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Son's 3rd night - 12 hrs
#1
looks to me like the starting pressure of 12 might not be quite enough, instead of too much. (???)

His equipment:
Philips Respironics System One (60 Series) RemStar Auto with A-Flex (560P)
P10 Nasal Pillows Mask

Pressure set 12 to 18, Auto



[Image: B5nIvcF.png]

[Image: hSBaIwB.png]

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
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#2
Huge improvement from AHI of 102!!!

I am on high pressure and found that high Flex / Pressure relief caused a increase in my AHI ( 4-7 on average ) due to OAs.
Reduced it to 1 and since then all my nightly AHI have been under 2.
I doubt he would need more pressure because his 95% pressure is 16.2 ....

Large leak... perhaps try a full face mask like F&P Simplus ... I found that one worked best for me for high pressure.

Also, impressive maximum tidal volume Smile

Good Luck
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#3
Hi DariaVader,
Great improvement.
Would a chin strap help the leaks?
3
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#4
Yes, very much a huge improvement. 3 nights and he has a noticeable spring in his step and smile on his face. Good for mom to see! Yeah, that TV is something! I will tell him to try other AFlex settings. Like me, he is seeing water retention increase with cpap use, tho (increasing EPR on my Resmed alleviated mine a little) The largest leaks are when he takes the mask off.

I think a chinstrap would help - but he really hates it. It's early days; he will get used to lots of stuff he doesnt currently envision... that is life Big Grin

He has a beard and the DME told him he can't use a FFM. I know that is not exactly true as there are several bearded FFM users on the forum, but I also think he is better off with pillows.... if he can get good therapy with them.
هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
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#5
I wouldn't change anything after 3 days. The fact he is happy with the results so far is a good indication that this is just part of adapting. For the Sleepyhead charts, I would turn off VS2 and rename CSR to PB. Also, pretty much everything is in the first chart, and I would not bother with the respiratory rates, tidal volume, etc. chart. I'm sure things will show improvement in time, but if not a slightly higher minimum pressure looks like it would take out some of the H and CA most of the night. He is border line for bilevel pressure already.
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#6
Congrats. It looks like your son is doing well.

I originally started out with a FFM (PR Amara View) with a full beard. I was able to get up to 95% with this mask, but the leaks still concerned me. I ended up going with the PR Nuance Pro and now I get 100% every night.
Regards;
Lex Cool
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#7
5th night,. Not bad, looks like mouth breathing though.

[Image: KFSKyge.png]
هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
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#8
are all those pressure spikes reactive? or is the machine pressure checking his airway?
هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
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#9
To my limited knowledge of PR machines, those pressure spikes are the "hunt and peck" method that PR uses to ascertain whether or not one needs a pressure increase.
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#10
this is true. basically, this machine type decides to hunt because nothing meriting an actual pressure shift is occurring.

QAL
Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
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