My BiPap is maxed out on pressure and AHI over 5... What's next?
My BiPap is maxed out on pressure and AHI over 5... What's next?
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?
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
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
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
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
I may have to RISE but I refuse to SHINE.
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
I don't have Oscar and my apneas are not central, just obstructive.
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
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.
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.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
I may have to RISE but I refuse to SHINE.
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
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
- Posts: 4084
- Joined: Thu Feb 15, 2018 2:05 pm
- Location: Ontario, Canada
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
Get OSCAR, and post some graphs.
Or just keep arguing with the people who you want to help you.
Or just keep arguing with the people who you want to help you.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P30i Nasal Pillow CPAP Mask with Headgear Starter Pack |
Additional Comments: Min EPAP: 8.2, Max IPAP: 25, PS:4 |
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
I'm not arguing with anyone. Quit being an asshole.
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
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.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
I may have to RISE but I refuse to SHINE.
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
Yeah he/she wasnt arguing lmaoDog Slobber wrote: ↑Sat Jul 09, 2022 11:21 amGet OSCAR, and post some graphs.
Or just keep arguing with the people who you want to help you.
_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear |
Additional Comments: Trying my best to get quality rest. PR System ONE REMstar BiPAP Auto SV Advanced |
System One Respironics Bipap AutoSV Advanced Quattro Fx
Min EPAP: 13.0 CmH20
Min Pressure Support: 3.5
Max EPAP: 25.0
Max Pressure Support: 5.0
Max Pressure: 20.0
Flex Setting: Bi-Flex - 3
Backup Rate:Auto
Humidification Mode:off
Humidifier Setting:c5
Min EPAP: 13.0 CmH20
Min Pressure Support: 3.5
Max EPAP: 25.0
Max Pressure Support: 5.0
Max Pressure: 20.0
Flex Setting: Bi-Flex - 3
Backup Rate:Auto
Humidification Mode:off
Humidifier Setting:c5
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
Just ignore the argument comment and post screenshots from Oscar. Pugsy is extremely helpful and valuable
_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear |
Additional Comments: Trying my best to get quality rest. PR System ONE REMstar BiPAP Auto SV Advanced |
System One Respironics Bipap AutoSV Advanced Quattro Fx
Min EPAP: 13.0 CmH20
Min Pressure Support: 3.5
Max EPAP: 25.0
Max Pressure Support: 5.0
Max Pressure: 20.0
Flex Setting: Bi-Flex - 3
Backup Rate:Auto
Humidification Mode:off
Humidifier Setting:c5
Min EPAP: 13.0 CmH20
Min Pressure Support: 3.5
Max EPAP: 25.0
Max Pressure Support: 5.0
Max Pressure: 20.0
Flex Setting: Bi-Flex - 3
Backup Rate:Auto
Humidification Mode:off
Humidifier Setting:c5
- Respirator99
- Posts: 360
- Joined: Mon Jul 05, 2021 12:39 am
- Location: Australia
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
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
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
_________________
Machine: ResMed AirCurve 10 ASV Machine with Heated Humidifier |
Mask: ResMed AirFit™ F20 Full Face CPAP Mask with Headgear |
* Download Oscar
* Oscar help
* An alternative to Oscar - try SleepHQ
I have no medical training or qualifications. Take my advice for what it's worth.
* Oscar help
* An alternative to Oscar - try SleepHQ
I have no medical training or qualifications. Take my advice for what it's worth.
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
what part of your body comes off when you read something really funny?sleepinow wrote: ↑Sat Jul 09, 2022 6:27 pmYeah he/she wasnt arguing lmaoDog Slobber wrote: ↑Sat Jul 09, 2022 11:21 amGet OSCAR, and post some graphs.
Or just keep arguing with the people who you want to help you.
_________________
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.
Oscar-Win
https://www.apneaboard.com/OSCAR/OSCAR-1.5.1-Win64.exe
Oscar-Mac
https://www.apneaboard.com/OSCAR/OSCAR-1.5.1.dmg
but that's enough about them.
Oscar-Win
https://www.apneaboard.com/OSCAR/OSCAR-1.5.1-Win64.exe
Oscar-Mac
https://www.apneaboard.com/OSCAR/OSCAR-1.5.1.dmg
- raisedfist
- Posts: 1176
- Joined: Wed Jun 15, 2016 7:21 am
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
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.
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: My BiPap is maxed out on pressure and AHI over 5... What's next?
The same part that came off of your body when you read my comment.zonker wrote: ↑Sat Jul 09, 2022 7:25 pmwhat part of your body comes off when you read something really funny?sleepinow wrote: ↑Sat Jul 09, 2022 6:27 pmYeah he/she wasnt arguing lmaoDog Slobber wrote: ↑Sat Jul 09, 2022 11:21 amGet OSCAR, and post some graphs.
Or just keep arguing with the people who you want to help you.
_________________
Mask: Quattro™ FX Full Face CPAP Mask with Headgear |
Additional Comments: Trying my best to get quality rest. PR System ONE REMstar BiPAP Auto SV Advanced |
System One Respironics Bipap AutoSV Advanced Quattro Fx
Min EPAP: 13.0 CmH20
Min Pressure Support: 3.5
Max EPAP: 25.0
Max Pressure Support: 5.0
Max Pressure: 20.0
Flex Setting: Bi-Flex - 3
Backup Rate:Auto
Humidification Mode:off
Humidifier Setting:c5
Min EPAP: 13.0 CmH20
Min Pressure Support: 3.5
Max EPAP: 25.0
Max Pressure Support: 5.0
Max Pressure: 20.0
Flex Setting: Bi-Flex - 3
Backup Rate:Auto
Humidification Mode:off
Humidifier Setting:c5
Re: My BiPap is maxed out on pressure and AHI over 5... What's next?
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.
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.
_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
I may have to RISE but I refuse to SHINE.