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assistance needed...
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retired_guy Offline

Preferred Members-2

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?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #21
RE: assistance needed...
Ok, they're calming down.

One problem I have with setting APAP machines to CPAP, or with machines that only do CPAP, is there really isn't an easy way to tell if the pressure is higher than needed. Sometimes higher pressure can be the cause of the increased CA's.

So I think stay where your at, or maybe drop the pressure to 14, and see where you go.
03-27-2015 02:26 PM
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Sleeprider Online
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Advisory Members

Posts: 3,379
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: #22
RE: assistance needed...
I think you might want to change to Auto mode, set minimum pressure to your usual CPAP pressure and let the machine self-titrate as needed. Your choice on setting EPR. Since your CPAP pressure is not being effective, let the Auto do the work.

Buena suerde y saludos.

______________________________________________
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03-27-2015 02:59 PM
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cwo4uscgret Offline

Members

Posts: 15
Joined: Nov 2014

Machine: Airsense 10
Mask Type: Nasal pillows
Mask Make & Model: unsure
Humidifier: Airsense 10
CPAP Pressure: 14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: near the Alamo!

Post: #23
RE: assistance needed...
Still in Bogota until the 6th of April; numbers seem to be leveling out; here's last night's tally and the cumulative. As you might gather, I am sleeping my vacation away!

LAST NIGHT:
9.25 hours used; EPH: 12.5; Mask OK; Humidifier OK; (forgot to write the rest down!)

LAST 14 DAYS:
Avg. usage: 10.0 hours; Pressure 15.8; Leak 8L/min; AHI 16.3; Total 16.2; Central AI 15.4

When I return home next week I'll upload the SD Card Data to Sleephead.
04-03-2015 01:09 PM
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vsheline Offline

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #24
RE: assistance needed...
(04-03-2015 01:09 PM)cwo4uscgret Wrote:  LAST 14 DAYS:
Avg. usage: 10.0 hours; Pressure 15.8; Leak 8L/min; AHI 16.3; Total 16.2; Central AI 15.4

Hi cwo4uscgret,

It is not uncommon for the numbers of central apnea to skyrocket at high elevations.

Turning off EPR and/or reducing the pressure may reduce the number of central apneas.

At 8,000 ft elevation all (or nearly all) of your very high AHI is made up of central apneas. The number of central apneas may very slowly (over weeks of time) reduce or disappear, but for some patients the only thing which helps is to move to a lower elevation.

At sea level, all (or nearly all) of your central apneas may disappear.

Take care,
--- Vaughn

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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 04-04-2015 01:31 AM by vsheline.)
04-04-2015 01:25 AM
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cwo4uscgret Offline

Members

Posts: 15
Joined: Nov 2014

Machine: Airsense 10
Mask Type: Nasal pillows
Mask Make & Model: unsure
Humidifier: Airsense 10
CPAP Pressure: 14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: near the Alamo!

Post: #25
RE: assistance needed...
Vaughn I leave on the 6th for much lower elevations. Thanks for much the something to check! I do like my new machine too.
04-04-2015 01:35 AM
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cwo4uscgret Offline

Members

Posts: 15
Joined: Nov 2014

Machine: Airsense 10
Mask Type: Nasal pillows
Mask Make & Model: unsure
Humidifier: Airsense 10
CPAP Pressure: 14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: near the Alamo!

Post: #26
RE: assistance needed...
Last night - of course my last night at 8,500' above sea level, for 9+ hours of sleep I averaged 2.something events per hour!
04-06-2015 02:39 PM
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retired_guy Offline

Preferred Members-2

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?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #27
RE: assistance needed...
I'd say you have adjusted to the altitude quite nicely. Have a nice trip back to sea level!
04-06-2015 09:06 PM
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