FAQ
It is currently Wed Sep 19, 2018 5:30 pm

Shop Amazon and Support FreeCPAPAdvice

Please consider a small donation to FreeCPAPAdvice.com above, through Patreon, or using the Amazon Shopping link above when you purchase through Amazon. Thank you so much for your support!

Click the Patreon link and Sponsor FreeCPAPAdvice.com

Author Message
devesh111
Unread post  Post subject: AHI increasing  |  Posted: Sun Apr 29, 2018 2:44 am

Joined: Sun Apr 29, 2018 2:30 am
Posts: 2

Offline
Attachment:
File comment: Detail Report
DetailedReportdevgg.pdf [7.88 MiB]
Downloaded 31 times


Sir,
My mother is using Philips Respironics Bipap for past one year. But from past fortnight her AHI is increasing. The apnea alarm buzz even at 30 setting after regular interval.
Please suggest as per report attached if we should change setting or any information which would be helpful.
My mother is 60 years, weight around 130 kgs. We are located in India.

Thanking you

Devesh


Top
TheLankyLefty
Unread post  Post subject: Re: AHI increasing  |  Posted: Tue May 01, 2018 9:09 pm
User avatar
Site Admin

Joined: Mon Aug 15, 2011 10:22 am
Posts: 4644
PAP Mask: Practically tried them all.
PAP Machine: Use Phillips Respironics System One APAP with Aflex for mask testing
Humidifier: None
Pressure Setting: When testing, I use APAP with a range of 5-10

Offline
Overall it looks like she's doing fairly well. I suspect a mouth leak or mask leak. Quickest fix is a soft cervical collar to wear at night. This will keep the jaw locked in place, prevent mouth leaking, and keep her from having a dry mouth when waking.

I've been to India a couple times and it wasn't exactly known for being cool at night, so this might not be the best option.

_________________
TheLankyLefty
http://www.youtube.com/TheLankyLefty27
Consider being our Patreon: https://www.patreon.com/FreeCPAPAdvice
Shop Amazon and help out FreeCPAPAdvice by using this link: http://amzn.to/2dY19oA
Information on FreeCPAPAdvice.com should not be considered medical advice. Seek your physicians advice before seeking treatment for medical conditions. Information posted on the FreeCPAPAdvice.com website and forum is opinion and not statements of fact.


Top
devesh111
Unread post  Post subject: Re: AHI increasing  |  Posted: Fri May 18, 2018 11:19 am

Joined: Sun Apr 29, 2018 2:30 am
Posts: 2

Offline
Hello,
Thanks for reply. I have already placed order for soft collar. My concern is Breath trigger alarm (it is below 50%) and ventilator alarm( continuous alarm but AHI lower then 5) . Please check the report and any suggestion will be of great help.

Thanks,
D. Gupta


Attachments:
180518.pdf [5.53 MiB]
Downloaded 17 times
Top
Tallguy
Unread post  Post subject: Re: AHI increasing  |  Posted: Sat Jun 30, 2018 11:12 pm

Joined: Sun Jun 17, 2018 3:32 pm
Posts: 13
Location: Northern California
PAP Mask: Resmed F20
PAP Machine: Resmed Aircurve 10 vauto bipap
Humidifier: Box included with machine.
Pressure Setting: Vauto, min 10, max 25, ps 5

Offline
In one of Jasons' videos he said you can use sleepyhead to determine how to adjust the pressure levels. I can't figure that out from the sleery head presentation of the data. Without cpap ahi 46 with cpap 17.8. Not bad but was hoping better.


Top
diamaunt
Unread post  Post subject: Re: AHI increasing  |  Posted: Sat Jun 30, 2018 11:31 pm
User avatar

Joined: Wed Mar 02, 2016 2:26 am
Posts: 1882
Location: Dallas(ish)
PAP Mask: Resmed P10
PAP Machine: Resmed S9 vpap auto
Pressure Setting: 18/13-25/19

Offline
Well, post a couple screenshots, as shown in my sig.

and, btw, 17.8 is *terrible*.

But, do start your own thread.

_________________
https://sleep.tnet.com/resources/sleepyhead
how to post:
https://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur


Top
Tallguy
Unread post  Post subject: Re: AHI increasing  |  Posted: Thu Jul 12, 2018 8:30 pm

Joined: Sun Jun 17, 2018 3:32 pm
Posts: 13
Location: Northern California
PAP Mask: Resmed F20
PAP Machine: Resmed Aircurve 10 vauto bipap
Humidifier: Box included with machine.
Pressure Setting: Vauto, min 10, max 25, ps 5

Offline
Image I hope this works. I was sent to the sleep lab because I have Afib. A couple times a week i would wake up gasping for air. I figured that is because my heart likes to stop and take a short rest. However, it seldom happens with cpap. The trade off, hard to sleep with cpap/bipap. Actually had one good night sleep this month AHI went under 3. Very unusual for me.


Top
diamaunt
Unread post  Post subject: Re: AHI increasing  |  Posted: Thu Jul 12, 2018 10:18 pm
User avatar

Joined: Wed Mar 02, 2016 2:26 am
Posts: 1882
Location: Dallas(ish)
PAP Mask: Resmed P10
PAP Machine: Resmed S9 vpap auto
Pressure Setting: 18/13-25/19

Offline
Well, your pressure is too low, and your PS may be too high.

