New Member back on CPAP...

palerider wrote: ↑

Sat Feb 02, 2019 6:42 pm

They spent a good part of the night smack up against the absurdly low max pressure. Absent other pressing needs, it needs to be raised.
Your "advice" is poor, and will do nothing more than delay getting the OP to an even better nights sleep.

OP says they feel better and have a low AHI to prove it. Why do you think the pressure is "absurdly low" then? Don't fix what ain't broken.

palerider wrote: ↑

Sat Feb 02, 2019 6:42 pm

Don't try shoving your "experience" down other people's throats, they are not you.

And, there's *absolutely* nothing wrong with a 'wide range', the issue, 90% of the time is that the minimum is too low, and/or the max is too low.

I'll give any advice I please, if you don't like if feel free to block me, or continue shrieking about it... whatever.

I was fortunate to get a lot of great experiential advice from some very nice users here when I first started. Thank god users with your know-it-all attitude and nasty temperament were not here at that time, I might have left before figuring out what I really needed. I'm giving some of the same advice I got and that worked well for me. Again, if you don't like it, that's your problem, not mine.

nobody wrote: ↑

Sat Feb 02, 2019 7:09 pm

palerider wrote: ↑

Sat Feb 02, 2019 6:42 pm

They spent a good part of the night smack up against the absurdly low max pressure. Absent other pressing needs, it needs to be raised.
Your "advice" is poor, and will do nothing more than delay getting the OP to an even better nights sleep.

OP says they feel better and have a low AHI to prove it. Why do you think the pressure is "absurdly low" then? Don't fix what ain't broken.

OP says they feel better, but if they felt *great* they wouldn't be here, asking for advice and posting their charts.

There is room for improvement, and if you knew *anything* about reading charts, that would be obvious.

The fact that the machine spent at least a third of the night smack up against the max pressure says it's too low.

nobody wrote: ↑

Sat Feb 02, 2019 7:09 pm

palerider wrote: ↑

Sat Feb 02, 2019 6:42 pm

Don't try shoving your "experience" down other people's throats, they are not you.

And, there's *absolutely* nothing wrong with a 'wide range', the issue, 90% of the time is that the minimum is too low, and/or the max is too low.

I'll give any advice I please, if you don't like if feel free to block me, or continue shrieking about it... whatever.

I was fortunate to get a lot of great experiential advice from some very nice users here when I first started. Thank god users with your know-it-all attitude and nasty temperament were not here at that time, I might have left before figuring out what I really needed. I'm giving some of the same advice I got and that worked well for me. Again, if you don't like it, that's your problem, not mine.

The only problem is for people that end up with suboptimal treatment because they unknowingly follow the wrong advice.

Thanks everyone for your advice. Much appreciated.

So I decided to start out with a range of 6 to 10 as a test to see if I hit a ceiling at 10 during the night(and a need to further increase my Max). According to my chart it looks like appropriate settings.

I also switched my EPAP from 'On Ramp Only' to 'On All Night'. Not sure how to read/interpret the EPAP Pressure Results but would like to know if results look good/appropriate and also if I should continue to keep it 'On'?

Thx!!

Looks pretty darn good.
How'd you sleep?

EPAP is just the exhale pressure...what it drops down to during exhale. During ramp you don't get the full drop because the machine can't go below 4 cm. Even at 6 cm it can't drop below 4 so you don't really get the full EPR of 3 until you reach 7 cm.

It appears that range will work for you. Personally, if it were me, I would raise the minimum to 7. You are getting quite a bit of variation in your pressure, but it is varying over a small range (less than 4 cm). I have my pressure set so that my pressure seldom varies more than 1 cm during the night. I am quite comfortable with the higher pressure range (18 to 21 cm) and have no trouble sleeping with it. I started at a high pressure and adapted to it quite easily. Exhaling at the higher pressure I started with (15 to 20 cm EPAP) felt about the same as when my asthma is acting up, or I have a bronchitis attack.

I agree with raising your minimum.

When my minimum was too low, my pressure was up and down all night. When I started raising my minimum, not only did my AHI improve, but the maximum my pressure peaked at, dropped as well.

I didn't move it all at once, moved it 0.4 - 0.6 cm then left it a week, did it again. I kept going up until the line flattened out. If you look at the two comparison charts below you'll see how increasing my minimum, decreased the maximum the machine needed to go to.

Pugsy, thanks for the explanation.

This morning I felt okay; a little groggy but I was up until 1AM Sat. night with friends. When I don't get to sleep in my normal time range I really feel it the next day....part of getting older I guess.

Okie bipap, thanks for the recommendation.

Dog Slobber, I get it. Thx!! Will make adjustments for tonight and see how I do.

Hmm....I regularly go from 7 cm to 15 cm almost every night at some time or other and there's almost always a lot of movement on my pressure line.
It's for REM related pressure needs. I see no sense in trying to flatten out my pressure line just for the 20% of the night I might need more in REM. I we don't want to let the auto mode do its job...might as well use fixed mode. I sure as heck don't want to use 15 all night.

I see no reason to increase the minimum unless someone just wants to see if it makes any difference in anything or not.
The amount of roaming around this machine is doing....sure really isn't that much except the scale shown makes it look real impressive.

Based on the jumpyness of the pressure lines, I'd say you need a minimum closer to 8.

Hi all.

Monday night I had increased the pressure settings: Min 8 and Max 12. Woke up middle of the night: took a couple of hours before I was able to go back to sleep.......too much pressure, leaking. Not sure what was going on.....

Last night I tried out the Dreamware Nasal mask to see if I would do well with it over the full mask:want to try 'lightening the load' so to speak. I also now have my settings at Min:7 and Max:11. Felt a little tired(again stayed up a little late) but my body was ready to get up: did'nt have that 'I want to sleep more' feeling.

That said, I am wondering if a person was a med/heavy mouth breather, normally, would using the nasal mask instead of the full mouth possibly show more 'events' and more erratic pressure changes during the night? I ask because I was pleasantly surprised at how good the results were last night.

Thanks.


Last Night and Monday Night results: