Search found 266 matches

by Matt00926
Tue Jan 09, 2018 7:37 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Total Inspiration ?
Replies: 19
Views: 1533

Re: Total Inspiration ?

The model 1060 is the PR S1 BiPap ST 60 series machine. https://www.usa.philips.com/healthcare/product/HCDS1060S/bipap-s-t-non-invasive-ventilator 4 modes....CPAP, S, S/T and T The AVAPS is the model 1160 https://www.usa.philips.com/healthcare/product/HCDS1160S/bipap-avaps-non-invasive-ventilator I...
by Matt00926
Mon Jan 08, 2018 6:21 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Total Inspiration ?
Replies: 19
Views: 1533

Re: Total Inspiration ?

I think Philips Respironics reports total leak, so anything under 60 is good I believe. Maybe you don't have a leak problem - I'm not sure why sleepyhead says you have large leaks - maybe in the settings the threshold needs to be changed. It looks like again, the majority of your AHI is comprised of...
by Matt00926
Mon Jan 08, 2018 12:22 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Severe chest injury and CPAP?
Replies: 51
Views: 15160

Re: Severe chest injury and CPAP?

Chest wall trauma sounds like a good candidate for BiPAP...if the pain causes an inadequate breathing pattern, probably from not being able to take full deep breaths, it would mean ventilation is being effected. Pressure Support is what will augment ventilation, not CPAP. BiPAP also allows the EPAP/...
by Matt00926
Sun Jan 07, 2018 10:20 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Total Inspiration ?
Replies: 19
Views: 1533

Re: Total Inspiration ?

Your backup rate of 16bpm is rather high for most people. It could be causing asyncrhony where you're trying to take spontaneous breaths but the machine is constantly cutting in because you're breathing spontaneously below 16bpm. What is your spontaneous breathing rate on the machine (lying down wi...
by Matt00926
Sun Jan 07, 2018 7:38 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Still Struggling with BiPap and Anxiety
Replies: 21
Views: 1582

Re: Still Struggling with BiPap and Anxiety

Pressure Support is just the difference between IPAP and EPAP. So if your IPAP is 20 and your EPAP is 12, the PS would be 8 - which is a lot unless you have a respiratory illness. You may wish to try just switching the therapy mode over to spontaneous bi-level - so one fixed IPAP and EPAP pressure. ...
by Matt00926
Sun Jan 07, 2018 7:09 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Total Inspiration ?
Replies: 19
Views: 1533

Re: Total Inspiration ?

Your backup rate of 16bpm is rather high for most people. It could be causing asyncrhony where you're trying to take spontaneous breaths but the machine is constantly cutting in because you're breathing spontaneously below 16bpm. What is your spontaneous breathing rate on the machine (lying down wi...
by Matt00926
Sun Jan 07, 2018 12:44 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Still Struggling with BiPap and Anxiety
Replies: 21
Views: 1582

Re: Still Struggling with BiPap and Anxiety

Even though your EPAP min shows set to 9cm H2O, there are times on the chart that it goes below that? Ramp shows as being off as well. Also, it seems the machine wants to spend a lot of time with EPAP at or above 10cm H2O. Most of your AHI consists of obstructive apneas. EPAP/CPAP can cause cardiova...
by Matt00926
Sun Jan 07, 2018 9:05 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Is there a mini bipap (like transcend)
Replies: 16
Views: 2454

Re: Is there a mini bipap (like transcend)

I failed to consider yesterday that your current night time/sleep setup may be inadequate. With adequate ventilation support/muscle rest at night, many people actually notice improved functioning during the day. What I'm trying to say is: you may not necessarily require daytime ventilation as of yet...
by Matt00926
Sat Jan 06, 2018 2:36 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Is there a mini bipap (like transcend)
Replies: 16
Views: 2454

Re: Is there a mini bipap (like transcend)

If you have muscular weakness and need ventilation support while mobile, it sounds like you my fare well with a portable ventilator, if your insurance would cover it. Just one example: the ResMed Astral 150 is a portable ventilator that weighs about 7lbs and has an 8 hour internal battery - and you ...
by Matt00926
Sun Dec 10, 2017 10:17 am
Forum: CPAP and Sleep Apnea Message Board
Topic: PLEASE HELP WITH MY FIRST SLEEPYHEAD SCREENSHOTS
Replies: 20
Views: 3579

Re: PLEASE HELP WITH MY FIRST SLEEPYHEAD SCREENSHOTS

I glanced at 4-5 of your charts. One thing in common is large leak % is more than normal. Ideally with a proper mask fit and no mouth breathing, you should not really have much leak at all. That is not always a culprit, or even matter, but it is something that can be improved. For example, I use a F...
by Matt00926
Sun Dec 10, 2017 9:56 am
Forum: CPAP and Sleep Apnea Message Board
Topic: PLEASE HELP WITH MY FIRST SLEEPYHEAD SCREENSHOTS
Replies: 20
Views: 3579

Re: PLEASE HELP WITH MY FIRST SLEEPYHEAD SCREENSHOTS

You need to reupload those pictures in imgur. Next time you can hit preview before you make a thread to make sure they came out right.
by Matt00926
Sun Dec 10, 2017 9:47 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Does Therapy Look Optimized?
Replies: 25
Views: 1269

Re: Does Therapy Look Optimized?

You have some flow limitation/hypopneas that may go away with a bit more min pressure. You don't seem to spend much sleep time at 6cm h2o.

Just observations - I defer to more knowledgeable peeps.
by Matt00926
Tue Nov 28, 2017 8:22 am
Forum: CPAP and Sleep Apnea Message Board
Topic: Breathing during excerise
Replies: 16
Views: 1204

Re: Breathing during excerise

@Matt: resting does not prevent my muscles getting weak. So using them less at night doesn’t prevent any weakness during the day. I do not have apnea, so it wouldn’t do me any good. If you have elevated CO2 due to muscle weakness, it's almost definitely because you are retaining CO2 while sleeping ...
by Matt00926
Mon Nov 27, 2017 6:08 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: Breathing during excerise
Replies: 16
Views: 1204

Re: Breathing during excerise

You would need a portable ventilator that has a battery. They usually mount to the person's wheelchair so I'm not exactly sure how it works if the person is still able to walk around. I can't imagine walking around with a portable stand like in the hospital would be easily doable. The brands that I'...
by Matt00926
Sun Nov 19, 2017 12:44 pm
Forum: CPAP and Sleep Apnea Message Board
Topic: BiPAP Respironics or BiLevel Resmed?
Replies: 7
Views: 990

Re: BiPAP Respironics or BiLevel Resmed?

I love the S9. The flow of air is very quiet with the easybreathe motor technology.