First Night Results/ Questions:

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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SleepyEyes21
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First Night Results/ Questions:

Post by SleepyEyes21 » Fri Aug 29, 2014 6:34 pm

Okay - last night was first one using auto CPAP. Overall, I think it went pretty well, all things considered. I did sleep with the mask on for approx. 6 hours, and had only a couple of very minor leaks which I could fix quickly with repositioning mask. I did wake up quite a few times - I think some were those RERA things (which I still don't understand, but will eventually, I'm sure ), and some times were most likely because of the newness of having a mask on (mask is a Mirage Quattro FF.) I do want to say that after only six hours of sleep, I felt great!! It was the most 'restorative' six hours I have had in well over a year

I did notice each time I woke that my throat was just a tad dry. I am using the heated humidifier with the humidifier setting at a '2' (this is what is recommended to start.) Should I set this higher or lower? (I live in Florida.) Do I put the setting at '0' for "blow-over?" Does blow-over give you just a little bit of moisture?

The 'mask fit feature' is great! My leak rate was 0% for the night (per the machine, altho I noticed a couple of minor leaks when my head was turned & hitting pillow.) Other data was: Therapy hours = 7.48; AHI = 10.8; Periodic Breathing =5%; 90% Pressure = 7.0.

When setting my titration (recommended for 7), I'm assuming the "Auto Max" setting is where I change to 7, correct?

In both patient and provider menus, I have nothing that refers to 'Ramp' although there is a Ramp button. I may not even need Ramp since my pressure is so low, but would like to be able to activate it at some point. Any pointers on where to find those settings?

I have Flex set at '3' which is supposed to be the best setting for most pressure relief. I chose the CFlex option to try first. I can feel the air pressure in the mask change as I exhale; it is not too bad, but I was of the impression I wouldn't feel this change at all with CFlex. Any suggestions here?

The unit came with a gray filter installed, and a second gray filter and a white fine filter separate in a bag. The white fine filter has the words 'Phillips Respironics' printed on one side, but I am not sure which is considered the 'mesh' side. I will look for the previous thread regarding installing this filter.

Thanks to all who can help!

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palerider
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Re: First Night Results/ Questions:

Post by palerider » Fri Aug 29, 2014 6:58 pm

recent discoveries have indicated that if your minimum pressure isn't above 4, then the ramp settings don't show.

if your titrated pressure was 7, then setting minimum to 6 and max to 8 might be a good place to start for auto mode.... basically a little above and a little below, and see what the machine does, if 7 is the right amount, then it won't be sitting at 6 all night, and won't be bumping up against 8 a lot of the time...

make sense?

white filter goes in first, the name showing out, (that side should be fuzzier) and then the foam filter goes in.

you'll just have to experiment around to find what humidity setting works best for you, it's very individual.

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SleepyEyes21
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Re: First Night Results/ Questions:

Post by SleepyEyes21 » Sat Aug 30, 2014 12:11 am

palerider wrote:recent discoveries have indicated that if your minimum pressure isn't above 4, then the ramp settings don't show.

if your titrated pressure was 7, then setting minimum to 6 and max to 8 might be a good place to start for auto mode.... basically a little above and a little below, and see what the machine does, if 7 is the right amount, then it won't be sitting at 6 all night, and won't be bumping up against 8 a lot of the time...

make sense?

white filter goes in first, the name showing out, (that side should be fuzzier) and then the foam filter goes in.

you'll just have to experiment around to find what humidity setting works best for you, it's very individual.

Will try these suggestions, Pr. Ty

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Re: First Night Results/ Questions:

Post by Pugsy » Sat Aug 30, 2014 12:40 am

A setting of 2 with the PR S1 machine for the humidity setting is a fairly low setting. It doesn't put out much moisture at that setting.
The dry mouth may have been from mouth breathing. You might try a setting of 3 on the humidifier and see if that helps.
When you tell us the AHI can you please also tell us the event category breakdown...you will need to use the software to get that data.
The 0% for the leak number means 0% of the time was spent in large leak. It doesn't mean there were no leaks at all. It's for % of time you used the machine that was spent in large leak. Large leak territory with the PR S1 at your pressures is probably somewhere between 80 and 90 L/min with the full face mask.

