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worried about new pressure
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jaycee Offline

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Posts: 115
Joined: May 2014

Machine: S-9 Autoset
Mask Type: Full face mask
Mask Make & Model: Quattro Air Large
Humidifier: 5i
CPAP Pressure: 9-13
CPAP Software: ResScan

Other Comments: RT at a DME

Sex: Male
Location:

Post: #11
RE: worried about new pressure
What was the time span between 8, 10 and now 15 ?

There are lots of reasons why pressure is being increased (weight gain probably being #1).
06-19-2014 11:00 AM
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LeeC Offline

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Posts: 12
Joined: May 2014

Machine: phillips
Mask Type: Nasal mask
Mask Make & Model: responinics
Humidifier: responinics
CPAP Pressure: 10
CPAP Software: Other Software

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Sex: Male
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Post: #12
RE: worried about new pressure
Only been since November and I have actually list 15 lbs since November.
06-19-2014 11:15 AM
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Sleepster Offline
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Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
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Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #13
RE: worried about new pressure
(06-19-2014 06:58 AM)Bama Rambler Wrote:  Here's my take. Don't be scared of the pressure at all. My DW and I are both at 16cmH2O and have no problem with it.

At a pressure of 12 I still swallow air on some nights. If I raised it to 13 (my titration pressure) it'd be worse.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
06-21-2014 09:08 PM
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vsheline Offline

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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: #14
RE: worried about new pressure
(06-19-2014 11:15 AM)LeeC Wrote:  Only been since November and I have actually lost 15 lbs since November.

Hi LeeC,

For your own records, you have a right to receive a full copy of the original (diagnostic) sleep study and of both titration studies, including all data. Be assertive, and don't let them refuse and give you some "you wouldn't understand it anyway" excuse.

Also, I suggest you explain to your doctor that you have a premium APAP machine and ask your doctor to consider changing your prescription to 10 minimum, 15 maximum (or whatever), at least for a trial period, so you can see how well that works for you.

Also, in case you have not yet tried using Flex exhalation pressure relief, you may find that turning on A-Flex or adjusting it higher helps reduce leaks and makes the higher pressures more comfortable.

Also, with some insurance companies, if the patient complains that a prescribed pressure of 15 or higher is too uncomfortable or is causing problems, a new, bi-level titration and machine may be authorized, which would be likely to greatly reduce the problems.

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: 06-22-2014 04:36 AM by vsheline.)
06-22-2014 04:15 AM
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JimZZZ Offline

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Posts: 370
Joined: Dec 2013

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: ResMed H5i (not using)
CPAP Pressure: 9 - 14
CPAP Software: ResScan SleepyHead

Other Comments: CareFusion PureSom Ultra Chinstrap

Sex: Male
Location: Western North Carolina

Post: #15
RE: worried about new pressure
(06-18-2014 08:29 PM)Sleepster Wrote:  The 560P is a auto CPAP. You can set it for a range of pressures, that way it starts at the low end of the range and raises it up only when needed.

I agree with Sleepster. In my experience, the sleep doc had the autoset function disabled and prescribed a set pressure number. With the help of this forum (no cooperation from the doc or the DME), I eventually got the autoset enabled, set up a pressure range and let the machine determine what pressure I needed. It turned out, my pressure need is completely different from the doc's prescription and I'm doing great.

This experience seems fairly common.
06-22-2014 08:49 AM
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robysue Offline
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Posts: 1,245
Joined: Oct 2013

Machine: PR Dreamstation BiPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: PR Dreamstation humidfier
CPAP Pressure: min EPAP = 4; max IPAP = 9;
CPAP Software: SleepyHead EncoreBasic EncorePro

Other Comments: Papping since September 2010

Sex: Female
Location: Buffalo, NY

Post: #16
RE: worried about new pressure
(06-18-2014 08:19 PM)LeeC Wrote:  Thanks everybody everybody!! My pressure was originally on 8 but the pulmonary doctor set it up to 10 and scheduled another sleep study. The medical supply got a prescription from that doctor to up the pressure to 15.

My machine is a 560p.
My AHI is around 15 still now on pressure of 10
What is the breakdown of events? You can't get this from the 560's LCD screen; you have to load the data into either SleepyHead or Encore. But it's important to know whether most of your apneas are OAs or CAs. Lots of OAs at a pressure of 10cm probably warrants more pressure; lots of CAs don't.

My hope is that the doc took the time to look at all the data, including a few sample days of detailed data, and noticed that there were still a lot of OAs being scored, but that there were few or no CAs being scored. Even so, jumping from 10 to 15 is a pretty big increase.

And if the AHI does NOT come down at 15cm, then it's critical to start looking at both the type of apneas being scored AND the detailed wave flow of the worst clusters before simply increasing the pressure by a big jump again.
06-22-2014 09:17 AM
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