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[Treatment] What next?
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Kramden's Demise Offline

Members

Posts: 7
Joined: Aug 2013

Machine: ResMed S8
Mask Type: Full face mask
Mask Make & Model: Quattro FX
Humidifier: 3I
CPAP Pressure: 13.2
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Prescott, Arizona USA

Post: #1
What next?
Okay- Here is a brief update on my understanding of my therapy and where I think I am to date....

My daily stats are coming in under 5.0 AHI, with apneas about 0-20% of the index. I'm sleeping on the machine about 4-5 hours a night, waking up with bloating/gas and general discomfort. I'd like to eliminate the bloating to see if additional sleep time is possible. The <5.0 AHI seems to be the magic number with all you experts. Are there any other factors to strive for once the 5.0 goal is reached?

I'd love 6-8 hours of sleep, so that's one, but is there anything else that the machine currently calculates that I need to watch and try to correct, reduce and / or eliminate?

Is the bloating due to too much pressure, and would dropping the pressure from the current setting of 13.2 help reduce these symptoms? I've seen others comment that sleep position impacts the amount of air in the belly. Elevating my head/shoulders hasn't seemed to help much.

If I do drop the pressure, will I see an increase in the AHI and what other affects (negative/positive) are likely to occur when dropping the pressure?
12-01-2013 05:00 PM
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me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #2
RE: What next?
what pressure setting was determined in your sleep study? Can you post the info from your sleep study? How long ago was your sleep study? Can you get a more updated machine? I don't remember how long you have been using CPAP therapy.

some people say they have aerophagia (don't know how to spell it) when using CPAP therapy. I think Robysue and maybe supersleeper have been through this and will be able to talk more about this
(This post was last modified: 12-01-2013 05:27 PM by me50.)
12-01-2013 05:25 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: #3
RE: What next?
(12-01-2013 05:00 PM)Kramdens Demise Wrote:  If I do drop the pressure, will I see an increase in the AHI and what other affects (negative/positive) are likely to occur when dropping the pressure?
EPR at 3 might helps somewhat. We don,t know if lower pressure would increase the number of apnea events (also S8 don,t detect clear airways events) but if the discomfort is so great cannot tolerated than its worth shot, better than sufering or not using CPAP at all. As you start feel better, you can bring pressure up again

Followup with the sleep doctor. If insured, you may be due to machne replacement. S8 is s discontinued machine, been replaced by S9 series
Specifications guide and comparison chart
http://www.resmed.com/us/products/s9_ser...nc=dealers
(This post was last modified: 12-01-2013 06:07 PM by zonk.)
12-01-2013 05:54 PM
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cant_sleep_in_nj Offline

Preferred Members

Posts: 58
Joined: Nov 2013

Machine: Resmed S8
Mask Type: Full face mask
Mask Make & Model: mirage quattro
Humidifier: none
CPAP Pressure: 14
CPAP Software: Not using software

Other Comments: Also use a transcend II for travel with a mirage quattro full face mask

Sex: Male
Location: New Jersey

Post: #4
RE: What next?
kramdens, your info says you are not using software, how are you getting this info with an S8 ?
12-01-2013 07:25 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: #5
RE: What next?
Have you utilized EPR and Ramp features
EPR (expiratory pressure relief) provide a small pressure reduction during exhalation at 3 levels. 1,2, and 3 is the highest

Ramp provide a lower more comfortable pressure at the beginning (up to 45 minutes, 5 minutes increment) until it ramp up to treatment pressure
12-01-2013 07:33 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: #6
RE: What next?
(12-01-2013 07:25 PM)cant_sleep_in_nj Wrote:  kramdens, your info says you are not using software, how are you getting this info with an S8 ?
S8 Elite LCD provide AHI, AI, HI (no CAI) and leak
Leak reported in L/s as opposed to S9 L/m

You need ResMed S8 smart card/card reader, there is a shortage of the card reader as the S8 been discontinued, maybe on ebay from Israel

Edit: Just saw, you also use an S8. Which model, Escape don,t report anything beside usage time
(This post was last modified: 12-01-2013 07:52 PM by zonk.)
12-01-2013 07:44 PM
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