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Re: First Night Results/ Questions:

Post by SleepyEyes21 » Sat Aug 30, 2014 2:13 pm

Pugsy wrote:A setting of 2 with the PR S1 machine for the humidity setting is a fairly low setting. It doesn't put out much moisture at that setting.
The dry mouth may have been from mouth breathing. You might try a setting of 3 on the humidifier and see if that helps.
When you tell us the AHI can you please also tell us the event category breakdown...you will need to use the software to get that data.
The 0% for the leak number means 0% of the time was spent in large leak. It doesn't mean there were no leaks at all. It's for % of time you used the machine that was spent in large leak. Large leak territory with the PR S1 at your pressures is probably somewhere between 80 and 90 L/min with the full face mask.
Thanks Pugsy. I tried the humidifier at 3 initially last night; too warm & uncomfortable, so backed down to a 1. That helped a lot; not too much dry mouth this morning. Will try it at zero tonight.

Still working on whether or not I need a card reader for the data card.

Will switch to the FX Swift ? tonight, as I cannot move with the FF at all, or I get a leak. Plus, the FF is irritating bridge of my nose too much, altho I am not tightening mask too much.

I'll keep plugging..

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Re: First Night Results/ Questions:

Post by Pugsy » Sat Aug 30, 2014 2:18 pm

Let me know how the Swift FX trial goes.
You know one of my worst dry mouth and mouth breathing episodes (and painful aerophagia) came about during a full face mask experiment. I think I did more mouth breathing with the full face mask than I did with the nasal only mask probably because my subconscious knew it was okay to mouth breathe. My one and only total night on a full face mask. Cured me of that curiosity itch.

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Re: First Night Results/ Questions:

Post by imptogf » Sat Aug 30, 2014 2:52 pm

hi,i'm also a new user and last night was myfirst time. I slept with the Apap for 10hours and ahi avg was 3.0 but still feel tired and sleepy during the day,no leaks. I have even been taking nuvigil 150 mg with no improvement in daytime sleepiness. other meds before cpap were Adderall, concerta at high doses and they had no effect either.
I havebeen diagnosed with mild OSa with AHI 7 and rem AHI 34 . Also when i wore the mask i felt air hunger and felt that no air was coming into my nose but when i pulled the mask i would feel a blast of air(the staring pressure is 6).Instead i feel air going through the small holes in a steady stream outwards instead of into mynose.(i use the quatro face mask)..sorry about the long paragraph---please let me know why i would be tired and sleepy after all this!

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Re: First Night Results/ Questions:

Post by grayghost4 » Sat Aug 30, 2014 5:20 pm

your question about needing a card reader or not :
Most new computers sold over the last five years have a card reader built in them.
If not then you need some kind of cardreader like one of these depending on weather you have a usb port or not :

http://www.amazon.com/s/rehttp://www.am ... eywords=sd card reader
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SleepyEyes21
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Re: First Night Results/ Questions:

Post by SleepyEyes21 » Sat Aug 30, 2014 7:59 pm

grayghost4 wrote:your question about needing a card reader or not :
Most new computers sold over the last five years have a card reader built in them.
If not then you need some kind of cardreader like one of these depending on weather you have a usb port or not :

http://www.amazon.com/s/rehttp://www.am ... eywords=sd card reader
Thanks for the info, grayghost - although the link you posted goes to data cards. Does anyone know if these data cards can go in a CPAP machine, or would I have to replace the current one in my machine with another of the same (Phillips Respironics)?

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Re: First Night Results/ Questions:

Post by Pugsy » Sat Aug 30, 2014 8:09 pm

The SD cards don't need to be name brand. Cheap generic will work.

If your computer doesn't have a slot for the SD card one of these card readers/adapters will work just fine. Doesn't have to be name brand either. Just one end for the SD slot to be slid into and the other end to connect to the USB port on the computer.
https://www.cpap.com/productpage/generi ... eader.html

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Re: First Night Results/ Questions:

Post by SleepyEyes21 » Sat Aug 30, 2014 8:24 pm

Pugsy wrote:The SD cards don't need to be name brand. Cheap generic will work.

