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Should I change my pressure settings?
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Rousseau21 Offline

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Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Amara View
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CPAP Pressure: 8 to 15 cm H²O with EPR at 3
CPAP Software: ResScan SleepyHead

Other Comments: Diagnose with OSA moderate-high. CPAP user since January 2016.

Sex: Male
Location: Montreal, Canada

Post: #1
Question Should I change my pressure settings?
Hello ApneaBoard community,


It's been a week that I'm using the setting 7 to 14 but with what I understand from here so far I probably have to put my lower pressure around 9 and increase my upper to 15.

See below my numbers of last night:

[Image: screenshot-20160217-200756_zpse39evdpy.png]

What do you think?

Thanks in advance !
02-17-2016 08:14 PM
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PoolQ Online

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CPAP Pressure: 6.2, 15, PS4.0
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Sex: Male
Location: Sillicon Valley

Post: #2
RE: Should I change my pressure settings?
Well you do seem to be taking quite a jump in pressure when things start happening. Your max pressure is sitting right near the limit, but not flattening out there. Your AHI is quite nice, to these numbers are working as far as apneas go.

The important question now is how are you feeling? rested? tired? Do you feel it is working? Are you comfortable?
02-17-2016 08:20 PM
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Rousseau21 Offline

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Posts: 78
Joined: Feb 2016

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: HumidAir with ClimateLineAir
CPAP Pressure: 8 to 15 cm H²O with EPR at 3
CPAP Software: ResScan SleepyHead

Other Comments: Diagnose with OSA moderate-high. CPAP user since January 2016.

Sex: Male
Location: Montreal, Canada

Post: #3
RE: Should I change my pressure settings?
(02-17-2016 08:20 PM)PoolQ Wrote:  Well you do seem to be taking quite a jump in pressure when things start happening. Your max pressure is sitting right near the limit, but not flattening out there. Your AHI is quite nice, to these numbers are working as far as apneas go.

The important question now is how are you feeling? rested? tired? Do you feel it is working? Are you comfortable?

Thank you for your quick feedback PoolQ I appreciate!

Sadly I'm still tired Sad

I don't really feel the benefits... But I don't feel the pressure anymore like at the beginning like

Let me know what you think please.
02-17-2016 08:27 PM
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Sleeprider Online
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Machine: Resmed Aircurve 10 Vauto
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CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

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Sex: Male
Location: Where they make Respironics

Post: #4
RE: Should I change my pressure settings?
(02-17-2016 08:14 PM)Rousseau21 Wrote:  Hello ApneaBoard community,


It's been a week that I'm using the setting 7 to 14 but with what I understand from here so far I probably have to put my lower pressure around 9 and increase my upper to 15.

See below my numbers of last night:

What do you think?

Thanks in advance !

I think you learn quickly. Your treatment efficacy is great, so go for comfort and better sleep above perfection in the numbers.

______________________________________________
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02-17-2016 09:05 PM
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JudgeMental Offline

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Sex: Male
Location: Florida USA

Post: #5
RE: Should I change my pressure settings?
From what I see, and that is, the possibility of your starting pressure could be raised. Maybe later..It appears that it is not serving any purpose except for providing you with a comfort pressure to get started for the night. That's a good thing. (however) with a AHI of .77 you are the envy of many on this board. Two thumbs up!! Your 95% level of 13.93 tells me that "perhaps" you could raise it up 1 or 2 notches. (in the future).. BUT.. At this stage of your starting therapy and the newness of it all...Don.t touch a thing for several weeks or maybe even months. I know anxiety leads us sometimes to rush to judgement because one or two numbers don't look good. Just keep aware of your numbers through the use of the wonderful "SleepHead" program. Sorry to hear of the stubbornness of the energy levels, but again, I think your energy will slowly return with good CPAP compliance.

Yesterday is history; Tomorrow is a mystery; Today is a gift; Thats why its called "The Present".
02-17-2016 09:18 PM
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surferdude2 Online

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CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #6
RE: Should I change my pressure settings?
Given your comment that you aren't bothered by the pressure, I think you may now be bothered more by the changing pressure as it chases your flow restrictions. I see a lot of disturbed breathing in areas when the pressure is changing. You don't appear to be getting very good sleep quality. I'll bet you don't get any REM time and no dreaming.

With that assumption, it seems that you may eventually need to raise the minimum pressure quite a bit. Perhaps slowly inching it up to around 12 cm H2O eventually. You raising the min to 9 cm H2O is a good start if you can tolerate it.

You may want to consider CPAP as an alternate mode if pressure excursions continue to bother you.

