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+--- Thread: New to CPAP need a bit of help (/Thread-New-to-CPAP-need-a-bit-of-help)
RE: New to CPAP need a bit of help - AMD386 - 03-29-2020
WoW well i went to a sleeping lab for 2 nights and there gave me a Dreamstation Pro and a setting of 5. after multibal days of still having discomfort and reding in the forum i buyed the Dreamstation auto. i still asking my doc for an Auto but he still tells me its no need 5 its fine. so i realy love your help and seeing how there are working on a chart.
RE: New to CPAP need a bit of help - Sleeprider - 03-29-2020
your results are not bad at 5-7, but not great. A couple comments on CPAP titration protocols and clinics. Let's look at your chart to understand what a clinical technician would do. Here you are sleeping at 5.0 cm at 01:30 and for the next hour there are no events. Technician does nothing. There is a hypopnea at 01:40 and pressure increases 1-cm. The technician would have continued the test at 6.0, but your machine is "stupid smart" and drops back to 5.0, which is fine until 03:50 when we repeat. Machine drops back to 5.0 and we repeat. and at 04:45 we get a bunch of flow limitations ending in a cluster of hypopnea. The machine is pegged at 7.0 and has no place to go. Your technician never got this far, and went to finish your titration report because you were fine at 5.0 during your test. This is why auto CPAP and self titration si so much more effective than a clinical study.
Let's keep going on to the gory details. The machine drops back to 5.0 and sets you up for more obstruction which comes at 07:00. By now you were already gone from the sleep study, but we can see you are struggling to keep an open airway at 7.0. So based on what we know from the protocol, you be the technician. What is the low pressure you should start with? Why is the right minimum pressure important with your machine?
RE: New to CPAP need a bit of help - AMD386 - 03-29-2020
its not so important for me i simply dont know hehe
RE: New to CPAP need a bit of help - Damiansd - 03-29-2020
If it is hitting the peak at 7, I would think it needs to be lifted as the machine thinks you probably need a little more but cant get there. Also, I suspect that your minimum needs to come up too as I keep reading that most people need around a minimum of 6 to be comfortable.
I'm a hack, so don't take what I'm saying as gospel. Sleeprider and others have a much better handle on this.
Regards,
Damian.
RE: New to CPAP need a bit of help - AMD386 - 03-30-2020
thanks again Sleeprider for your help. I think its looking way better or?
RE: New to CPAP need a bit of help - MitchS - 03-30-2020
Nice! The pressure increase cut your AHI in half.
How do you feel?By the way, good job on the charts.
RE: New to CPAP need a bit of help - AMD386 - 03-30-2020
better thanks think i still need to ask for PB and RERA i need a BiPAP asv right to fix that for me
RE: New to CPAP need a bit of help - SarcasticDave94 - 03-30-2020
Directly answering about periodic breathing and RERA: BPAP maybe a yes on being beneficial, ASV not needed for those type of events. An ASV is for treating CA events.
RE: New to CPAP need a bit of help - MitchS - 03-30-2020
It’s not uncommon for new users to have periodic breathing. In fact, I had it off and on for a few weeks after I started using a CPAP machine. It usually resolves it’s self once you adapt to the therapy.
RE: New to CPAP need a bit of help - AMD386 - 03-30-2020
Okay thanks for the all the help