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Fine tuning CPAP
#11
RE: Fine tuning CPAP
Hi newman08,
Okay, looking at the latest chart please raise cpap pressure to 12.6cm (one cm at a time over the course of week) and turn EPR on @ 1-this will help with the flow limits and h/oas. It may raise the number of ca events but I'd like to see how it feels to you and if the flow limits get knocked down over a few nights please.
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#12
RE: Fine tuning CPAP
Here is an updated night:
- I turned it up to 12.4, but found my mouth was busting open from the pressure. I used mouth tape, but even then it blew threw the edges of the tape. 
- I bought the Phillips Dreamwear full face mask. It is okay, but not as comfortable as nose pilows. I would rather have great sleep though.


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#13
RE: Fine tuning CPAP
The new mask isn't working well - it keeps sliding off my nose and causing big leaks. I went back to pillows and 11cm cpap mode. Clearairways again. 

I ordered a full face mask over the nose mask to try and see if that helps. I will run with the current setting for the time being unless someone has any further thoughts.


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#14
RE: Fine tuning CPAP
Ok - new mask is in (ResMed F20), better results I believe. I am going to increase the range 13-16 tonight and see how I do. 

I don't have trouble breathing, but what wakes me up is if I roll over and some air blows on my face. 

Not sure if anyone has further recommendations.


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#15
RE: Fine tuning CPAP
As a follow up to close this thread, I live in high altitude at ~9300 feet. I had an in lab sleep study done and they approved an ASV machine to handle my mixed apnea. 

I have read that others have had O2 problems, but I was fine there. My issue was increasing pressure to alleviate the obstructive, but the high pressure caused centrals. 


https://pmc.ncbi.nlm.nih.gov/articles/PMC3227706/
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#16
RE: Fine tuning CPAP
How did you feel when you woke up ?  

Your flow limits are high. You may want to use EPR of at least 2 - full time.

You might want to use lanolin when using the nasal pillows. It provides relief.
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#17
RE: Fine tuning CPAP
Just fine when I woke up after the study, but it was at 5am. 

I am moving to an ASV after having the lab study done, which also included titration. All previous charts should be ignored as they are from my current machine (not ASV). 

I will post results when I get the ASV machine in, but said I had great results on ASV.
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