On BiPAP for about a week, last night's data.

[Roxbear]

Hi all,

I was able to purchase a BiPAP machine from Greyghost and have been using it every night (except for one) for about a week. I am using the S9 Auto with the Pilairo Q. I've been having consistently low AHI (between 1-8), unfortunately still dealing with waking up throughout the night from discomfort and mouth breathing so haven't been able to really feel the benefits yet. I am committed to continuing to use my bi-level machine and hoping to reach a point of consistency.

My next step is to order a chin strap on Amazon. So far I like the Pilairo Q, and have spent some time learning to adjust the straps correctly and am feeling fairly comfortable with it now. I would prefer to stick with the nasal pillow for now, but if needed I will look into a full face or hybrid mask.

I have been adjusting my settings slightly as I go but just wanted to check in and see if you guys have any recommendations or see anything that I don't. I've tried a few humidity settings and they don't seem to vary my results much, but am sticking with a setting of 2.5 for now and planning on going from there. Thanks

[grayghost4]

Looks like leaks are a problem, with a nasal mask you have to keep your mouth closed.
I have tried chin straps ... they kind worked , but I have better success with a 4" cervical collar.
I also use a Boil and bite Snore stopper.

I would also raise epap to 7

like this :
http://www.amazon.com/Cervical-Collar-S ... cal+collar

and this :
http://www.ebay.com/itm/201444217941?_t ... EBIDX%3AIT

[palerider]

I'd say the biggest problem is too low an epap.

[Pugsy]

I don't think leaks are a big problem. 2.7 % of the time is all that was in large leak and it was short lived and sporadic totals approx 13 minutes. I wouldn't worry about that short of amount of time unless leaks woke me up and if they woke me up that's another story
Looks more like mask movement and losing the seal than it looks like mouth breathing to me anyway.

I agree with Palerider..I think that minimum EPAP could stand to be increased a little.