new user question about my numbers

[pen123]

I did the screenshot using F12,  and saved it.  I went back and found it and inserted it into the email as an attachments and clicked add attachment. Then insert into post.  It still didn't work?

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Thanks for the advise.  I did all that and showed they were ready to be attached, but they would not attach???

[pen123]

           

[pen123]

Sorry there are three of the same thing.  I'm also attaching lastnights use of the RESMED.  Guess I should have kept it, looking the data.  But I wasn't able to pull it up and I had such a hard time with the pressure.

Anyway, you can compare.  It might help you help me.

[pen123]

I tried it again and it worked!!!  Thank you so much!

[pen123]

[attachment=29415][attachment=29415][attachment=29415][attachment=29416][attachment=29416][attachment=29417][attachment=29417]Images from last night, the 26th with Philips dream machine.

Please let me know what you think I should do. I slept with a cervical collar so did not wear my chin strap. I did wake up some with my mouth open, so I guess I will wear the chin strap.

Thank you.  I finally figured out how to download

[Sleeprider]

Hi, at a pressure of 6-16 your Philips Auto CPAP predictably stays near the minimum set pressure, but you need more. If you're comfortable with it, increase minimum to 8.0 and let's see if we can clear this up. If you are concerned about higher minimum pressure, then at least 7.0. This will get better, but your Philips just responds to events that already happened, and I'm a bit disappointed you let the Resmed Autoset go.

[pen123]

Thanks for your reply. I will try that tonight and post the numbers tomorrow. Yeah I'm disappointed too that I let that other machine go. I just wasn't familiar with it and it was blowing so hard and I couldn't figure out why. At the same time, I had not been able yet to load up the data from it. And it really sent no data to my phone. It is on a monthly rental though, so if we can't get this one to work the way I wanted to, I could always rent that one for a month.

Can you tell me though why the ResMed when my upper number was 16 kept rising to that number? I don't think it needed to be that high. Is that just what it does and then you have to lower the upper pressure? I thought when it was on auto, it just went up to the pressure that it needed

[pen123]

Did your machine keep wanting to up to high pressure limits even in auto setting?  Did you just lower the upper limit of pressure so it could not do that?  If so, what is your upper limit?

Thank you!

[Sleeprider]

We never got a look at the Resmed charts, but the Autoset changes pressure rapidly when flow limitation is present. This is indicative of upper airway resistance or pending obstruction, and the Resmed algorithm responds to it very rapidly. If you look closely at the Flow Rate chart and see flattened or downward sloping peaks, instead of rounded peaks, that is flow limitation, and explains why your Resmed ran away. We mitigate that by limiting the maximum pressure or using EPR which treats flow limits. We know they are likely present, because even your Philips is flagging them, even though it does nothing to respond to them or treat them. You would have been better off with the other machine, but we really didn't get a chance to work with you.

EPR on the Resmed treats flow limitation by increasing pressure during inspiration providing pressure support to keep inspiration flow moving up, overcoming the airway resistance. The result is a normal flow. The Philips has only pressure, which stays the same throughout your inspiration. No pressure support means no help to overcome airway resistance, we only get the pressure to keep the airway from collapsing into an apnea. Pressure support vs pressure only.

[pen123]

Attached are my new data sheets from last night.