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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: #11
RE: Switched to APAP
Thanks for all the help, I am gonna stick wit APAP for awhile yet and see how it goes.
07-21-2015 08:59 PM
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OpalRose Offline

Monitors

Posts: 3,166
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #12
RE: Switched to APAP
(07-21-2015 09:22 AM)tsmith3605 Wrote:  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?

Hi tsmith3605,
You could move your starting pressure to 8.5 and see if that makes a difference for you as long as you don't experience the aerophagia. If you do, then move it back down. I know that can be a "pain" to deal with. Don't make too many changes, give it time to work; maybe a week to 10 days.

The only other thing is if you are tracking your therapy on sleepyhead, check and make sure where your max pressure is. Does it goes as high as 13? If not, you can lower it by .5 also. This way you would be at 8.5 to 12.5. Sometimes the small changes make a big difference.

OpalRose
07-22-2015 12:03 PM
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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: #13
RE: Switched to APAP
Thanks, I will give that a try. Max pressure did hit 10 last night one time.
07-22-2015 12:15 PM
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OpalRose Offline

Monitors

Posts: 3,166
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #14
RE: Switched to APAP
(07-22-2015 12:15 PM)tsmith3605 Wrote:  Thanks, I will give that a try. Max pressure did hit 10 last night one time.


A lot of people don't feel that the max pressure is a concern, but with the system one machines, they will raise the pressure in response to flow limitations and snores, even if no apnea event is present. That rise in pressure can affect your sleep, but in your case if the pressure goes up to 13 may cause more aerophagia, which is what you want to avoid. So watch that for awhile and if the max doesn't rise that high, then you are pretty safe in lowering it a bit.

OpalRose
07-22-2015 12:24 PM
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