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Worsening of the cpap-therapy
#11
RE: Worsening of the cpap-therapy
The increased use of water is probably due to the leaks. Since your machine has to move more air in order to maintain pressure, the humidifier has to work harder In order to humidify the additional air.
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#12
RE: Worsening of the cpap-therapy
I would do the pressure change first, to the 6-7min 10 max, as well as fixing mouth breathing.
The air leaks can use more water. As well as a change of season, air temp and humidity of the room.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#13
RE: Worsening of the cpap-therapy
Hi zelda,
WELCOME! to the forum.!
You’ve come to the right place for help.
I wish you good luck as you continue CPAP therapy.
trish6hundred
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#14
RE: Worsening of the cpap-therapy
Move the pressure to 6/10 now. That 4 is not working for you at all.
Sleeprider
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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.
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#15
RE: Worsening of the cpap-therapy
Changed the pressure to 6/10 and tried for the first time a Resmed chin strap:
When I woke up, the chin strap was out of position, headache the hole day.  Sad

What went wrong?
[attachment=3442]
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#16
RE: Worsening of the cpap-therapy
6-10 pressure worked except for minor CA. Your pressure is driven by flow limitation, which is not so important by itself. Except for 05:45 leaks were okay, but could be disruptive. If you want to limit max pressure to 9.0 I don't see a problem with that.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
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#17
RE: Worsening of the cpap-therapy
man the numbers look good.  make a few more runs at those settings, then maybe bump up a little.  6-10 (or 6-9 as Sleeprider says) may eventually be adjusted to about 8 minimum.  that would help knock out the flow limitations.

you might have the headache from getting used to the chin strap.  this is likely the cause if you your head hurts below temples close to the ears.

QAL
Dedicated to QALity sleep.
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#18
RE: Worsening of the cpap-therapy
Put the chin strap for the moment away.

I got now the first night without major leaks:
[attachment=3443]

Changed ramp time from 10 to 15 minutes:
No curve steep (see red frame) at the begin to maximum pressure for a long time.  Thumbs-up-2

Before:
   
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#19
RE: Worsening of the cpap-therapy
That looks good to me, I'd be happy to leave that for a few weeks.
Just the minor leak you can work on.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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