(01-04-2014, 04:55 AM)nmbugs Wrote: I am having some real problems with my CPAP. First my provider gave me the wrong CPAP. My doctor ordered me an Escape S-9 because I have problems handling the pressures. I was given a Respironics System One which cannot adjust pressures but can ramp up over 45 minutes (as I am sure most of you probably already know ).

Anyways just a few nights after using the respironics (just got it 12-24) I started waking up with my low oxygen headaches. I guess I should mention I am on 24-7 oxygen for PAH. My husband had some work he could do at night so he monitored my oxygen saturations for 2 nights and it went in the 70s both nights. This I think, that caused my right leg to swell up (which happens when my oxygen levels go wacky) so the last two night I haven't used my machine.

This has been very frustrating because I felt like I got my best night sleep in years when I had my titration study. I was looking so forward to getting my machine but now it seems like it's only causing more problems. My cpap provider was supposed to order my correct machine, the day I picked up the wrong one but I found out yesterday they dropped that ball too so it's going to take another 2 weeks to get the right one (which is going to mess up my insurance report!!).

I guess I have a couple questions. First, should I try just taking my pressure down to 6 and don't let it ramp up to 13? I am thinking maybe I can tolerate a lower pressure. Also from what I am reading on these two machines there are huge differences. The model I have right now has no bells or whistles the respiratory therapist described as a pinto and said the one my doctor ordered is more like a camry. But then the office staff is telling me they are the same. Any thoughts on the two models?

I appreciate all your help!
Racquel

(01-04-2014, 04:55 AM)nmbugs Wrote: Any thoughts on the two models?

• Data capable machines keep a detailed record of your breathing, events and pressures on a breath-by-breath basis. This is valuable information for you and your doctor to monitor your progress and make necessary adjustments to your therapy.
  
• The non-data capable machines only keep a record of the hours used, for "compliance" purposes. The S9 Escape is non-data capable. You should avoid getting this machine and insist on a data-capable one (Resmed or Respironics - they're both good brands).
  

• Plain vanilla means the pressure is set to a constant and remains at that pressure all night (except for the ramp up). This is adequate for many people.
  
• An autoset machine allows you to set a minimum and maximum pressure, and the machine will vary between these as required to treat your apnea events. Generally an autoset is preferred as it is more comfortable for many people, running at a lower pressure unless there is an actual need to go higher. The autoset machine can also give you a night-by-night titration - you can see what pressures are actually required to treat your apnea and adjust the range accordingly.
  
• Bilevel machines (Bipap or VPAP) are more complex, allowing different pressures to be set for inhale and exhale. These are more expensive and usually only prescribed if you can't achieve effective treatment on the CPAP or autoset.
  
• Automatic servo ventilation ASV machines are very expensive and only prescribed if you have intractable central apnea or other breathing disorder like Cheyne-Stokes respiration