Dude
02-17-2016 09:53 PM
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cate1898 Offline

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Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #7
RE: Should I change my pressure settings?
Welcome to the forum Rousseau21! I am sure in time you will tweak your settings so that you are completely comfortable and getting maximum benefit from your CPAP therapy. You already have an awesome AHI, lucky you!

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

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EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
02-18-2016 07:54 AM
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Rousseau21 Offline

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Posts: 78
Joined: Feb 2016

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: HumidAir with ClimateLineAir
CPAP Pressure: 8 to 15 cm H²O with EPR at 3
CPAP Software: ResScan SleepyHead

Other Comments: Diagnose with OSA moderate-high. CPAP user since January 2016.

Sex: Male
Location: Montreal, Canada

Post: #8
RE: Should I change my pressure settings?
(02-17-2016 09:05 PM)Sleeprider Wrote:  
(02-17-2016 08:14 PM)Rousseau21 Wrote:  Hello ApneaBoard community,


It's been a week that I'm using the setting 7 to 14 but with what I understand from here so far I probably have to put my lower pressure around 9 and increase my upper to 15.

See below my numbers of last night:

What do you think?

Thanks in advance !

I think you learn quickly. Your treatment efficacy is great, so go for comfort and better sleep above perfection in the numbers.

Thank you Sleeprider for your feedback and for the learning fast I do my best to learn from you guys!

I will look closely to my setting and if I do a change I will keep it in a journal like it is highly suggested by some members of the forum !
02-18-2016 12:57 PM
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Rousseau21 Offline

Preferred Members

Posts: 78
Joined: Feb 2016

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: HumidAir with ClimateLineAir
CPAP Pressure: 8 to 15 cm H²O with EPR at 3
CPAP Software: ResScan SleepyHead

Other Comments: Diagnose with OSA moderate-high. CPAP user since January 2016.

Sex: Male
Location: Montreal, Canada

Post: #9
RE: Should I change my pressure settings?
(02-17-2016 09:18 PM)JudgeMental Wrote:  From what I see, and that is, the possibility of your starting pressure could be raised. Maybe later..It appears that it is not serving any purpose except for providing you with a comfort pressure to get started for the night. That's a good thing. (however) with a AHI of .77 you are the envy of many on this board. Two thumbs up!! Your 95% level of 13.93 tells me that "perhaps" you could raise it up 1 or 2 notches. (in the future).. BUT.. At this stage of your starting therapy and the newness of it all...Don.t touch a thing for several weeks or maybe even months. I know anxiety leads us sometimes to rush to judgement because one or two numbers don't look good. Just keep aware of your numbers through the use of the wonderful "SleepHead" program. Sorry to hear of the stubbornness of the energy levels, but again, I think your energy will slowly return with good CPAP compliance.

Thank you JudgeMental for your feedback!

To goal for me is not to show a great AHI to others but to really see if there is a setting that can optimize the benefits on my life as soon as possible. But like you say, I probably need to be more patient which is not one of my good side Unsure

I really like SleepyHead it really help me to understand what you guys talk about!

And for the compliance of my therapy I'm not scare. I'm impatient but I'm definitely not a quitter Big Grin

By the way I really like your signature!
02-18-2016 01:05 PM
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Rousseau21 Offline

Preferred Members

Posts: 78
Joined: Feb 2016

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: HumidAir with ClimateLineAir
CPAP Pressure: 8 to 15 cm H²O with EPR at 3
CPAP Software: ResScan SleepyHead

Other Comments: Diagnose with OSA moderate-high. CPAP user since January 2016.

Sex: Male
Location: Montreal, Canada

Post: #10
RE: Should I change my pressure settings?
(02-17-2016 09:53 PM)surferdude2 Wrote:  Given your comment that you aren't bothered by the pressure, I think you may now be bothered more by the changing pressure as it chases your flow restrictions. I see a lot of disturbed breathing in areas when the pressure is changing. You don't appear to be getting very good sleep quality. I'll bet you don't get any REM time and no dreaming.

With that assumption, it seems that you may eventually need to raise the minimum pressure quite a bit. Perhaps slowly inching it up to around 12 cm H2O eventually. You raising the min to 9 cm H2O is a good start if you can tolerate it.

You may want to consider CPAP as an alternate mode if pressure excursions continue to bother you.

Dude

Thank you surferdude2 for your feedback!

The pressure doesn't bother me when I exhale like at the beginning. I think my body start to assimilate the concept of my therapy. I will probably increase my starting pressure slowly.

As far as the CPAP I never taught about that. It is maybe an option later if I don't see any benefits.
02-18-2016 01:11 PM
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