Do I need to raise my Maximum Pressure (Clusters)
Do I need to raise my Maximum Pressure (Clusters)
I've been doing OK for a while but recently I've noticed cluster OA's in some of the OA's they've lasted as long as 47 seconds (according to SH). Anyway I now have a Pacemaker/Defibrillator implanted back in mid October 2014 which should not have anything to do with the clusters Im beginning to see, along with the long duration of the OA's (just thought I'd let you know about the implant). That's why I ask about should I increase my pressure.
I attached 2 different graphs one with a large cluster and the other with none but just last nights results.
Thanks for any insight.
https://lh4.googleusercontent.com/-roDw ... 44430.jpeg
https://lh6.googleusercontent.com/-0yeg ... 44353.jpeg
I attached 2 different graphs one with a large cluster and the other with none but just last nights results.
Thanks for any insight.
https://lh4.googleusercontent.com/-roDw ... 44430.jpeg
https://lh6.googleusercontent.com/-0yeg ... 44353.jpeg
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ F10 Full Face Mask with Headgear |
Last edited by fdw on Tue Jan 13, 2015 3:12 pm, edited 3 times in total.
ResMed AirSense S10 Autoset (Ins. Pur. 3/16/2016)
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0
Re: Do I need to raise my Maximum Pressure (Clusters)
Your links don't work.
_________________
Mask: Ultra Mirage™ Full Face CPAP Mask with Headgear |
Humidifier: IntelliPAP Integrated Heated Humidifier |
Re: Do I need to raise my Maximum Pressure (Clusters)
They should work now...Thank you.
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ F10 Full Face Mask with Headgear |
ResMed AirSense S10 Autoset (Ins. Pur. 3/16/2016)
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0
Re: Do I need to raise my Maximum Pressure (Clusters)
Your numbers aren't bad but you are bumping the top most of the time so it wouldn't hurt to increase top and see what happens. In APAP the machine won't higher if not needed.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Sleepyhead Software |
ResMed Aircurve 10 VAUTO EPAP 11 IPAP 15 / P10 pillows mask / Sleepyhead Software / Back up & travel machine Respironics 760
- Wulfman...
- Posts: 6688
- Joined: Mon Sep 01, 2014 6:41 pm
- Location: Nearest fishing spot
Re: Do I need to raise my Maximum Pressure (Clusters)
Just throwing out some thoughts......
It appears to me that your OA events are occurring when your pressure is at its peak.
Now......which is the chicken and which is the egg? Pressures don't rise to treat apneas when they're in progress.
And, your "events" are almost non-existent when your pressure is lower.
Clusters could indicate that they're positional.
Your Flow Limitations are what's driving your pressures up.
I think it would be interesting if you actually LOWERED your max pressure by one centimeter......for a number of nights.
Den
.
It appears to me that your OA events are occurring when your pressure is at its peak.
Now......which is the chicken and which is the egg? Pressures don't rise to treat apneas when they're in progress.
And, your "events" are almost non-existent when your pressure is lower.
Clusters could indicate that they're positional.
Your Flow Limitations are what's driving your pressures up.
I think it would be interesting if you actually LOWERED your max pressure by one centimeter......for a number of nights.
Den
.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
Re: Do I need to raise my Maximum Pressure (Clusters)
Den is much more experienced that I am. And that's the nice thing about monitoring Apap with Sleepyhead make a little change for a few days and see what results you get.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Sleepyhead Software |
ResMed Aircurve 10 VAUTO EPAP 11 IPAP 15 / P10 pillows mask / Sleepyhead Software / Back up & travel machine Respironics 760
Re: Do I need to raise my Maximum Pressure (Clusters)
i had started a different thread before seeing this but decreasing my pressure has lowered my AHI.
_________________
Mask: Eson™ Nasal CPAP Mask with Headgear |
Humidifier: HumidAire H4i™ Heated Humidifier |
Re: Do I need to raise my Maximum Pressure (Clusters)
fdw wrote:I've been doing OK for a while but recently I've noticed cluster OA's in some of the OA's they've lasted as long as 47 seconds (according to SH). Anyway I now have a Pacemaker/Defibrillator implanted back in mid October 2014 which should not have anything to do with the clusters Im beginning to see, along with the long duration of the OA's (just thought I'd let you know about the implant). That's why I ask about should I increase my pressure.
I attached 2 different graphs one with a large cluster and the other with none but just last nights results.
Thanks for any insight.
https://lh4.googleusercontent.com/-roDw ... 44430.jpeg
https://lh6.googleusercontent.com/-0yeg ... 44353.jpeg
I don't see any reason to change your pressures...Your numbers look great. I don't see anything I would consider a "cluster".
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: Fisher & Paykel Vitera Full Face Mask with Headgear (S, M, or L Cushion) |
Additional Comments: Back up is S9 Autoset...... |
Re: Do I need to raise my Maximum Pressure (Clusters)
I see what Den is seeing and kinda agree with his assessment regarding lowering the maximum pressure 1cm, in my case from 14.0 to 13.0. My question to Den is my minimum is 12.8 should I lower or keep the same (if I should lower should it be 1cm as well?)
