Next step, when cpap fails?
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Next step, when cpap fails?
Greetings
I'm 61, been using cpap for 14 months. I've had some positive results, but not as much as I was hoping for. Lately, my sleep quality has been regressing, in general. Occasionally I get great sleep, and can function normally the next day. But usually I don't get the restorative sleep I need, and am zombie-like afterwards. Sometimes, I'm able to get a quality 1 hour nap, and have a few good hours after that.
I recently talked with a rep for the company that supplies the air sense 10 machine I use. She suggested 2 options
1. Adding an oxygen concentrator to the cpap machine
2. Switching to bipap
My question......is there a logical next step, when cpap therapy doesn't provide desired results? Does one try adding oxygen first, or bipap, or something else?
For the record, my pressure is currently set to max level, I think the range is 11-20.
Any thoughts?
I'm 61, been using cpap for 14 months. I've had some positive results, but not as much as I was hoping for. Lately, my sleep quality has been regressing, in general. Occasionally I get great sleep, and can function normally the next day. But usually I don't get the restorative sleep I need, and am zombie-like afterwards. Sometimes, I'm able to get a quality 1 hour nap, and have a few good hours after that.
I recently talked with a rep for the company that supplies the air sense 10 machine I use. She suggested 2 options
1. Adding an oxygen concentrator to the cpap machine
2. Switching to bipap
My question......is there a logical next step, when cpap therapy doesn't provide desired results? Does one try adding oxygen first, or bipap, or something else?
For the record, my pressure is currently set to max level, I think the range is 11-20.
Any thoughts?
Re: Next step, when cpap fails?
I don't agree with either of those steps unless you are tested and diagnosed by a doctor....The rep is an untrained salesperson.
Download Sleepyhead and show us some data. Did the "salesperson" ask to see some data?
Download Sleepyhead and show us some data. Did the "salesperson" ask to see some data?
_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
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- chunkyfrog
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Re: Next step, when cpap fails?
Sleepyhead software can reveal much--
Often even more than your doctor can guess,
unless he/she cares about looking at the data.
Sadly, many do not.
Often even more than your doctor can guess,
unless he/she cares about looking at the data.
Sadly, many do not.
_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear |
Additional Comments: Airsense 10 Autoset for Her |
Last edited by chunkyfrog on Wed May 02, 2018 2:35 pm, edited 1 time in total.
- raisedfist
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Re: Next step, when cpap fails?
You need to post your data here so that knowledgeable folks can see if your current settings are therapeutic for you or not.
Philips Respironics Trilogy 100
AVAPS-AE Mode
PS Min 6, PS Max 18, EPAP Min 4, EPAP Max 12
AVAPS-AE Mode
PS Min 6, PS Max 18, EPAP Min 4, EPAP Max 12
Re: Next step, when cpap fails?
Before there is a next step, you need to know how it has failed.
Having a full data machine helps in that inquiry as well as understanding any new (or newer) health issues that may be impacting your CPAP treatment.
For example:
weight change
new illness
change in sleep environment
change in the pressure needed to treat your apneas (full data machine is the only way to tell this one.)
Change in external environment such as stressors at home or on the job.
etc.
All of these things can change a good working therapy to something not as effective.
Having a full data machine helps in that inquiry as well as understanding any new (or newer) health issues that may be impacting your CPAP treatment.
For example:
weight change
new illness
change in sleep environment
change in the pressure needed to treat your apneas (full data machine is the only way to tell this one.)
Change in external environment such as stressors at home or on the job.
etc.
All of these things can change a good working therapy to something not as effective.
_________________
Mask: Oracle HC452 Oral CPAP Mask |
Humidifier: DreamStation Heated Humidifier |
Additional Comments: EverFlo Q 3.0 Liters O2 PR DSX900 ASV |
Oracle 452 Lessons Learned Updated
DSX900 AutoSV with HC150 extra humidifier and Hibernite heated hose
Settings: EPAP Min-10.0, EPAP Max-17, PS Min-3, PS Max-10, Max Pressure-20, Rate-Auto, Biflex-1.
Sleepyhead and Encore Pro 2.21.
DSX900 AutoSV with HC150 extra humidifier and Hibernite heated hose
Settings: EPAP Min-10.0, EPAP Max-17, PS Min-3, PS Max-10, Max Pressure-20, Rate-Auto, Biflex-1.
Sleepyhead and Encore Pro 2.21.
Re: Next step, when cpap fails?
To bad we can't have a timer built into our brains that could provide a shutdown period from our problems, that would be very handy. Jim
Use data to optimize your xPAP treatment!
"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire
"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire
Re: Next step, when cpap fails?
a minimum of 11 is about a medium level, certainly not max.Jimmiejojo wrote: ↑Wed May 02, 2018 10:15 am
For the record, my pressure is currently set to max level, I think the range is 11-20.
Any thoughts?
Get OSCAR
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Re: Next step, when cpap fails?
If CPAP isn't providing the results you need, maybe it's time to get involved and install software so you with help here, and make it work better for you. You and we are flying blind without data.
Other things may also be need, but first the tools the have now need to be used the best they can be. Jim
Other things may also be need, but first the tools the have now need to be used the best they can be. Jim
Use data to optimize your xPAP treatment!
"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire
"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire
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Re: Next step, when cpap fails?
Thanks to all who responded. It makes me feel welcome, here.
Ok I will look into this sleepyhead thing, and see if I can post my results.
Cheers
J
Ok I will look into this sleepyhead thing, and see if I can post my results.
Cheers
J
Re: Next step, when cpap fails?
welcome, jimmy!
a suggestion, if i may? please go to the control panel and fill in your machine type, mask type and so on.
while all cpap machines run, in principle, the same way, each is different in how it responds.
once the experts on here know that and can see your sleepyhead graphs posted here, they can start making specific suggestions.
and hang in there. this therapy DOES get easier!
a suggestion, if i may? please go to the control panel and fill in your machine type, mask type and so on.
while all cpap machines run, in principle, the same way, each is different in how it responds.
once the experts on here know that and can see your sleepyhead graphs posted here, they can start making specific suggestions.
and hang in there. this therapy DOES get easier!
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
people say i'm self absorbed.
but that's enough about them.
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https://www.apneaboard.com/OSCAR/OSCAR-1.5.1.dmg
but that's enough about them.
Oscar-Win
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Oscar-Mac
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Re: Next step, when cpap fails?
If you want to succeed, you will do this. Your choice.Jimmiejojo wrote: ↑Wed May 02, 2018 4:29 pmThanks to all who responded. It makes me feel welcome, here.
Ok I will look into this sleepyhead thing, and see if I can post my results.
Cheers
J
_________________
Machine: DreamStation Auto CPAP Machine |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Humidifier: DreamStation Heated Humidifier |
Additional Comments: AutoPAP 16-20, Ultimate Chin Strap http://sleepapneasolutionsinc.com/ |
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Re: Next step, when cpap fails?
I downloaded Sleepyhead and will momentarily attempt to post results. Feed back appreciated.
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Re: Next step, when cpap fails?
you turned off the wrong sidebar.
turn off the right sidebar, turn on the left, repost the graphs.
turn off the right sidebar, turn on the left, repost the graphs.
Get OSCAR
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.
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Re: Next step, when cpap fails?
OK thanks.
I only got this far with my partners help & she's going to bed now. Will try to repost again, tomorrow, or as soon as possible.