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post-surgery cpap pressure
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SheShawn Offline

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Posts: 3
Joined: Jun 2012

Machine: S9
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: H5i
CPAP Pressure: 5-10
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #1
post-surgery cpap pressure
Hello Wise Ones,

I had septo/turb surgery in March. After being in denial (thinking I could go without after surgery), started using my cpap again. Much easier now that my nose is working! I notice that my apneas are gone, but I wake up in a complete fog and am lethargic all day.

Is my pressure too low now? Going to see my sleep doc next week, but not sure I can wait that long - may need to reset!

Advice? Tips? Anything?

Thank you!
06-24-2012 11:07 AM
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ScottBerglin Offline

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Posts: 25
Joined: May 2012

Machine: Respironics System One Auto A-Flex
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX
Humidifier: Remstar Heated Humidifier
CPAP Pressure: 9 - 14
CPAP Software: SleepyHead

Other Comments: APAP since 8/2/2010, AHI average/yr = 2.10

Sex: Male
Location: Lake Forest Park, WA

Post: #2
RE: post-surgery cpap pressure
Without professional feedback, I think your immediate test would be to NOT use the CPAP for a night and see if the "fog...lethargy" go away also. This would tend to suggest the CPAP therapy is causing the "fog". Then put the mask on for a night and see what happens. My guess is that either; 1) you aren't reaching Rem (deep sleep), or, 2) you aren't getting sufficient oxigen while you sleep. Perhaps you could run these by your doctor over the phone before having to wait for the appointment.

--==<< old, experienced, but still curious >>==--
06-24-2012 12:40 PM
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SheShawn Offline

New Members

Posts: 3
Joined: Jun 2012

Machine: S9
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: H5i
CPAP Pressure: 5-10
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #3
RE: post-surgery cpap pressure
Thank you. Yes, the fog is gone without CPAP...instead, the awful nervous feeling of having been awakened by many apnea episodes. This is why I think I need my CPAP back but at a different (higher) setting. I'm thinking it needs to be higher. Want to set it myself - very tempted.
06-24-2012 03:05 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: #4
RE: post-surgery cpap pressure
(06-24-2012 03:05 PM)SheShawn Wrote:  Thank you. Yes, the fog is gone without CPAP...instead, the awful nervous feeling of having been awakened by many apnea episodes. This is why I think I need my CPAP back but at a different (higher) setting. I'm thinking it needs to be higher. Want to set it myself - very tempted.
I had the same surgery in April and the first couple weeks after surgery couldn't use my nasal mask and couldn't tolerate full face mask either. My advice to anyone who is thinking about this surgery and uses a nasal mask is try use a full face mask well ahead of the surgery.
Now 8 weeks after the surgery things are back as before no change in AHI, pressure or hours sleeping.
Which S9 are using Autoset or Escape Auto?
06-24-2012 03:13 PM
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SheShawn Offline

New Members

Posts: 3
Joined: Jun 2012

Machine: S9
Mask Type: Nasal mask
Mask Make & Model:
Humidifier: H5i
CPAP Pressure: 5-10
CPAP Software: Not using software

Other Comments:

Sex: Female
Location:

Post: #5
RE: post-surgery cpap pressure
Autoset. I know how to reset. Wondering if I should move the maximum up to 11 - I know, really minor. It feels risky but I don't like being in a fog. Yuk. 4 shots of espresso barely make a difference!
06-24-2012 03:18 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,067
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #6
RE: post-surgery cpap pressure
What does the data say? How is the AHI number?

The risk of raising it is the increase in central events. However, with an Autoset, you won't use the higher pressure unless you need it.

How long have you been back on CPAP? If only a short while (less than 2 weeks) don't make any adjustments. Just let your body readjust to it. And see your sleep doc ASAP.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
06-24-2012 03:21 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: #7
RE: post-surgery cpap pressure
(06-24-2012 03:18 PM)SheShawn Wrote:  Autoset. I know how to reset. Wondering if I should move the maximum up to 11 - I know, really minor. It feels risky but I don't like being in a fog. Yuk. 4 shots of espresso barely make a difference!
Even if you change the pressure the machine wouldn't go there if not needed providing leaks kept under control preferably below 24 L/min.
Take a look at the machine sleep report, it shows AHI, 95% percentile pressure/leak and hours. Its not rocket science if the 95% percentile pressure is close or at the maximum set pressure 10 then ought to be higher. You can download ResScan software from this board, it will show the data in more details including the median- 95% and maximum pressure ok going to have my coffee now its past 6.30 Monday morning Coffee
06-24-2012 03:39 PM
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