Can the pressure too high?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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AMESS
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Can the pressure too high?

Post by AMESS » Sun Oct 29, 2017 6:37 am

Dr set 6 weeks ago 5-20. Feels like a wind storm later in the night. . Okay for a while --then gets too much. What to do? Sleepyhead says stayed at about 14 last night. What am I doing wrong?

LibtardsUnite!

Re: Can the pressure too high?

Post by LibtardsUnite! » Sun Oct 29, 2017 6:45 am

AMESS wrote:Dr set 6 weeks ago 5-20. Feels like a wind storm later in the night. . Okay for a while --then gets too much. What to do? Sleepyhead says stayed at about 14 last night. What am I doing wrong?
What are you doing wrong? You are asking this forum questions you should be asking your doctor. In other words, you are being a whiny annoying pain in the ass, that's what you're doing wrong.

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AMESS
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Re: Can the pressure too high?

Post by AMESS » Sun Oct 29, 2017 7:14 am

TY so much Libtard- love u too
--now please take a hike

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Pugsy
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Re: Can the pressure too high?

Post by Pugsy » Sun Oct 29, 2017 7:18 am

Can you tell me what part of SleepyHead is showing "14".
Where are you seeing that number? I assume in the statistics somewhere.
Is it median average or 95% or maximum?

The machine goes to where it thinks it needs to go based on what is physically going on in your airway. Not much you can do about it unless you happen to be a person that more minimum pressure let's the pressure graph settle down and not go so high.

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AMESS
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Re: Can the pressure too high?

Post by AMESS » Sun Oct 29, 2017 7:23 am

Sleepyhead --The line that says pressure. The great air fit 20 mask then starts to leak. Small leaks. Pressure under 13.8 for 95 percent of the time.

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Re: Can the pressure too high?

Post by Pugsy » Sun Oct 29, 2017 7:35 am

That's a 95% number.
You need to understand what a 95% number means. It does NOT mean you were at that number for 95% of the time.
The definition is actually "AT OR BELOW" for 95% of the time.
5% of the time you were above that number.

95% numbers are easily skewed by very brief times at higher pressures. So they don't necessarily mean much or indicate much. It's just a number.

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Re: Can the pressure too high?

Post by AMESS » Sun Oct 29, 2017 7:38 am

Thanx pugs for the info but still does not answer why the pressure seems too high. Tightened straps when mask started farting-had nasty marks on face this morning. Clue it was too tight.

Husbands theory--I am not adjusting the mask right when I wake up in middle of night. Could this be it?

Husband at sleep lab--58 events per hour. Getting his equipment next week.

Really? Dualing masks?

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Re: Can the pressure too high?

Post by #1Guest » Sun Oct 29, 2017 7:48 am

AMESS wrote:still does not answer why the pressure seems too high.
You (your body) will adapt to it in time. You also need to adjust the straps to the highest expected pressure before sleep. Keep bumping your min. pressure a wee bit every 2 days or so and you will soon no longer feel the wind tunnel.

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Re: Can the pressure too high?

Post by Pugsy » Sun Oct 29, 2017 7:59 am

Perception of the pressure is simply individual. Something you have to learn you will adjust to over time.
It seems high probably because it is a bit high if you wake up and it's close to 14.
I used to see over 20 and it didn't seem all that high to me but it took me years to get to that point.
We do adjust to the higher pressures so that they don't "feel" so high.

It is what it is. Your body needs what it needs to keep the airway way open.

Now the leaks and stuff at the higher pressures...that's a challenge everyone faces with any pressures and even more when pressures go to the mid to upper teens.

If your mask leaks in the middle of the night we assume it's the higher pressure but it can also be facial muscle relaxing and changing and maybe some sweat or facial oils being involved in losing the seal. In other words...multiple factors might be involved.

As for dualing mask...sure, why not. Accept it and move on. I know one couple with dualing masks who decided to have sex while wearing their cpap masks and then look at the data to see what it looked like. Put a whole to meaning to awake event flags.

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Re: Can the pressure too high?

Post by AMESS » Sun Oct 29, 2017 8:30 am

hahahahahahahaha-

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Re: Can the pressure too high?

Post by CapnLoki » Sun Oct 29, 2017 8:52 am

AMESS wrote:Dr set 6 weeks ago 5-20. Feels like a wind storm later in the night. . Okay for a while --then gets too much. What to do? Sleepyhead says stayed at about 14 last night. What am I doing wrong?
When your doctor sets it at 5-20 it means he has no idea what the proper setting is so he's letting the machine "titrate." You can be pretty sure the first number "5" (the "20"is not very significant) should really be closer to 14. If you leave it at 5 two things happen - first, you go to sleep thinking the mask fits fine because it holds a pressure of 5, and later you wake to annoying leaks at 14.

The other thing is the pressure sometimes overshoots - that is, while it is working its way up through 6,7 and 8, your apnea were getting worse until you needed 14. If you started at another pressure, say 9, it might have stopped at 12.

I was started a 5-20 and had a 95% number of about 10-12, but sometimes as high as 14. When I changed to 9, the 95% consistently went down to 10. My mask is now set at a tightness that will leak if the pressure goes above 13 - in fact I want it to wake me up because it means I rolled over onto my back and need to re-position. When I started this happened once a month or more; now its once a year at most.

If you have another appointment coming up you might want to wait before adjusting. I had one at 3 months where I showed my doc all my Sleepyhead printouts; he told me I could experiment as I wished but predicted I'd end up at 9, which was dead on.

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AMESS
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Re: Can the pressure too high?

Post by AMESS » Sun Oct 29, 2017 9:30 am

TY Capn--yes Apt in Nov. Always something with Cpap!

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Re: Can the pressure too high?

Post by Goofproof » Sun Oct 29, 2017 9:40 am

AMESS wrote:TY Capn--yes Apt in Nov. Always something with Cpap!
Even harder when you obsess over it, but don't pay attention to people that try to help, and not reading all the posts doesn't help much much. Jim
Use data to optimize your xPAP treatment!

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Re: Can the pressure too high?

Post by CapnLoki » Sun Oct 29, 2017 11:07 am

xxyzx wrote:
AMESS wrote:Dr set 6 weeks ago 5-20. Feels like a wind storm later in the night. . Okay for a while --then gets too much. What to do? Sleepyhead says stayed at about 14 last night. What am I doing wrong?
try setting it to 5-15 and see what results you get
it will need a few tweaks to find the best spot for you
even though the machine auto titrates breath by breath you need to worry about RDI more than AHI
This shows a profound lack of understanding of the way an auto cpap works. If the 95% point is 14 then changing the high end from 20 to 15 will have no affect whatever. Its the low end that generally needs to be raised.

Although auto units do a fair job of adjusting, it takes a lot more than one breath to titrate.

Beginners would be wise to ignore xx's posts.

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Additional Comments: Pressure 9-20, average ~9.5; often use battery power while off-grid
Hark, how hard he fetches breath . . .  Act II, Scene IV, King Henry IV Part I, William Shakespeare
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VLY

Re: Can the pressure too high?

Post by VLY » Sun Oct 29, 2017 11:10 am

CapnLoki wrote:If you have another appointment coming up you might want to wait before adjusting.
I would make my changes before the appt. so I know if they would work or need more increasing.

fwiw - it is the lower pressure that when raised will suppress more events sooner thus reducing your AHI. Just bump it up slowly to allow your body to adapt to the increases.