If it were me, I'd switch to vauto mode
MinEPAP 10
MaxIPAP 25
PS 4

and see what it does the next night.

_________________
https://sleep.tnet.com/resources/sleepyhead
how to post:
https://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur


Top
Tallguy
Unread post  Post subject: Re: AHI increasing  |  Posted: Sun Jul 15, 2018 4:52 pm

Joined: Sun Jun 17, 2018 3:32 pm
Posts: 13
Location: Northern California
PAP Mask: Resmed F20
PAP Machine: Resmed Aircurve 10 vauto bipap
Humidifier: Box included with machine.
Pressure Setting: Vauto, min 10, max 25, ps 5

Offline
What is PS?


Top
Tallguy
Unread post  Post subject: Re: AHI increasing  |  Posted: Sun Jul 15, 2018 5:03 pm

Joined: Sun Jun 17, 2018 3:32 pm
Posts: 13
Location: Northern California
PAP Mask: Resmed F20
PAP Machine: Resmed Aircurve 10 vauto bipap
Humidifier: Box included with machine.
Pressure Setting: Vauto, min 10, max 25, ps 5

Offline
I set it for vauto and ps of 10. Is that correct?


Top
diamaunt
Unread post  Post subject: Re: AHI increasing  |  Posted: Sun Jul 15, 2018 8:05 pm
User avatar

Joined: Wed Mar 02, 2016 2:26 am
Posts: 1882
Location: Dallas(ish)
PAP Mask: Resmed P10
PAP Machine: Resmed S9 vpap auto
Pressure Setting: 18/13-25/19

Offline
Tallguy wrote:
What is PS?

PS is the difference in EPAP and IPAP.

EPAP =10 IPAP=15, that means a PS of 10.

so a bilevel pressure can be written 15/10, or epap 10, ps 5.

usually a fixed pressure bilevel has EPAP and IPAP settings, an auto machine usually has a minepap, maxipap and ps, settings, so you set the starting pressure and the ps, then it varies up and down as needed.

_________________
https://sleep.tnet.com/resources/sleepyhead
how to post:
https://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur


Top
diamaunt
Unread post  Post subject: Re: AHI increasing  |  Posted: Sun Jul 15, 2018 8:07 pm
User avatar

Joined: Wed Mar 02, 2016 2:26 am
Posts: 1882
Location: Dallas(ish)
PAP Mask: Resmed P10
PAP Machine: Resmed S9 vpap auto
Pressure Setting: 18/13-25/19

Offline
Tallguy wrote:
I set it for vauto and ps of 10. Is that correct?

Sorry, no, I made a typo.


VAUTO mode.

MinEPAP 10
MaxIPAP 25
PS 4

I'm very sorry about typing the wrong things.

_________________
https://sleep.tnet.com/resources/sleepyhead
how to post:
https://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur


Top
Tallguy
Unread post  Post subject: Re: AHI increasing  |  Posted: Sun Jul 15, 2018 9:54 pm

Joined: Sun Jun 17, 2018 3:32 pm
Posts: 13
Location: Northern California
PAP Mask: Resmed F20
PAP Machine: Resmed Aircurve 10 vauto bipap
Humidifier: Box included with machine.
Pressure Setting: Vauto, min 10, max 25, ps 5

Offline
Ok, I will set it that way. My ahi very quite a bit from day to day.


Top
Tallguy
Unread post  Post subject: Re: AHI increasing  |  Posted: Mon Jul 16, 2018 9:57 pm

Joined: Sun Jun 17, 2018 3:32 pm
Posts: 13
Location: Northern California
PAP Mask: Resmed F20
PAP Machine: Resmed Aircurve 10 vauto bipap
Humidifier: Box included with machine.
Pressure Setting: Vauto, min 10, max 25, ps 5

Offline
After setting my macine to Diamaunt suggestions. I had AHI 9.7 last night. It showed ahi 12. for 38 min of being awake. I'm not sure I believe Resmed software anymore. I get to meet with a sleep tech 7/24. S/he will probably upset that I changed settings, but tough. I don't give up so easily.


Top
diamaunt
Unread post  Post subject: Re: AHI increasing  |  Posted: Mon Jul 16, 2018 10:56 pm
User avatar

Joined: Wed Mar 02, 2016 2:26 am
Posts: 1882
Location: Dallas(ish)
PAP Mask: Resmed P10
PAP Machine: Resmed S9 vpap auto
Pressure Setting: 18/13-25/19

Offline
Well, that's a lot better, can you post a chart, using the guidelines in my sig?

_________________
https://sleep.tnet.com/resources/sleepyhead
how to post:
https://sleep.tnet.com/resources/sleepyhead/shorganize
https://sleep.tnet.com/reference/tips/imgur


Top
Display posts from previous:  Sort by  
Print view

Who is online
Users browsing this forum: No registered users and 1 guest
You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum
Jump to:  


Delete all board cookies | The team | All times are UTC - 8 hours [ DST ]

Powered by phpBB © 2000, 2002, 2005, 2007 phpBB Group
DAJ Glass 2 template created by Dustin Baccetti