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Switched to APAP
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tsmith3605 Offline

Members

Posts: 6
Joined: Jun 2015

Machine: REMstar Auto (System One 60 Series)
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P 10
Humidifier: Respironics system one
CPAP Pressure: 10
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Kutztown, PA

Post: #1
Switched to APAP
Hello everyone, I have been on CPAP since June 11th. I was put on 10 cm h20. I have a Respironics System One. I use the Resmed AIr fit P10. I love the machine and the mask. I was on it for a month and was getting AHI's of around 1.7 to 3 until I decided I needed a chin strap that then put me down to 0.6 to 1.2 AHI. My omly problem was that at a constrant 10Cm h2o, I was very bloated during the day amd expelling it a lot. When I found out that I could set my machine to APAP, I did so and set it for 8 to 13 cm h20. After doing that I no longer had the bloating and I noticed my 90% is 9, so I have not been hitting my prescribed 10 cm. However, since going to APAP, my AHI"s have increased to 2.6 to 3.3. I know that I am ok if I am below 5 but I am wondering if I should set my lower limit closer to 10 if it gives me better readings? I am afraid I will go back to the bloating then. Should I stay where I am at and be comfortable and forget about the higher readings, or try to adjust for the lowest AHI?
07-21-2015 09:22 AM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,363
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #2
RE: Switched to APAP
Welcome to the forums. You indicate you're using your machine in APAP mode. Is this a PRS1 60 Series Auto (560P), or a Pro 460?

The answer to your question depends on the composition of your apnea events. You can download the Sleepyhead software for free and install it on a computer to read your SD card from the machine. http://www.sleepfiles.com/SH2/ Using the software and being able to identify the types of events, and when they occur and at what pressure is going to help you figure this out, and to give us information that will allow more accurate feedback.

______________________________________________
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Robysue's Beginner's Guide to Sleepyhead
07-21-2015 09:32 AM
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tsmith3605 Offline

Members

Posts: 6
Joined: Jun 2015

Machine: REMstar Auto (System One 60 Series)
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P 10
Humidifier: Respironics system one
CPAP Pressure: 10
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Kutztown, PA

Post: #3
RE: Switched to APAP
It is a REMstar Auto (System One 60 Series). I have been using Sleepyhead since I started, not quite sure how to read everything. I have only been on auto for just under a week, so maybe I need to give it more time.
07-21-2015 09:42 AM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,363
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #4
RE: Switched to APAP
Okay, when looking at sleepyhead daily summary data, you will see each even has an index value. The sum of OA, H and CA is your AHI. There is also information on flow limitation, snores and leaks. What is the typical distribution of events? Do apnea events happen in clusters, or are they distributed through the night? How do leaks, snores and flow limitations look? Are the values high or low?

After about 8 posts you will be able to post the graphs. Here is a tutorial on how to post what we're looking for. https://sleep.tnet.com/reference/tips/imgur

Getting back to your original question, what is more disruptive for your sleep, apneas or air ingestion? It's okay to trade off at the levels you are at. A low level of AHI rather than pain of air ingestion may be the choice you ultimately make.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
07-21-2015 01:28 PM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,013
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #5
RE: Switched to APAP
Those of us with aerophagia have to find a best compromise between apnea events and pain and discomfort. I think that this is where the auto mode can be very beneficial enabling one to operate at a lower overall average pressure and still be able to prevent most of the obstructive apnea events.

Best Regards,

PaytonA
07-21-2015 03:00 PM
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justMongo Offline

Monitors

Posts: 3,853
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #6
RE: Switched to APAP
(07-21-2015 03:00 PM)PaytonA Wrote:  Those of us with aerophagia have to find a best compromise between apnea events and pain and discomfort. I think that this is where the auto mode can be very beneficial enabling one to operate at a lower overall average pressure and still be able to prevent most of the obstructive apnea events.

Best Regards,

PaytonA

Payton, did you increase your min EPAP? I thought you were running lower pressures. (Although I recall your machine selection was based on ability to supply >20cm-H2O)

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.
07-21-2015 03:04 PM
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PaytonA Offline
Wiki Editor
Monitors

Posts: 3,013
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #7
RE: Switched to APAP
No, I am running min EPAP 14.0, max IPAP 20.6, PS 4.0. That seems like it is just enough reduction of the average pressures from bilevel 16/20 to reduce the aerophagia. It has made my AHI slightly higher on the average but not too bad. I did not come up with aerophagia until after I had been PAPing for 4 years or so. It took me a while to figure out what was going on. I thought at first that the back pain was muscular and I do have some of that too.

Best Regards,

PaytonA
07-21-2015 05:06 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #8
RE: Switched to APAP
(07-21-2015 09:22 AM)tsmith3605 Wrote:  Should I stay where I am at and be comfortable and forget about the higher readings, or try to adjust for the lowest AHI?
I would not worry about AHI at this stage, comfort is more important
AHI would sort itself out in due course

Sleep-well
07-21-2015 05:17 PM
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trish6hundred Offline

Advisory Members

Posts: 6,449
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #9
RE: Switched to APAP
Hi tsmith3605,
WELCOME! to the forum.!
Much success to you as you continue your CPAP therapy.

trish6hundred
07-21-2015 05:58 PM
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LexTac Offline

Preferred Members

Posts: 48
Joined: Jul 2015

Machine: PR System One REMstar Auto 560
Mask Type: Nasal pillows
Mask Make & Model: PR Nuance Pro
Humidifier: PR System One Heated Humidifier
CPAP Pressure: 15.3 cm H2O (Auto 5 to 20)
CPAP Software: SleepyHead EncoreBasic Other Software

Other Comments: Other Software: SleepMapper | Modem: SleepMapper Module | FFM: PR Amara View

Sex: Male
Location: South Central Kentucky

Post: #10
RE: Switched to APAP
Welcome to the Forum!

It looks like you have got some good answers. Sleep-well

Regards;
Lex Cool
07-21-2015 06:15 PM
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