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Pressure Change from 6 to 11. Do I do it in steps?
#11
(03-03-2015, 10:54 PM)Clearskiesaustin Wrote: Thanks! I tried the self-titrating at 6-12, but it was horrible for me. I'll look into the System One. I think the problem with the apap is that I wake up every time it changes pressures. That happened every time they changed the pressure at my sleep study, so I only got about 3 hours of sleep. I also don't use the ramp because it keeps waking me up as it ramps, even on 30-45 min. However, on continuous, I fall asleep in 15 min.

I moved from a APAP to a straight pressure of 8cm and I have felt great ever since I did that. Some people are more sensitive to pressure changes. There are studies done (Available on pubmed) which talk about more microarousals (the kind that knock you off a deeper sleep stage to a shallower sleep stage) happening on APAP vs. CPAP.

If you get a full data machine and set it to straight pressure, you can keep viewing your data with every pressure bump and watch your AHI numbers that way. Who knows, maybe you need less pressure than 11 to sleep comfortably.

A sleep labs titrated pressure typically removes all apnea, all flow limitations and all snores. So if that pressure is 11 for you, maybe you can sleep comfortably at a bit lower pressure which eliminates all apnea but lets some snores/flow limitations reappear.

But the only way to know for sure is to get a full data capable machine (like a A10 elite/autoset or PRS1 60 series). Good thing about getting an APAP is that you can always set it to straight pressure by setting max=min in APAP mode.

Started APAP 4-20, Closed range to 7.5-14, then straight 8.0 w/ Aflex 3
RDI always below 1. But sleep much much better at straight pressure.
Started on F10, Tried Quattro Air successfully. Finally settled on P10.
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#12
It's safe to go directly to 11.

I'd probably do it 1 cm per day or even slower, just to give myself time to adjust to it. You can also try 11 and then back down if it bothers you and come back up slowly.

Do you know how to adjust the pressure on your own? The CPAP Setup Manuals link at the top of this page can tell you how.

Check the useful links in my signature line at that bottom of this post for some help on not getting screwed when you buy the new machine.
Get the free SleepyHead software here.
Useful links.
Click here for information on the main alternative to CPAP.
If it's midnight and a DME tells you it's dark outside, go and check it yourself.
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#13
Wow , that's almost double your pressure, If you can't handle the auto machines then I'd go to 9 then after a week go to your 11., But as long as your pressures aren't moving when your sleeping maybe try going for the gusto and you can see what they were thinking, Always go back to plan B.

Sleep-well
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#14
(03-03-2015, 10:54 PM)Clearskiesaustin Wrote: Thanks! I tried the self-titrating at 6-12, but it was horrible for me.

What machine did you use to do that?

Using the machine you have listed in your profile I recommend you raise the pressure to 11 and see if you sleep ok. If not, when you meet with the doctor you can relay this experience and he may prescribe a bilevel machine that will help you tolerate the higher pressure.

Even if you do have trouble with an auto-adjusting pressure, you can still consider getting a machine with that capability. You could set it to a narrow range, say 10 to 12. Or just set it at a fixed rate of 11 and use it on occasion to do self-titrations.

Do not get another Escape. You want a good machine that collects all the data, not just some of the data.
Sleepster
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