If your computer doesn't have a slot for the SD card one of these card readers/adapters will work just fine. Doesn't have to be name brand either. Just one end for the SD slot to be slid into and the other end to connect to the USB port on the computer.
https://www.cpap.com/productpage/generi ... eader.html
Thanks for the info, Pugsy - will look into this.

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Re: First Night Results/ Questions:

Post by SleepyEyes21 » Sun Aug 31, 2014 9:33 am

Pugsy wrote:Let me know how the Swift FX trial goes.
You know one of my worst dry mouth and mouth breathing episodes (and painful aerophagia) came about during a full face mask experiment. I think I did more mouth breathing with the full face mask than I did with the nasal only mask probably because my subconscious knew it was okay to mouth breathe. My one and only total night on a full face mask. Cured me of that curiosity itch.
Hi Pugsy - I had a much better night using the Swift FX - thank you!! Very comfortable and was able to stretch and turn my head without 'leaks' appearing I also had no problem keeping my mouth closed since the FX basically 'sits' a bit above upper lip. My AHI was low - 2.~ I also slept through for approx. 6 hours, with no waking. Kept my humidifier at a one; no dry mouth this a.m. (just trying to manage a migraine that started yesterday )

Couple of questions: will opening mouth while yawning affect the leak info significantly when using a nasal mask? Have you tried the Nano style mask (I saw it on Ebay), and do you know if the connector hose that is on the FX is the same for the Nano (I know the headgear is the same)?

I am just about 'sold' on this Swift mask!

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Re: First Night Results/ Questions:

Post by Pugsy » Sun Aug 31, 2014 12:12 pm

Yawning, if you let much air escape during yawn, could cause a brief spike in the leak rate. It would be very brief though and of no consequence anyway.

Yes, I have tried the Nano and yes it will work with your current Swift FX gear. That's what I did to try it but while I used the old Swift FX headgear I did get the short hose assembly just to try it out to see if it was a huge difference. There's a slight difference in the 2 short hoses. The Nano hose is a tiny bit more flexible and the swivel thing is a little different.
Check out EBay sometime just for the short hose for the Nano if you are curious as sometimes I have seen some good deals on the hose. For now in an effort to keep costs low since you are paying out of pocket....yes, you can get just the Nano cushion and it will work on your current headgear and short hose that came with the Swift FX nasal pillows.

You know that just because you bought your machine privately there is nothing stopping you from getting a mask using your insurance from brick and mortar DME store if they have what you want and will work with your insurance.

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Re: First Night Results/ Questions:

Post by SleepyEyes21 » Sun Aug 31, 2014 2:24 pm

Pugsy wrote:Yawning, if you let much air escape during yawn, could cause a brief spike in the leak rate. It would be very brief though and of no consequence anyway.

Yes, I have tried the Nano and yes it will work with your current Swift FX gear. That's what I did to try it but while I used the old Swift FX headgear I did get the short hose assembly just to try it out to see if it was a huge difference. There's a slight difference in the 2 short hoses. The Nano hose is a tiny bit more flexible and the swivel thing is a little different.
Check out EBay sometime just for the short hose for the Nano if you are curious as sometimes I have seen some good deals on the hose. For now in an effort to keep costs low since you are paying out of pocket....yes, you can get just the Nano cushion and it will work on your current headgear and short hose that came with the Swift FX nasal pillows.

You know that just because you bought your machine privately there is nothing stopping you from getting a mask using your insurance from brick and mortar DME store if they have what you want and will work with your insurance.
Interesting info about the Nano hose.. I'll keep my eye on for it on Ebay. As for the Nano, will likely purchase at least that piece so I can have alternative options in masks. Will stick with the FX for now, and keep the Mirage FF in case needed later.

I've already checked with my HMO - they will not pay for any masks, accessories, etc. if I do not rent a machine thru them. Can't wait to be rid of them!

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