RE: Please review
(05-07-2018, 08:02 PM)Sleeprider Wrote: Tricky, there are many charts on the page I saw ranging from AHI mid 2x to mid 8x. That is a huge amount of data to digest, but the overall theme is hypopnea, flow limitation, a bit of OA and very little CA. With a pressure of 14 to 18 I think bilevel is a better and more comfortable solution. I also think you 'd do better with a Resmed Airsense 10 Auto set than a Philips, but given a choice I'd get a bilevel Aircurve 10 Vauto or BiPAP Auto. Bilevel pressures could clear up the events in a way CPAP can't. How do you feel about the therapy. It looks a bit marginal to me, but you're sleeping with it. Well I definetly can say Im sleeping much better than before I had the machine. My initial AHI was 38.4, and just last night my AHI was 3.1 so my heart is definetly not working as hard! 38.4 down to 3.1 is excellent to me. I plunked out alot of money for this machine so I'd rather try to work using this one for now. Any suggestions? I tried the cervical collar, not able to keep it on. Stuffing a pillow under my neck keeps my airway nice n clear,Im guilty for not doing it every night.
05-08-2018, 08:26 PM
(This post was last modified: 05-08-2018, 08:30 PM by Sleeprider.)
RE: New Data [with followup data]
I do the same with a feather pillow. I find if I pull it over my shoulder and rest my chin on the pillow I breath a lot better. Never have tried a cervical collar, but then again, my AHI is generally under 1 and was 0.3 last night. Your charts are pretty busy with a mix of all the obstructive events and pressures of 14-18. I think you would do a lot better with a Resmed using similar pressures with EPR at 3, or a bilevel machine with an EPAP of 10 and PS 4 and maximum pressure of 18. That's just the way it is. You can only do so much with the Philips implementation of Auto CPAP. If you are sleeping well, comfortable and satisfied with the therapy, then that is a great result. I think a different machine would make a huge difference.
Keep an eye out on Craigslist for a very well-priced bilevel Philips BiPAP Auto or Resmed S9 VPAP Auto or Aircurve 10 Vauto. If you see something affordable, then grab it. We can talk about how it will virtually eliminate your residual events. I just don't have a great way to make your current machine work better, given what is going on in these charts.
RE: New Data [with followup data]
So in the meanwhile, what setting should I adjust to?
RE: New Data [with followup data]
(05-08-2018, 08:48 PM)trickyneedsleep Wrote: So in the meanwhile, what setting should I adjust to?
Well you're at 14-15. I don't think anything drastic. Just change the maximum pressure to 16.5.
RE: New Data [with followup data]
aCTUALLY MY CURRENT SETTINGS IS AT MAX 18
RE: New Data [with followup data]
Last night's AHI was 2.1!
RE: New Data [with followup data]
I'd call that progress in the right direction. Let's hope that continues.
RE: New Data [with followup data]
Sleeprider mentioned this in a previous post
"a Resmed using similar pressures with EPR at 3"
Is this ResMed machine with the EPR setting a regular CPAP machine or is it a BiPAP machine? If it's a regular CPAP machine, what model do you suggest that has this EPR setting?
RE: New Data [with followup data]
All A10 CPAP models have the EPR option. It's the data storage that is only available on the "Elite" and "Autoset" models. The "CPAP" model is considered a brick, meaning no detailed sleep data is recorded. While all the models are considered a CPAP, Resmed chose to name their basic model, "CPAP", which can be confusing. We recommend the "Autoset" or "Autoset for Her" over all the other models. The "Elite" does not allow for auto titration.
The EPR allows the CPAP to mimic a Bi-Level machine up to a 3cm IPAP/EPAP difference. A Bi-Level machine can go much higher in pressure difference.
I hope this answers your questions.
RE: New Data [with followup data]
(05-18-2018, 11:28 AM)Crimson Nape Wrote: All A10 CPAP models have the EPR option. It's the data storage that is only available on the "Elite" and "Autoset" models. The "CPAP" model is considered a brick, meaning no detailed sleep data is recorded. While all the models are considered a CPAP, Resmed chose to name their basic model, "CPAP", which can be confusing. We recommend the "Autoset" or "Autoset for Her" over all the other models. The "Elite" does not allow for auto titration.
The EPR allows the CPAP to mimic a Bi-Level machine up to a 3cm IPAP/EPAP difference. A Bi-Level machine can go much higher in pressure difference.
I hope this answers your questions.
It does, thank you
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