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New Machine - Out of Control Events! HELP
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blehmier Offline

New Members

Posts: 1
Joined: Jun 2016

Machine: ResMed AirCurve 10 VAuto Bi-Pap
Mask Type: Full face mask
Mask Make & Model: ResMed F10
Humidifier: Unsure
CPAP Pressure: Auto
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #1
New Machine - Out of Control Events! HELP
I just had a sleep study and was switched over to the ResMed AirCurve 10 Auto BiPap with heated hose. My events are way out of control though. I am exhausted and irritable during the day and can't go on much more like this. Anyone else had this happen to them? Is there software I can use for further insight? I was going to swap my machine out for a Dream Machine, but that doesn't sould like a good idea after what I read here..

It won't let me add my attachments because of size but here are my events/days:


May 31 - 36.6
June 1 - 59.5
June 2 - 48.2
June 3 - 65.1
June 4 - 38.2

They only thing I can think of is the fact I had cancer in my lung and the removed part of my lung in January and every since it hurts to breathe deep. I am also on pain medications, but have been since January. I suffer from Intercostal Neuralgia Pain.

I need help figuring this out...
06-06-2016 01:48 AM
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OpalRose Offline

Monitors

Posts: 3,167
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: New Machine - Out of Control Events! HELP
blehmier,
I don't use a bipap, but there are folk here that can help you.
You will have to provide them with some more information though.
Yes, your AHI is high....it is probably a matter of the pressure not set correctly.

To start, what is the breakdown of your AHI, like hypopneas, Obstructives, clear Airways?

Do your know what the pressure is set to? What is the minimum, maximum and pressure support?
Are you using EPR?

Download the free SleepyHead software, and take a look at your data, and let us know.
http://sleepyhead.jedimark.net/

OpalRose
06-06-2016 05:28 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,294
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #3
RE: New Machine - Out of Control Events! HELP
Hi blehmier, welcome to Apnea Board.

Do you have a copy of your sleep study report? If not, ask your doctor for a copy (full report, not just the summary). The report should give a full breakdown of the type of events you were experiencing prior to treatment - it should include obstructive apneas, central apneas, hypopneas and possibly other parameters. If you had a titration test, the report should give details of the treatment regimes that were tried and what the results were. This information will establish a baseline from which we can help advise improvements.

Next thing to do is get hold of SleepyHead software, at the link OpalRose gave. That will allow you to interrogate your results in great detail. As a new member you are limited in the size of files you can attach (unfortunately necessary to minimise spam) but you should be able to get the main summary section of SleepyHead under 200kb, and that will give us a lot of information about how the treatment is working. (It should look something like my attachment).

   

By the way, ResMed don't call their machines BiPap - that's a proprietary name for Philips Respironics bilevel machines.

Good luck with your therapy - I'm sure we can help you get things under control.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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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.
06-06-2016 07:01 AM
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justMongo Offline

Monitors

Posts: 3,845
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: #4
RE: New Machine - Out of Control Events! HELP
Although unwise to speculate without data; I'll hazard a guess that pain meds are causing central apnea. The data will tell.

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.
06-06-2016 09:01 AM
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PoolQ Offline

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #5
RE: New Machine - Out of Control Events! HELP
I switched to the AirCurve also, and was at the end of my rope. Doing much better now, only got up once last night and started out at getting up every 30-60 minutes. We need data. read all the info about posting sleephead data and what we need to see. You have a great machine and there are many adjustments that can help you get the sleep you need. The machine is "auto" but comfort settings cannot be done auto, you have to adjust them- I have adjusted every setting on my machine and will be glad to help you get yours in order (with the help of some very knowledgeable people around here).

Right now you are being limited until you have 8 posts, this is to block spammers. you can still get us the data we need with imgur and some creative links http://www.imgr dot com and the like.

Your machine already has all the data on it that you need.

Oh and been there, done that exactly the same results you are having. Different reasons, but ended up at the same place.
(This post was last modified: 06-06-2016 10:55 AM by PoolQ.)
06-06-2016 10:54 AM
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trish6hundred Offline

Advisory Members

Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #6
RE: New Machine - Out of Control Events! HELP
Hi blehmier,
WELCOME! to the forum.!
You have come to the right place for help.
I wish you much success as you continue your CPAP therapy and getting your machine set up to better meet your needs.
Hang in there for more responses to your post.

trish6hundred
06-06-2016 07:48 PM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,335
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: #7
RE: New Machine - Out of Control Events! HELP
Blehmeir, it's possible that you have complex apnea with central apnea events. If so, the simple bilevel can't help, but there is a machine that can. You need to know what kind of apnea events you are having.

There are a few choices to get the data. Sleepyhead software is best. See the link at the top of this page, and load it on your computer. It will read the data on your machine's SD card. Or, look at the sleep results data on your machine's screen. Your machine may be setup for "Essentials" reporting. If so, we will need to go into the settings to change that to Plus. Let us know what you see.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
06-06-2016 09:17 PM
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