Just got myencore and I have a ton of questions.

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
wahooker
Posts: 68
Joined: Thu Aug 10, 2006 8:24 am

Just got myencore and I have a ton of questions.

Post by wahooker » Sun Sep 10, 2006 1:21 pm

I was titrated at 15, and up until last week was using a straight cpap.

Recently I got a Remstar Auto with cflex, and all the software, etc.

I set the range at 12.5 - 18

I'm looking at my first 5 days worth of data. So far, all of my 90% pressure figures have been between 12.97 and 14.19. My Avreage pressure figures have been between 13.08 and 13.38

I'm barely ever close to 15, much less the figure of 18 as a max.

Would it be a good idea to adjust the ranges? Maybe 12-16 or something?

My ahi is averaging around 1.4 for the 5 days of data, about half apneas half hypopneas. (Although the mix on any particular day varies greatly.)

Also What kind of perecentages should I be looking for for Variable Breathing? Right now, Its averaging about 32% of the time, but I have no idea if that is good or bad.


Any Suggestions?


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Goofproof
Posts: 16087
Joined: Mon Dec 05, 2005 3:16 pm
Location: Central Indiana, USA

Post by Goofproof » Sun Sep 10, 2006 2:36 pm

I would go with 12 cm to 16 cm, call that runaway protection. Really, I set the high at me Sweet Spot.

You AHI is good--But, Never good enough...

Variable Breathing! Not worth worrying about, no way to change it. 15 to 40 on mine.

Suggestion: Don't sleep on back, Control all leaks, Use the equiptment every time you sleep and Enjoy Life! Jim

Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

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lferrel
Posts: 65
Joined: Mon May 15, 2006 7:47 am
Location: Colorado

APAP settings

Post by lferrel » Sun Sep 10, 2006 4:19 pm

Hi

Your settings look good to me. On the low side of the range you need to make sure it does not go to low; e.g., 8 or below. If it is to low, which can be even lower if you are using c flex feature, it will feel like you are not getting enough air (kind of like sucking air through a straw). With the upper part of the range at 12 I do not think you will have any problem with that.

As to the upper limit, I would tend towards the high side. If set to low it might keep you from getting the therapy you need. Again, it looks like you have the right setting for the upper part of the range.

Lowell
BIPAP Auto BIFLEX set to range 12 - 20 cm H2O with BIFLEX set to 3, AUTO:ON, and Humidifier:2.

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Moogy
Posts: 434
Joined: Sat Mar 04, 2006 12:32 pm
Location: a ranch in west Texas

Post by Moogy » Sun Sep 10, 2006 4:30 pm

It is entirely normal for your 90% pressure to be several cm lower than the maximum you need. That is the advantage of an automatic machine. BUT you don't want to lower the top of the range too much or the machine won't be able to adjust further upward if necessary.

As to "run-away protection," a few people find their machines "run away" into unnecessarily high pressures, but many people find the machine never goes above what they need. I am not sure if the problem that some experience is something about their machines, or something about their own breathing patterns that fools the machine, or what. However, you soon will find out if you need to be careful about your top pressure for this reason.

My recommendation is to stay with your current settings for a couple of weeks, esp. since your AHI is good. Then take a look at the detailed reports from EncorePro and MyEncore. You want to set your top pressure a bit over the top that the machine is using.

Just my own non-expert opinion,
Moogy

Moogy
started bipap therapy 3/8/2006
pre-treatment AHI 102.5;
Now on my third auto bipap machine, pressures 16-20.5