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Ultra high AHI with new machine
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SuperSleeper Offline

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Machine: PR System One REMstar Auto (DS560)
Mask Type: Nasal pillows
Mask Make & Model: ResMed Mirage Swift II
Humidifier: none
CPAP Pressure: 12.5 - 18.5 cmH20 (auto range)
CPAP Software: SleepyHead

Other Comments: Have diabetes Type II

Sex: Male
Location: Illinois, USA

Post: #31
RE: Ultra high AHI with new machine
(02-03-2015 01:06 PM)fede Wrote:  [I tried posting a pdf file, but nothing seemed to happen. How do I put up a sleepyhead report here?]

Here's a tutorial on how to post SleepyHead graphs:

http://www.apneaboard.com/forums/Thread-...4#pid73584

Coffee

SuperSleeper
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02-03-2015 02:46 PM
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fede Offline

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Posts: 22
Joined: Oct 2014

Machine: resmed s9 autoset
Mask Type: Full face mask
Mask Make & Model: resmed quattro
Humidifier: H5i
CPAP Pressure: 8-20
CPAP Software: SleepyHead

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Sex: Male
Location: Grand Junction CO

Post: #32
RE: Ultra high AHI with new machine
(02-03-2015 02:46 PM)SuperSleeper Wrote:  [quote='fede' pid='99300' dateline='1422986819']
[I tried posting a pdf file, but nothing seemed to happen. How do I put up a sleepyhead report here?]

Here's a tutorial on how to post SleepyHead graphs:

http://www.apneaboard.com/forums/Thread-...4#pid73584

Coffee
[Here's my latest sleepyhead report with an AHI 10.63]


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(This post was last modified: 02-03-2015 07:08 PM by fede.)
02-03-2015 07:07 PM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

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Location: Beautiful, albeit very wet Oregon Coast

Post: #33
RE: Ultra high AHI with new machine
Sure looks like we rolled over on our back around 11:30, didn't we?
02-03-2015 08:22 PM
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fede Offline

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Posts: 22
Joined: Oct 2014

Machine: resmed s9 autoset
Mask Type: Full face mask
Mask Make & Model: resmed quattro
Humidifier: H5i
CPAP Pressure: 8-20
CPAP Software: SleepyHead

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Sex: Male
Location: Grand Junction CO

Post: #34
RE: Ultra high AHI with new machine
[quote='retired_guy' pid='99352' dateline='1423012943']
Sure looks like we rolled over on our back around 11:30, didn't we?
[I guess that is what causes the apneas. Will have to try and stay off the back. Thanks for the review and comments]
02-03-2015 10:47 PM
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quiescence at last Offline

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Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #35
RE: Ultra high AHI with new machine
You are definitely pegging the bounds of your machine. (when on your back)

I love my full face mask, but others have noticed a difference in the amount of pressure needed for apnea control when switching to pillows. I don't know if you have the option to try on a set of pillows, but you might try it if you can.

Good luck.


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.
02-04-2015 05:58 AM
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fede Offline

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Posts: 22
Joined: Oct 2014

Machine: resmed s9 autoset
Mask Type: Full face mask
Mask Make & Model: resmed quattro
Humidifier: H5i
CPAP Pressure: 8-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Grand Junction CO

Post: #36
RE: Ultra high AHI with new machine
[quote='quiescence at last' pid='99409' dateline='1423047531']
You are definitely pegging the bounds of your machine. (when on your back)

I love my full face mask, but others have noticed a difference in the amount of pressure needed for apnea control when switching to pillows. I don't know if you have the option to try on a set of pillows, but you might try it if you can.

Good luck.


QAL
[Thanks for reply. Indeed I am a back sleeper. When I awake at night I almost always find myself lying on my back and the pressure up at 19-20. I will explore getting a pillow mask.]
02-04-2015 06:25 AM
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PaytonA Offline
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Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
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CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

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Location: Orange County,California

Post: #37
RE: Ultra high AHI with new machine
I do not think that it is time to change masks if you are reasonably happy with your current mask and the leaks are controlled.

I would follow R_Gs suggestion and try to stay off your back as much as possible. Do you wake up in the morning on your back?

I think that I remember that earlier in this thread you had raised your minimum pressure above 8 and got improved results. If it were me, and there were no other problems, I would raise the minimum pressure slowly. I would make the first increase to 10 cm and leave it there for 4-5 days. If that did not result in any problems, I would raise the minimum pressure by 1 cm every 4-5 days to attain good results without any problems.

Sleep well.

Best Regards,

PaytonA
02-04-2015 12:46 PM
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Sleeprider Online
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Machine: Resmed Aircurve 10 Vauto
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Post: #38
RE: Ultra high AHI with new machine
fede: your graph does not include the leak data, and that would be helpful to know when you hit that pressure limit. Nothing is flagged, so if you're staying out of large leak, your night is looking pretty good except for those two incidents. Bilevel machines offer greater pressure and a higher exhalation pressure relief. I predict that if your pressure stays this high and does not control OA, you are a candidate for a BiPAP. There is nothing wrong with that, and it will be more comfortable, but this is an issue to raise with your DME and doctor if this pattern continues.

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02-04-2015 12:54 PM
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fede Offline

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Posts: 22
Joined: Oct 2014

Machine: resmed s9 autoset
Mask Type: Full face mask
Mask Make & Model: resmed quattro
Humidifier: H5i
CPAP Pressure: 8-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Grand Junction CO

Post: #39
RE: Ultra high AHI with new machine
[quote='Sleeprider' pid='99451' dateline='1423072474']
fede: your graph does not include the leak data, and that would be helpful to know when you hit that pressure limit. Nothing is flagged, so if you're staying out of large leak, your night is looking pretty good except for those two incidents. Bilevel machines offer greater pressure and a higher exhalation pressure relief. I predict that if your pressure stays this high and does not control OA, you are a candidate for a BiPAP. There is nothing wrong with that, and it will be more comfortable, but this is an issue to raise with your DME and doctor if this pattern continues.

[Here is a graph with the pressure limit. Perhaps this tells you something to help me. Thanks]
02-04-2015 03:22 PM
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fede Offline

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Posts: 22
Joined: Oct 2014

Machine: resmed s9 autoset
Mask Type: Full face mask
Mask Make & Model: resmed quattro
Humidifier: H5i
CPAP Pressure: 8-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Grand Junction CO

Post: #40
RE: Ultra high AHI with new machine
[quote='fede' pid='99475' dateline='1423081341']
[quote='Sleeprider' pid='99451' dateline='1423072474']
fede: your graph does not include the leak data, and that would be helpful to know when you hit that pressure limit. Nothing is flagged, so if you're staying out of large leak, your night is looking pretty good except for those two incidents. Bilevel machines offer greater pressure and a higher exhalation pressure relief. I predict that if your pressure stays this high and does not control OA, you are a candidate for a BiPAP. There is nothing wrong with that, and it will be more comfortable, but this is an issue to raise with your DME and doctor if this pattern continues.

[Here is a graph with the pressure limit. Perhaps this tells you something to help me. Thanks]
[Hee's a typical night]
02-04-2015 03:32 PM
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