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Pressure Advice
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me50 Offline

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Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

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Sex: Undisclosed
Location: USA

Post: #31
RE: Pressure Advice
(03-11-2014 12:19 AM)olmate Wrote:  I just spent a bit of time organizing some snaps but Im over my limit to post them
how long does that last ?

after 20 posts, you get a little more quota. You can look in member help files and it explains all the levels and the requirements to reach those levels.

Until then, you will have to delete your previous data and post new data.
03-11-2014 12:28 AM
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DeepBreathing Offline
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Posts: 2,292
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: #32
RE: Pressure Advice
Olmate, the high proportion of central (clear airway) apneas is a worry. Unlike obstructive apnea (in which your airway collapses physically blocking the flow of air) central apneas are caused by your brain "forgetting" to tell you to breathe. This might be brought on by the pressure of the CPAP treatment - fairly common, and likely to resolve itself with time. OR it might be something endogenous - you have a pre-existing condition. A third option is that they are caused by pressure but don't resolve. Finally, the machine can record centrals as you transition from wakefulness to sleep and vice versa - you will see clusters at the start and end of your sleep session, which are not really too much concern.

If the centrals don't go away, you will need a different type of machine to treat them (S9 VPAP Adapt or Respironics Bipap ASV). Your standard CPAP / APAP (ie an S9 Autoset) will recognise and record centrals, but doesn't have the ability to treat them. The ASV machines will treat them, but they are way expensive - around $4,000.

Following up my earlier comments, and Zonk's suggestion, you really should have that sleep study to get a proper baseline and overall diagnosis.

DeepBreathing
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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.
(This post was last modified: 03-11-2014 03:54 AM by DeepBreathing.)
03-11-2014 12:39 AM
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olmate Offline

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Posts: 26
Joined: Nov 2013

Machine: ResMed S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Mirage™ FX Nasal-Standard
Humidifier: none
CPAP Pressure: 6-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Australia

Post: #33
RE: Pressure Advice
any info would be appreciated

[attachment=757]
[attachment=758]
03-11-2014 02:07 AM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #34
RE: Pressure Advice
Can you post leak and pressure (not mask pressure) graphs
03-11-2014 02:19 AM
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olmate Offline

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Posts: 26
Joined: Nov 2013

Machine: ResMed S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Mirage™ FX Nasal-Standard
Humidifier: none
CPAP Pressure: 6-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Australia

Post: #35
RE: Pressure Advice
ok

[attachment=759]feb 23
[attachment=760]march 10
(This post was last modified: 03-11-2014 02:31 AM by olmate.)
03-11-2014 02:30 AM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #36
RE: Pressure Advice
(03-11-2014 02:30 AM)olmate Wrote:  ok

feb 23
march 10

will it let you keep these 2 graphs and post the one of your AHI's on the day that centrals were over 1/2 of your events? Where your AHI graph, leak graph and pressure graph are all on the day where you had centrals that were over 1/2 of the events.

imho, we need to see all 3 graphs for the same day.
03-11-2014 04:19 AM
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comatose Offline

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Posts: 66
Joined: Jan 2014

Machine: ResMed s9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: H5i
CPAP Pressure: 9.8-12.6
CPAP Software: ResScan SleepyHead

Other Comments: Now I am happy coz only some days I'm crappy, thanks to my c pappy :)

Sex: Male
Location: 1 hr from Melbourne, Australia

Post: #37
RE: Pressure Advice
olmate I reckon you need to work on those leaks, tiz a pity CPAP silicone isn't invented yet.

My AHI seemed to follow my leaks, I got the leaks as good as I could get on the FFM, they were still to high so I switched to nasal pillows and chinstrap and that nailed it.

I think the mask leaks have to be minimized and re evaluate from there, from my own personal experience fixing leaks made a big difference.

ps... I have read in here about people using mask liners for leak and pressure sore issues, sorta like a gasket I suppose.
(This post was last modified: 03-11-2014 04:32 AM by comatose.)
03-11-2014 04:27 AM
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olmate Offline

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Posts: 26
Joined: Nov 2013

Machine: ResMed S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Mirage™ FX Nasal-Standard
Humidifier: none
CPAP Pressure: 6-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Australia

Post: #38
RE: Pressure Advice
these any good

[attachment=761]
[attachment=762]
03-11-2014 04:47 AM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #39
RE: Pressure Advice
Feb 23 - not sure what happen here, 6.21am - 3.27 pm, unusual seeing before mid-day session and after mid-day session combined in one session
Noon is the start of a new CPAP day (tomorrow date)

10 March - Leak is well controlled, maybe little mouth breathing (chinstrap is recommended) but does not seem causing any problem
9+ hours sleep non-stop

Couple of suggestion: avoid sleeping on your back if possible and lower or turn off EPR, see what happen
It can be godsend to some people and the opposite is true for others ... everyone is different
03-11-2014 05:17 AM
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olmate Offline

Preferred Members

Posts: 26
Joined: Nov 2013

Machine: ResMed S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Mirage™ FX Nasal-Standard
Humidifier: none
CPAP Pressure: 6-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Australia

Post: #40
RE: Pressure Advice
[quote='zonk' pid='62009' dateline='1394533043']
Feb 23 - not sure what happen here, 6.21am - 3.27 pm, unusual seeing before mid-day session and after mid-day session combined in one session
Noon is the start of a new CPAP day (tomorrow date)
------------------------------------------------------------------------------------------------------------------------------------------------
Thanks very much zonk
feb 23 was my first day i was giving it a try in the early period
I hadn't adjusted the time either

ok zonk i will try that setting tonight then leave it for a few weeks as is with minor tweaks maybe

Thank You Zonk and the others for the help your giving me Thanks
03-11-2014 05:40 AM
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