Post Reply 
[Pressure] Determining best pressure settings for APAP
Author Message
Tez62 Offline

Monitors

Posts: 837
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Melbourne, Australia

Post: #11
RE: Determining best pressure settings for APAP
DISleepApnea, I'm also having trouble seeing the graphs but from the statistics chart your leaks seem high they should be below 24 and you AHI is reasonably high but it is a only a short period, do you feel like the mask is leaking? A couple of suggestions, do you use mask liners? Do you have the hose coming from above your head either over your bed head or using a product called a hose lift? These may help your leaks.
12-24-2013 05:23 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DISleepApnea Offline

Members

Posts: 13
Joined: Nov 2013

Machine: Respironics REMstar 550P
Mask Type: Full face mask
Mask Make & Model: ResMed QuattroFX
Humidifier: Respironics
CPAP Pressure: 14 - 16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Albany, Indiana

Post: #12
RE: Determining best pressure settings for APAP
(12-24-2013 05:23 PM)Tez62 Wrote:  DISleepApnea, I'm also having trouble seeing the graphs but from the statistics chart your leaks seem high they should be below 24 and you AHI is reasonably high but it is a only a short period, do you feel like the mask is leaking? A couple of suggestions, do you use mask liners? Do you have the hose coming from above your head either over your bed head or using a product called a hose lift? These may help your leaks.

Please read my response to Zonk. My large leak is down to 0 - 2% with the new mask. I have been trying to find out what it takes to become a "member" instead of a "New" member because that would allow me to upload more attachments. I did try mask liners with little success with the previous mask, but this one seems to be doing well as is. I think most leaks are when I toss and turn into positions unsuitable for the mask and hose.
12-24-2013 07:11 PM
Find all posts by this user Post Reply Quote this message in a reply
DISleepApnea Offline

Members

Posts: 13
Joined: Nov 2013

Machine: Respironics REMstar 550P
Mask Type: Full face mask
Mask Make & Model: ResMed QuattroFX
Humidifier: Respironics
CPAP Pressure: 14 - 16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Albany, Indiana

Post: #13
RE: Determining best pressure settings for APAP
(12-23-2013 05:50 PM)PaulaO2 Wrote:  The purpose of the Auto is to adjust as needed throughout the night. A setting of 14-16 is a very, very tight range so the 95% is going to be hard for the machine to determine since there's not much room.

My suggestion is to drop the lower number to13 or even 12. And raise the upper number to 17. Then collect data over the next ten to 14 days. You need trends, not one or two nights' worth. By then, you would have a more accurate 95% rate and can determine if that range is good for you.
I agree but want to try this new setup a few days before another change. I would like to send detailed images of single nights but have used my attachment quota. It seems I either delete my previous ones or find out how to become a "member" instead of a "New Member". I can't find anything on the topic.
Thanks for the response.
12-24-2013 07:15 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DOOM_NX Offline

Preferred Members-2

Posts: 155
Joined: May 2013

Machine: ResMed S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Weinmann JOYCE SilkGel
Humidifier: ResMed H5i + ClimateLine (not using year-round)
CPAP Pressure: 5–16 cmH2O
CPAP Software: ResScan SleepyHead

Other Comments: 12/2011: Mild SAS (AHI 14.5) - 10/2013: Severe SAS (AHI 78.7) - Using AutoCPAP: AHI 1.4

Sex: Male
Location: Greece

Post: #14
RE: Determining best pressure settings for APAP
Have you already tried the wide-open setup (eg. 4-20 cmH2O)? It could give you a clue how low or high you should set your numbers and go on from there.
12-24-2013 07:42 PM
Find all posts by this user Post Reply Quote this message in a reply
DISleepApnea Offline

Members

Posts: 13
Joined: Nov 2013

Machine: Respironics REMstar 550P
Mask Type: Full face mask
Mask Make & Model: ResMed QuattroFX
Humidifier: Respironics
CPAP Pressure: 14 - 16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Albany, Indiana

Post: #15
RE: Determining best pressure settings for APAP
(12-24-2013 07:42 PM)DOOM_NX Wrote:  Have you already tried the wide-open setup (eg. 4-20 cmH2O)? It could give you a clue how low or high you should set your numbers and go on from there.

