Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

New BiPAP user! (UARS). Need serious help please! Data included, much appreciated
#21
RE: New BiPAP user! (UARS). Need serious help please! Data included, much appreciated
The heated hose and a pillows mask should help with comfort definitely.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Post Reply Post Reply






Donate to Apnea Board  
#22
RE: New BiPAP user! (UARS). Need serious help please! Data included, much appreciated
(02-12-2021, 01:59 PM)SarcasticDave94 Wrote: The heated hose and a pillows mask should help with comfort definitely.

I have my humidity on high and I notice that when I put the mask on, my nose becomes blocked. Its not usually that blocked during the day. I'm hoping that a heated hose could help my making air warmer? Could I turn the humidity low or off but still use the heated hose? I feel like warmer air would promote better nasal breathing for me.

I'm also hoping that p30i, in addition to making side sleeping easier, will also help with nasal congestion.
Post Reply Post Reply
#23
RE: New BiPAP user! (UARS). Need serious help please! Data included, much appreciated
Excess humidity can induce nasal congestion. There is a balance between too much and too little, and you need to find that middle ground. So we know high setting is not good, and I suspect off is not going to be pleasant. Pick a spot in the middle.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
Post Reply Post Reply
#24
RE: New BiPAP user! (UARS). Need serious help please! Data included, much appreciated
(02-12-2021, 02:42 PM)Sleeprider Wrote: Excess humidity can induce nasal congestion. There is a balance between too much and too little, and you need to find that middle ground. So we know high setting is not good, and I suspect off is not going to be pleasant. Pick a spot in the middle.

Okay thanks will do.

Looking at my breathing, I noticed some like this. Does this look like palatal prolapse? I would really hope I don't have expiratory flow limitations too...


Attached Files Thumbnail(s)
   
Post Reply Post Reply






Donate to Apnea Board  
#25
RE: New BiPAP user! (UARS). Need serious help please! Data included, much appreciated
No, palatal prolapse looks like a sharp drop into expiration that returns almost instantly to zero flow as the exhale is cutoff by the prolapse. http://www.apneaboard.com/wiki/index.php...l_Prolapse

Your image looks like mild flow limitation. http://www.apneaboard.com/wiki/index.php...limitation You are using 3-cm of pressure support and EPR which is what helps to reduce inspiratory flow limitation. Increasing pressure support usually smooths that out if it is a problem.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
Post Reply Post Reply
#26
RE: New BiPAP user! (UARS). Need serious help please! Data included, much appreciated
(02-12-2021, 04:21 PM)Sleeprider Wrote: No, palatal prolapse looks like a sharp drop into expiration that returns almost instantly to zero flow as the exhale is cutoff by the prolapse. http://www.apneaboard.com/wiki/index.php...l_Prolapse

Your image looks like mild flow limitation. http://www.apneaboard.com/wiki/index.php...limitation  You are using 3-cm of pressure support and EPR which is what helps to reduce inspiratory flow limitation. Increasing pressure support usually smooths that out if it is a problem.

Okay thank you. This makes sense.

Apologies if I've asked this before, but I'm a bit confused - is it the actual difference in pressure support that treats FLs? Or is it simply the IPAP number?

For example, I could just increase IPAP from 11 to 12 and keep my EPAP on 8 (thereby making it PS4), but I could also increase EPAP from 8 up to 9 and also IPAP from 11 to 12, thereby keeping PS 3 while also having higher IPAP for the FLs. If it is the former, why does higher PS number = more treated FLs? I thought its mainly the IPAP number itself rather than the PS itself.

I will increase from 3 to 4 though as you recommend, but I am curious on that. Thanks
Post Reply Post Reply
#27
RE: New BiPAP user! (UARS). Need serious help please! Data included, much appreciated
pressure support is the mathematical difference between IPAP and EPAP (IPAP-EPAP=PS). Increasing IPAP while leaving EPAP the same increases PS.

It would help if you updated your profile in the User CP to show the machine, mask and other information. http://www.apneaboard.com/forums/usercp.php You are using a Resmed S9 VPAP ST in VPAP S Mode. My recollection is your EPAP is set to 8.0 and IPAP at 11.0, so increasing IPAP to 12 will increase PS to 4.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
Post Reply Post Reply






Donate to Apnea Board  
#28
RE: New BiPAP user! (UARS). Need serious help please! Data included, much appreciated
Here is the titration protocol for a BiLevel S-mode.
http://www.apneaboard.com/wiki/index.php...n_Protocol

Note: EPAP = CPAP level at which obstructive apneas (OA) were eliminated.  Then you raise both EPAP and IPAP together until OA is eliminated.
For hypopneas, RERAs (Flow Limits, UARS too), or snoring Increase IPAP only (PS) until these events are resolved.
Gideon - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter

Download OSCAR
New to Apnea? Helpful tips to ensure success
Soft Cervical Collar
Mask Primer
Dealing with a DME
Organize Charts
Optimizing Therapy
Post Reply Post Reply
#29
RE: New BiPAP user! (UARS). Need serious help please! Data included, much appreciated
Being the idiot that I am, I left my SD card at the office. Damn.

Well, I will set the IPAP to 12 tonight thereby making the PS 4 and post how I feel tomorow without the data. Then I'll get my SD card tomorow and sleep with these settings again and get the data.
Post Reply Post Reply
#30
RE: New BiPAP user! (UARS). Need serious help please! Data included, much appreciated
So I increased my IPAP from 11 to 12 thereby pushing up my pressure support to 4.

Slept around 7.5 hours, but feel waay more rested. Eyes still slightly tired, but I'm convinced they wouldn't be had I slept more. 

I woke up once after 2 hour and then next after 4.5 hours. So throughout 7.5 hours, only really remember waking up twice. That's huge for me cos I usually remember waking up 8+ times over 8-10 hours. 

Now it turns out that humidifier DOES help but I realized that water was in my mask and i was having rainout. When I took my mask off, my congestion went away, but when It was on, one nostril was blocked. So when i took the tube off the mask, a bit of water came out. Can rainout cause nasal congestion? My nostril kept blocking throughout the night which was annoying.

Anyway when I woke up I refilled my humidifier and went back to sleep. Nose got unblocked until rainout happened again. I'm convinced if rain out didn't happen I wouldn't have woken up at all maybe.

Anyway, I feel way more rested on less sleep but still a little tired eyed. When my heated hose comes, tha should get rid of the rain out issue. And the nasal pillows should help too (full face mask made my nose and cheeks hurt).

Its remarkable tho that even with one nostril blocked, I still only woke up twice and felt rested. This Is promising

One more thing though... my humidifier tank seems to run out quite quickly. That is annoying. It seems to happen at hugh settings.
Post Reply Post Reply






Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
Question Is there a way to tell if I have a BiPAP or CPAP? astraith 9 93 53 minutes ago
Last Post: astraith
  Therapy for LPR, OSA, and… UARS? hoselife 16 287 02-23-2021, 01:46 PM
Last Post: hoselife
  Help with Bipap settings bioshen7 11 202 02-22-2021, 01:52 PM
Last Post: SarcasticDave94
  Bipap Titration for Preliminary UARS Diagnosis marasmus 1 71 02-21-2021, 04:22 PM
Last Post: Sleeprider
  BiPAP on the way - help with first night? qoethe 2 113 02-16-2021, 10:13 PM
Last Post: qoethe
  [Treatment] Oscar data help bipap Moemah123 21 533 02-15-2021, 04:55 PM
Last Post: Moemah123
  low AHI, poor sleep, UARS/mild OSA JEDP 8 214 02-09-2021, 11:19 AM
Last Post: staceyburke


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.