BTW, my last titration was 13.0 several (7) years ago, and I have EAP set at 1.0 therefore the 14.0 Maximum pressure setting.
Thanks
BTW, my last titration was 13.0 several (7) years ago, and I have EAP set at 1.0 therefore the 14.0 Maximum pressure setting.
Thanks
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ F10 Full Face Mask with Headgear |
ResMed AirSense S10 Autoset (Ins. Pur. 3/16/2016)
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0
- Wulfman...
- Posts: 6688
- Joined: Mon Sep 01, 2014 6:41 pm
- Location: Nearest fishing spot
Re: Do I need to raise my Maximum Pressure (Clusters)
Your call. I was just throwing out some observations.fdw wrote:I see what Den is seeing and kinda agree with his assessment regarding lowering the maximum pressure 1cm, in my case from 14.0 to 13.0. My question to Den is my minimum is 12.8 should I lower or keep the same (if I should lower should it be 1cm as well?)
BTW, my last titration was 13.0 several (7) years ago, and I have EAP set at 1.0 therefore the 14.0 Maximum pressure setting.
Thanks
You could also try setting the minimum and maximum at 13 .......or 13 and 14 and see what things look like.
I assume you meant EPR? You could try leaving it at 1 or turning it off.
As I've said before, these machine have many variables/options and it's a matter of tweaking to find the "sweet spot".
Den
.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
Re: Do I need to raise my Maximum Pressure (Clusters)
Im lost.....or 13 and 14? Im already at 12.8 minimum and 14.0 maximum.Wulfman... wrote:Your call. I was just throwing out some observations.fdw wrote:I see what Den is seeing and kinda agree with his assessment regarding lowering the maximum pressure 1cm, in my case from 14.0 to 13.0. My question to Den is my minimum is 12.8 should I lower or keep the same (if I should lower should it be 1cm as well?)
BTW, my last titration was 13.0 several (7) years ago, and I have EAP set at 1.0 therefore the 14.0 Maximum pressure setting.
Thanks
You could also try setting the minimum and maximum at 13 .......or 13 and 14 and see what things look like.
I assume you meant EPR? You could try leaving it at 1 or turning it off.
As I've said before, these machine have many variables/options and it's a matter of tweaking to find the "sweet spot".
Den
.
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ F10 Full Face Mask with Headgear |
ResMed AirSense S10 Autoset (Ins. Pur. 3/16/2016)
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0
- Wulfman...
- Posts: 6688
- Joined: Mon Sep 01, 2014 6:41 pm
- Location: Nearest fishing spot
Re: Do I need to raise my Maximum Pressure (Clusters)
Sorry.......I'm getting myself confused......your max is already at 14......DUH!fdw wrote:Im lost.....or 13 minimum and 13 maximum?Wulfman... wrote:Your call. I was just throwing out some observations.fdw wrote:I see what Den is seeing and kinda agree with his assessment regarding lowering the maximum pressure 1cm, in my case from 14.0 to 13.0. My question to Den is my minimum is 12.8 should I lower or keep the same (if I should lower should it be 1cm as well?)
BTW, my last titration was 13.0 several (7) years ago, and I have EAP set at 1.0 therefore the 14.0 Maximum pressure setting.
Thanks
You could also try setting the minimum and maximum at 13 .......or 13 and 14 and see what things look like.
I assume you meant EPR? You could try leaving it at 1 or turning it off.
As I've said before, these machine have many variables/options and it's a matter of tweaking to find the "sweet spot".
Den
.
Den
.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
- Wulfman...
- Posts: 6688
- Joined: Mon Sep 01, 2014 6:41 pm
- Location: Nearest fishing spot
Re: Do I need to raise my Maximum Pressure (Clusters)
Bear with me.......
You might even be able to try 12 min and 12 max with EPR turned off.
Den
.
You might even be able to try 12 min and 12 max with EPR turned off.
Den
.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
Re: Do I need to raise my Maximum Pressure (Clusters)
So your suggesting straight CPAPWulfman... wrote:Bear with me.......
You might even be able to try 12 min and 12 max with EPR turned off.
Den
.
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ F10 Full Face Mask with Headgear |
ResMed AirSense S10 Autoset (Ins. Pur. 3/16/2016)
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0
- Wulfman...
- Posts: 6688
- Joined: Mon Sep 01, 2014 6:41 pm
- Location: Nearest fishing spot
Re: Do I need to raise my Maximum Pressure (Clusters)
Kinda sounds that way, doesn't it. (Yes, that's my suggestion.)fdw wrote:So your suggesting straight CPAPWulfman... wrote:Bear with me.......
You might even be able to try 12 min and 12 max with EPR turned off.
Den
.
The problem (as I see it) is with your Flow Limitations. They're driving unnecessary pressure increases.
I see lots of spaces in your report where your events are pretty non-existent and your pressures are at their minimum.
Den
.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05