise pressure in response to CAs.

Looks like the times when the pressure is getting high and eventually waking me up is when I roll over onto my back. I'm normally a side-sleeper, but I'm noticing that when I wake I'm on my back.
11-30-2015 08:35 AM
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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: #19
RE: New BiPAP User
I do the same thing. I go to sleep on my side and I think that I sleep mostly on my side but I usually wake up on my back.
11-30-2015 11:30 AM
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cpdaniel Offline

Preferred Members

Posts: 61
Joined: Nov 2015

Machine: Resmed AirCurve 10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P SimPlus
Humidifier: Built-in
CPAP Pressure: IPAP: 9-17, PS: 4
CPAP Software: ResScan SleepyHead

Other Comments: Untreated AHI: 58. Undiagnosed years: 20+

Sex: Male
Location: Central California, USA

Post: #20
RE: New BiPAP User
(11-30-2015 08:35 AM)cpdaniel Wrote:  Looks like the times when the pressure is getting high and eventually waking me up is when I roll over onto my back. I'm normally a side-sleeper, but I'm noticing that when I wake I'm on my back.

Definitely correlated to back sleeping. When I'm sleeping on my side, a constant IPAP of ~13 is held by the machine and my AHI is 0.39.

   

When I'm sleeping on my back (deliberately), the pressure quickly reaches the max IPAP of 20 and hovers around there, and my AHI (last night) was 39. It's a chore to control leaks even at 20, but I'm wondering if I should try upping the max IPAP just a bit to see if there is a pressure at which my H/OA are controlled when I'm on my back.

   

On the flip side, tonight I'm going to try blocking my back side so that I'm less likely to roll onto my back in my sleep - or at least, less likely to remain in that position for long!

I might also try a back-sleeping experiment where I use my oral device in addition to PAP to see what that does.

Recommendations/thoughts appreciated!
(This post was last modified: 12-01-2015 09:05 AM by cpdaniel.)
12-01-2015 09:00 AM
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