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Machine: Resmed S9 VPAP Auto Mask Type: Nasal mask Mask Make & Model: Resmed air fit N20 Humidifier: None CPAP Pressure: Min EPAP 7 Max IPAP 17 CPAP Software: OSCAR
09-16-2021, 05:22 PM (This post was last modified: 09-16-2021, 05:24 PM by mgcunn27.)
Resmed S9 adjustment
I’ve been using the Resmed s9 VPAP since may of 15 and for some reason when I took a trip a few months ago I goofed around with the settings not knowing what I was doing because I wasn’t sleeping well and (wrongly) assumed my settings that I had set for over 5 years were off. However now I’m not sure if my settings are correct for me as I’m having ahi of around 4.5-5.1 which isn’t terrible but not as optimal as it was. (According to sleepy head before I messed my settings up I was at a .02 ahi) My main problem is osa I was having 126 ahi with oxygen levels dipping into the high 70s before I was put on bipap therapy.
Right now im just trying to figure out if my settings are ok and if anyone here with expertise could advise whether or not I move something around
Currently I am set for (completely on my own random accord not from my doctor)
Ipap 17
Epap 8
Ps:5
Timax 2.0
Timin 0.3
So with these settings im getting an ahi around 5 and according to the data it’s all osa with some very minor mask leaks. Im having almost 0 to none central or hypopnea. However my main concern is I’m not waking up refreshed with 7+ hours of sleep and have been dragging through the days recently so I’m thinking something needs to be adjusted
Welcome! To help you the people here need to SEE your data. We use OSCAR that can be downloaded FREE from the top of the site. You need a SD card in the machine while you sleep. You may already have one in your machine.
Take a look at the link I have in my signature at the bottom of the post about charts. It shows a lot about OSCAR and which charts to put in your post.
Machine: Resmed S9 VPAP Auto Mask Type: Nasal mask Mask Make & Model: Resmed air fit N20 Humidifier: None CPAP Pressure: Min EPAP 7 Max IPAP 17 CPAP Software: OSCAR
Machine: Resmed S9 VPAP Auto Mask Type: Nasal mask Mask Make & Model: Resmed air fit N20 Humidifier: None CPAP Pressure: Min EPAP 7 Max IPAP 17 CPAP Software: OSCAR
Ok I think I've got OSCAR up to date and formatted now.
Lately I've been baffled though as my daily fatigue has severely returned without any adjustment to what was working or me. According to the data the settings have been working just fine for a long time. However, for the past few months I've been struggling with bad panic attacks and anxiety which was causing me fairly bad insomnia. This then led into sleep dread and fear of bedtime among other things. To help with this I was prescribed Trazodone 50 mg and it has been helping me get to sleep but I've been waking up very tired even after 7+ hours.
I've been successfully using the nasal-only Airfit N10 and then N20 for over 5 years. So why now all of the sudden at random would my quality of sleep feel so diminished? One symptom I have noticed is that I am waking up with a very dry mouth which never used to happen before. At first I thought it was just a medication side effect. But now I'm wondering if it is possible that this medication is making me relax my jaw to the point where I'm opening my mouth during sleep? Or could it be anxiety is not allowing me to enter the deep phases of sleep? All I know is currently my energy levels have returned to the point they were before I was treated 5 years ago. My AHI is hovering around 3 for the night now. I'm so tired I feel like I'm not even using the machine at all and I'm thinking with an ahi of 3 I shouldn't be THAT bad.
I'm kind of at a loss for what I should do. I'm also brand new to checking the sleep data and using OSCAR so working on becoming more knowledgeable with that as well.
