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Strange Question, Well maybe!
#21
RE: Strange Question, Well maybe!
Okay, sorry about the pressure increases. My thinking was if I am maxing it out over a four day period then it may take more to keep open my obstructions.
Tim
Finger Lakes Region, NY
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#22
RE: Strange Question, Well maybe!
(12-23-2012, 10:13 AM)2Tim215 Wrote: Okay, sorry about the pressure increases. My thinking was if I am maxing it out over a four day period then it may take more to keep open my obstructions.

Hi 2Tim215,

With data showing the machine is often max'ing out, raising the max pressure cautiously and incrementally, as you did with the change from 12 to 13, is highly reasonable. I just think jumping the max to 20 would not be cautious.

On the night with low average pressure (a little above 8) and high number of Obstructive Apnea events (around 12 or 14 per hr), looking at the pressure waveform, did most of the OA events occur when the pressure was low? Maybe leaving your max at 13 but raising your Minimum pressure to 8, near your weekly average pressure, would be helpful. (I wouldn't include in the 7-day average pressure any days with unusually high 95% Leak numbers, since the pressure may have been falsely high trying to compensate for the leak.)

Also, have you been keeping an eye on your Flow waveforms? I recommend zooming in, using a time scale of 10 minutes (or at most 30 minutes) across the screen when looking at the Flow. This way you can see each breath and each pause and will be able to notice periods when anything unusual happens.

Also, maybe the OAs are positional and it would help to avoid sleeping on your back, or left side, or on too large a pillow, or whatever.

Take care,
--- Vaughn
The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters 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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#23
RE: Strange Question, Well maybe!
(12-23-2012, 10:13 AM)2Tim215 Wrote: Okay, sorry about the pressure increases. My thinking was if I am maxing it out over a four day period then it may take more to keep open my obstructions.
if maxing out at 10% of the times or higher ... its an indication the machine wants to go higher

but bc of your medical condition ... best be advised by your doctor
I was wondering if would help to try nasal mask instead of the pillows
do you get stuffy nose



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#24
RE: Strange Question, Well maybe!
No, I do not get stuffy nose.Dont-know
Tim
Finger Lakes Region, NY
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#25
RE: Strange Question, Well maybe!
I'm out visiting. First time I've been out other than doctor appointments. My grandkids are good medicine, they know how to make Papa laugh!!! Heading home, check back later, Tim
Tim
Finger Lakes Region, NY
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#26
Pressure seems to continue to rise without reason
I have had a CPAP for about 15 years. I just got my 3rd machine. It is a S9 ResMed for her. It was set with ramp at 4 for 20 minutes...the pressure was from 6 to 15.

Since I have gotten this machine, it seems to go crazy and the pressure just keeps rising on the machine. Every night since I got it, I am awakened about 20 times in the night with the mask just flapping on my face (full face). I have to turn off the machine and let it start over. I have never slept so badly.

It seems the pressure just continues to build...I wasn't even asleep and the pressure had gotten so strong I had to turn it off to start over. This is making me crazy and I don't know how to fix it.

Any ideas?Unsure
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#27
RE: Strange Question, Well maybe!
Have you looked at the data to see if it truly is going up or if it just feels like it is?

What was your previous pressure before this machine?
PaulaO

Take a deep breath and count to zen.




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#28
RE: Strange Question, Well maybe!
It just automatically adjusted to what was needed.
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#29
RE: Strange Question, Well maybe!
My first machine was set at 6...but I kept waking up with a racing heart. The tech said why not use a machine that automatically adjusts...It started at 6 ...I did get that one at the time, and don't remember having a problem at all...I just always slept well. I got this new a week or so ago, and haven't slept since. I even hate going to sleep because I know it will wake me up all night long...
My heart hasn't raced with this new one...just feels like the pressure is huge, and the mask begins to flap. When I woke up it was at 12.6
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#30
RE: Strange Question, Well maybe!
(12-24-2012, 02:22 AM)Jenni88 Wrote: My first machine was set at 6...but I kept waking up with a racing heart. The tech said why not use a machine that automatically adjusts...It started at 6 ...I did get that one at the time, and don't remember having a problem at all...I just always slept well. I got this new a week or so ago, and haven't slept since. I even hate going to sleep because I know it will wake me up all night long...
My heart hasn't raced with this new one...just feels like the pressure is huge, and the mask begins to flap. When I woke up it was at 12.6

Hi Jenni88, welcome to the forum!

One possibility is you really do need the higher pressure but your mask is too loose and comes off, creating a big leak that causes the pressure to max out to wake you up.

The Mask Fit feature should be used to adjust the mask so it is tight enough so there are no leaks at high pressure but not tighter than that.

To turn ON the Mask Fit feature, put the mask on and start the machine as normal. I don't use the Ramp, but I suppose your Ramp would be on. Now push and hold the tall button about 4 seconds until the Mask Fit starts. A face will appear, red if leaks become too big or green if leaks are OK, and the pressure will rise to your maximum.

I am not familiar with your type of mask, but I assume it has a couple straps on top and a couple on bottom. At high pressure, adjust the straps so the top straps are even in length (same on left and right sides) and just tight enough to stop leaks but not tighter than that. Same for bottom straps. It is important for the mask straps to be same length on left side as on right side.

When the mask has been adjusted, you can turn off Mask Fit by pressing the tall button with a short push. Or, after a few minutes I think it will automatically turn itself off and return to ramping up normally.

Also, Sleep Apnea is usually strongly affected by position, and being flat on our back is usually the worst. Many people wear teeshirts with a pocket or two sewn on the back to hold tennis balls, to keep them from turning on their back while asleep. I have found that the tennis balls need to be aligned vertically over my spine, and high, not lower than between my shoulder blades, so the tennis balls won't bother me when I am on my side.

Take care,
---Vaughn


The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters 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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