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Burd - Bi-Level Therapy Thread
#1
Burd - Bi-Level Therapy Thread
Last night was my first full night on BIPAP (skipped over CPAP and was prescribed BIPAP based on the results of my in-lab study). I have some questions.

I’m using a ResMed Aircurve 11 VAuto. My mask is an Airtouch F20. My IPAP is set to a range of 12-22. The myAir app is telling me that I still had 13.6 events per hour, but my mask seal was fine and I slept like 9 hours (only woke up 2-3 times during the night).

I ordered an SD card reader so that I can use OSCAR, but I won’t have it until tomorrow. Is there anything I can do tonight? Should I try increasing the lower end of the IPAP range? Or should I wait until I can see the data on OSCAR? Is this normal for the first night?

My throat was a little dry this morning, was thinking of raising the humidity a bit too. Should I try to avoid changing too many settings at once?

Also, I know it’s normal to swallow some air and end up burping in the morning because of it, but has anyone else woken up in the middle of the night starving? I ate like normal yesterday and that never happens to me, so I was wondering if that could be related.

Would love to hear some input from the community or if anyone has experiences to share from their first night. Thank you!


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#2
RE: First night on BIPAP (and PAP at all)
Be sure you are on VAUTO setting

I would try these settings for tonight. 

PS3
Min9
Max 18

Get your OSCAR for tomorrow’s posting. Remember the card must be in the machine while you sleep.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#3
RE: First night on BIPAP (and PAP at all)
Is there a reason you would make it lower instead of higher? Sorry, I’m obviously very new to this.
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#4
RE: First night on BIPAP (and PAP at all)
The way a bipap works is a little bid different than a Cpap.

Ps is pressure support
The min is the LOWEST the machine will go and that is exhale

Inhale pressure is the PS + min

Max is as high as the machine can go
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#5
RE: First night on BIPAP (and PAP at all)
If it’s a max of 22 shouldn’t it go up that high when I need it and resolve the apneas?
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#6
RE: First night on BIPAP (and PAP at all)
Go ahead and put it at 22, you will never get that high and if you do you will get mask leaks anyway. But yes go Mac as high as you want
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#7
High AHI despite BIPAP
I started BIPAP last week (skipped straight over CPAP because my pressure needs were too high), and have been having consistently high AHI since starting. My lowest was 8.6 and my highest was 15.6 (last night). I’m on ResMed VAuto AirCurve 11 with a pressure of 22/12, and PS of 4. My mask is an Airtouch F20. It looks like my machine is only going up to about a 16 when I’m sleeping despite being set to 22. Is there a good reason why it wouldn’t go up higher even though I’m still having apneas? I have tolerated it all night every night with 7+ hours of sleep.
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#8
RE: High AHI despite BIPAP
Welcome to the board.  To give any real information we need data.  We get the Data form OSCAR program.  It is a totally free download that you need to use.  All you need is a SD card formatted 32 or less GB.  Post your night sleep and  you will be given help.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#9
RE: High AHI despite BIPAP
Pap machines, when set in auto mode, only go to as high a pressure as you need, which is a good thing.  We would be better able to help you if you would download Oscar, sleep with a 2-32 GB SD card in your machine, and then post a night's or several nights' charts.  Those Oscar charts will show us loads of useful information that can help us help you get better sleep.
Machine:  ResMed AirCurve 10 Vauto
Mask:  Bleep DreamPort Sleep Solution
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#10
RE: Burd - Bi-Level Therapy Thread
Burd - Your 2 threads were about your therapy. In order to maintain continuity, I merged them and renamed the thread to, Burd - Bi-Level Therapy Thread. Please use this thread for all your posts that relate to your therapy. This allows the reader to easily see your history and help create better recommendations.

The AC11 is so new that some of its data parameters are not currently in OSCAR. If you will post a screenshot of your Daily screen, and a 3-minute zoom shot to see your flow rate wave form, this will help. Please use the F12 key for a Windows computer or Fn+F12 key combo for a Mac to take the screenshot. This removes the areas that are not important. I have additional instructions in my signature, Also, the graphs are in an organized order of importance by default.

Please update your equipment profile, so a reader can easily see what you are using.

Thanks!
- Red
Crimson Nape
Apnea Board Moderator
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

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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