Boy, you want to get me in real trouble with my sleep therapist, sleep test center, and doctor! While I admit they have not been real good about sharing specific information on my test I don't want to go too crazy right off. Furthermore, I am not sure I have enough knowledge to know what changes to make based on the graphs. However, I do believe the original 14/14 was not right, except for the one night of testing. However, I definitely think I will change the upper limit after tonight. Thanks for the input.
12-24-2013 08:21 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,062
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #16
RE: Determining best pressure settings for APAP
What you adjusted in the "A-Flex" is not the pressure range but the pressure relief. Meaning the exhale relief. I would assume A-Flex 1 means it drops 1cmH2O with each exhale.

If you are using SleepyHead, which it looks like you are, you can right click repeatedly, zooming further and further in, wherever you are right clicking.

Membership levels: http://www.apneaboard.com/forums/Thread-Membership-Levels-explained
Attachment info: http://www.apneaboard.com/forums/Thread-How-to-Attachments

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
12-24-2013 08:23 PM
Find all posts by this user Post Reply Quote this message in a reply
DISleepApnea Offline

Members

Posts: 13
Joined: Nov 2013

Machine: Respironics REMstar 550P
Mask Type: Full face mask
Mask Make & Model: ResMed QuattroFX
Humidifier: Respironics
CPAP Pressure: 14 - 16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Albany, Indiana

Post: #17
RE: Determining best pressure settings for APAP
Thank You, Paula02
(This post was last modified: 12-24-2013 08:33 PM by DISleepApnea.)
12-24-2013 08:32 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DOOM_NX Offline

Preferred Members-2

Posts: 155
Joined: May 2013

Machine: ResMed S9 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Weinmann JOYCE SilkGel
Humidifier: ResMed H5i + ClimateLine (not using year-round)
CPAP Pressure: 5–16 cmH2O
CPAP Software: ResScan SleepyHead

Other Comments: 12/2011: Mild SAS (AHI 14.5) - 10/2013: Severe SAS (AHI 78.7) - Using AutoCPAP: AHI 1.4

Sex: Male
Location: Greece

Post: #18
RE: Determining best pressure settings for APAP
(12-24-2013 08:21 PM)DISleepApnea Wrote:  Boy, you want to get me in real trouble with my sleep therapist, sleep test center, and doctor! While I admit they have not been real good about sharing specific information on my test I don't want to go too crazy right off. Furthermore, I am not sure I have enough knowledge to know what changes to make based on the graphs. However, I do believe the original 14/14 was not right, except for the one night of testing. However, I definitely think I will change the upper limit after tonight. Thanks for the input.

There's no point having an Auto-CPAP if you're gonna use the same lower and higher pressure settings. Either the professionals you're dealing with are clueless or you are a very special patient.

Talk to your doctor about using a wider range.
12-24-2013 08:42 PM
Find all posts by this user Post Reply Quote this message in a reply
DISleepApnea Offline

Members

Posts: 13
Joined: Nov 2013

Machine: Respironics REMstar 550P
Mask Type: Full face mask
Mask Make & Model: ResMed QuattroFX
Humidifier: Respironics
CPAP Pressure: 14 - 16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Albany, Indiana

Post: #19
RE: Determining best pressure settings for APAP
You are, of course, correct. Thanks, Doom_NX
12-24-2013 08:54 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DISleepApnea Offline

Members

Posts: 13
Joined: Nov 2013

Machine: Respironics REMstar 550P
Mask Type: Full face mask
Mask Make & Model: ResMed QuattroFX
Humidifier: Respironics
CPAP Pressure: 14 - 16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Albany, Indiana

Post: #20
RE: Determining best pressure settings for APAP
    [attachment=625]             Here are some attachments that replace the original 2 and add more info. I think they will still view clearly enough.
12-24-2013 09:17 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Dream Station Ramp and Pressure Settings knowoneuno 15 245 Yesterday 06:50 PM
Last Post: Sleeprider
  Medicare Advantage Coverage for APAP Evie 3 173 11-30-2016 08:22 PM
Last Post: Mike1953
  Dream Station Settings Autumnseer 15 463 11-26-2016 07:01 AM
Last Post: Weird Tolkienish Figure
  Who generally is in charge of your CPAP settings? Mezzrow 9 445 11-12-2016 01:47 AM
Last Post: blueelement2016
  Which disturbs sleep most? High Pressure or Changing Pressure Rcgop 7 1,222 11-10-2016 07:37 PM
Last Post: Sleep2Snore
  cpap and apap not effictive Ezil71 109 3,071 11-05-2016 11:19 AM
Last Post: sonicboom
  do I have the right machine (and settings) JaminV 4 364 10-31-2016 10:05 PM
Last Post: trish6hundred

Forum Jump:

Who's Online (Complete List)