Pressure setting or minimum achieve first good results?

HerbM · Post by **HerbM** » Sat Jan 25, 2014 1:28 pm

I am curious what pressures people used when first achieving effective results.

(Not the first setting on the machine, but after a good baseline was established.)

When you first began treatment, and were able to become compliant, what was your nominal pressure setting or your minimum if using an APAP?

I am also curious what your first titration was from the sleep lab but that would be a separate question if you wished to answer it in the message text.

Nozzelnut · Post by **Nozzelnut** » Sat Jan 25, 2014 8:14 pm

My starting pressure was 8. It works OK until I start having events; then it will be up and down. 11-13 takes care of most of my OA's with an occasional bad night needing 14-15. My highest nights were about a month ago and it went up to 17 for 3 out of 7 nights. May have been runaway pressure from the low-ish starting pressure and too wide of a range. We've been adjusting the starting pressure up over the last week and next to start about 10.

Goofproof · Post by **Goofproof** » Sat Jan 25, 2014 11:43 pm

It makes no difference, my pressure only applys to my needs as yours does only to you. Jim

Pugsy · Post by **Pugsy** » Sun Jan 26, 2014 9:21 am

A similar poll was done a few years back and I don't have time to go looking for it but there was a nice bell curve with 10 cm being the most commonly used pressure.

The titration sleep study from hell....prescribed RX at 8 cm.
Didn't take a rocket scientist to see that it was not optimal and I ended up with 10 cm minimum when using APAP mode and if I had to use cpap mode I suspect I would need around 13 or 14 cm and because of that...I always have used auto adjusting pressures....with my doctors consent once I showed her why I came up with my minimum and she recommended the max of 20 because on occasion I see 19 cm.

LSAT · Post by **LSAT** » Sun Jan 26, 2014 12:57 pm

viewtopic/p882269/viewtopic.php?f=1&t=6 ... ll#p630419

SleepyToo2 · Post by **SleepyToo2** » Sun Jan 26, 2014 2:02 pm

Perhaps a more interesting question would be how soon after your titration was your actual pressure increased? Mine was 8 in the titration, but at the first follow-up visit it was increased to 10 when I told the doc I had woken myself and my wife up with my snoring one night. I have reduced the pressure temporarily to see what would happen as I have lost some weight (about 10 lbs), but my AHI was not improved so I went back to 10. I have also tried putting C-Flex + back on, with a negative effect on my AHI. So, basically, the titration pressure was not accurate for my real-world needs. My next machine will be an auto, which should identify whether I need a higher pressure for part of the night - my doc only believes in looking at the total AHI, so I might be looking for a different doc.

chunkyfrog · Post by **chunkyfrog** » Sun Jan 26, 2014 2:14 pm

I have never started a poll, and should I ever do so, please kick me where one may be tempted to put said poll.

Goofproof · Post by **Goofproof** » Sun Jan 26, 2014 11:03 pm

chunkyfrog wrote:I have never started a poll, and should I ever do so, please kick me where one may be tempted to put said poll.

Or at least hit us with a pole! Don't be like Archie Bunker, don't feed a Poll Lock! Jim

Pressure setting or minimum achieve first good results?

Pressure setting or minimum to achieve first good results?

Pressure setting or minimum achieve first good results?

Re: Pressure setting or minimum achieve first good results?

Re: Pressure setting or minimum achieve first good results?

Re: Pressure setting or minimum achieve first good results?

Re: Pressure setting or minimum achieve first good results?

Re: Pressure setting or minimum achieve first good results?

Re: Pressure setting or minimum achieve first good results?

Re: Pressure setting or minimum achieve first good results?