My BiPap is maxed out on pressure and AHI over 5... What's next?

[CoThG]

Hello everyone. First time poster. I've been on BiPap for quite a few years and have been very compliant and love how well it works. I have a Resmed BiPap Auto and the Ipap pressure is now maxed out on 25cm with my AHI over 5. Anyone know that the typical treatment is for someone that is maxed out on BiPap and still having an AHI over 5?

[Pugsy]

Depends on what kind of apneas you are having as to what your options might or might not be.

Use OSCAR and lets see what's going on

OSCAR https://www.sleepfiles.com/OSCAR/
http://www.apneaboard.com/wiki/index.ph ... stallation
http://www.apneaboard.com/wiki/index.ph ... rpretation
http://www.apneaboard.com/wiki/index.ph ... ganization organize and how to do screen shots.
wiki/index.php/Oscar:organize Wiki

http://www.cpaptalk.com/viewtopic/t1585 ... eview.html

[CoThG]

I don't have Oscar and my apneas are not central, just obstructive.

[Pugsy]

So exactly what brand and model machine are you using and which mode and all the settings????

Usually it is EPAP that we look at for preventing obstructive apneas as doing the bulk of the work...IPAP just helps out.

Using OSCAR would help us see if there is a pattern to the obstructive events like maybe sleeping position or REM stage sleep or even chin tuck ....which might mean we could help reduce the need for higher pressure by altering the positioning of the airway a bit. Are those obstructive events happening in clusters and parts of the night without events....or are they happening on a regular basis all night long. That information is only available by using the software...get the software if at all possible and use it to stand the best chance of figuring out a solution to your problem.

[CoThG]

I'm using a Resmed AirCurve 10 VAuto. I've always been a side sleeper and never sleep on my back. I use a Resmed F20 FFM with no leaks. My sleep report in the mornings show that the max pressure is 25 with AHIs over 5.

[Dog Slobber]

Get OSCAR, and post some graphs.

Or just keep arguing with the people who you want to help you.

[CoThG]

I'm not arguing with anyone. Quit being an asshole.

[Pugsy]

My sleep report in the mornings show that the max pressure is 25 with AHIs over 5.

So that tells me essentially nothing. Doesn't tell me what you start out with and doesn't tell me what mode and doesn't tell me when it changes...if it changes.

There is zero way anyone can offer any possible ideas that might help you if they don't know where they are starting from.

Can you please answer the questions I asked?

I don't have a crystal ball in my back pocket. To even remotely stand a chance of helping you get your AHI down....I gotta have more information than you have provided.

We aren't being assholes....we know what we need to help and if you can't give us the details without an attitude or getting defensive then we can't help. We want to help but you have to do your part as well.

[sleepinow]

Get OSCAR, and post some graphs.

Or just keep arguing with the people who you want to help you.

Yeah he/she wasnt arguing lmao

[sleepinow]

I'm not arguing with anyone. Quit being an asshole.

Just ignore the argument comment and post screenshots from Oscar. Pugsy is extremely helpful and valuable

[Respirator99]

If Oscar is a problem for you, use SleepHQ which can be accessed from any device with a browser, including phones and tablets. Upload your data there then post a link here. It's easier than Oscar but not as comprehensive.

Either way I agree with Pugsy that we need to see detailed data to be able to help you. Otherwise we're only guessing.

Https://SleepHQ.com

[zonker]

Get OSCAR, and post some graphs.

Or just keep arguing with the people who you want to help you.

Yeah he/she wasnt arguing lmao

what part of your body comes off when you read something really funny?

[raisedfist]

You need to both see and provide data. Otherwise we can only reasonably guess that your minimum EPAP is too low. What the machine itself reports on screen is largely useless.

[sleepinow]

Get OSCAR, and post some graphs.

Or just keep arguing with the people who you want to help you.

Yeah he/she wasnt arguing lmao

what part of your body comes off when you read something really funny?

The same part that came off of your body when you read my comment.

[Pugsy]

I really, really wish that people would quit with the comments about comments.
All it does is create fodder for more personal crap that is totally not on topic.

Please stop it.

Think before you post. "is this thought of mine really going to help the person who created the topic or is it just me wanting to call out someone for saying something snotty????"

News flash folks. We can all see and understand a snotty reply and we don't need OR WANT attention called to it.
All it does is create more snotty remarks and I am very tired of the extra work and worry they cause me.
Please, please don't do it any more.

It all depends on how someone takes someone's response...or lack of...and I actually thought the OP was doing a bit of arguing but I chose not to call attention to that personal thought of mine and tried to get back to trying to help someone who couldn't/wouldn't answer my questions.

Personal comments about personal comments are considered OT...and any more of such "talk" will be promptly removed.