Any side effects if the pressure is too high?

tmaiberger · Post by **tmaiberger** » Mon Jun 05, 2006 10:07 am

I am thinking of getting an automatic machine after reading what everyone says on this forum. I am still snoring through according to my wife and figured out how to raise the pressure one notch, 5 to 6 (no thanks to the DME who said I had to come into their office to do what literally took me 10 seconds). I am not having any "side effects" from raising other than my wife says I am snoring through much less, but was wondering what if any side effects there are if the pressure is too high?

Wulfman · Post by **Wulfman** » Mon Jun 05, 2006 10:20 am

tmaiberger,

Depends on if you're prone to have "central apneas". Some people are and some aren't......and they can happen at different pressures for different people. If your sleep study report didn't show any centrals, you can try bumping up your pressure one or two cm's at a time. The pressure you mentioned is still pretty low and could be the reason you're still snoring......although, in my opinion, snoring in and by itself is not necessarily a sleep disturbance issue (except for your partner). Other than that, how are you feeling? I believe the consensus around here is that "high" pressure is usually over about 15 or 16 cm.

Best wishes,

Den

Bingo · Post by **Bingo** » Mon Jun 05, 2006 11:37 am

I would definately suggest talking to your Sleep Specialist if you feel like you are still having problems.

I have seen a large number of cases where increasing the pressure too far actually caused a marked increase in the number of episodes a patient experienced.

Like any other drug/therapy/treatment program - if you do not feel it is working at it's best, speak with your prescribing physician.

Bingo

Guest · Post by **Guest** » Mon Jun 05, 2006 11:46 am

tmaiberger wrote:I am thinking of getting an automatic machine after reading what everyone says on this forum. I am still snoring through according to my wife and figured out how to raise the pressure one notch, 5 to 6 (no thanks to the DME who said I had to come into their office to do what literally took me 10 seconds). I am not having any "side effects" from raising other than my wife says I am snoring through much less, but was wondering what if any side effects there are if the pressure is too high?

Do you have a machine with software that shows your AHI? You'd be able to tell by reading your nightly data if raising the pressure is increasing or lowering the number of events you're having.

Wulfman · Post by **Wulfman** » Mon Jun 05, 2006 11:59 am

Anonymous wrote:
tmaiberger wrote:I am thinking of getting an automatic machine after reading what everyone says on this forum. I am still snoring through according to my wife and figured out how to raise the pressure one notch, 5 to 6 (no thanks to the DME who said I had to come into their office to do what literally took me 10 seconds). I am not having any "side effects" from raising other than my wife says I am snoring through much less, but was wondering what if any side effects there are if the pressure is too high?
Do you have a machine with software that shows your AHI? You'd be able to tell by reading your nightly data if raising the pressure is increasing or lowering the number of events you're having.

He's showing: Machine: S8 Escape CPAP, Humidaire H3i Heated Humidifier at the bottom of his post.
No information from that one.

Den

tmaiberger · Post by **tmaiberger** » Mon Jun 05, 2006 1:20 pm

I do not have a reader or software (another reason I was thinking of getting the auto machine so I can get that and then be more active in monitoring with actual statistics vs. "I guess I feel a little better"). I have already bought (processed through my insurance) the humidifier, so I would prefer from a $ standpoint to stick with the Resmed machines. However, if the general consensus is the Respironics auto is the "better" machine, I could come up with the extra money for a humidfier for that. Any thoughts?

Todd

Guest · Post by **Guest** » Mon Jun 05, 2006 1:26 pm

you should be able to go all the way to 10cm without any problems, get over 12cm then you could start seeing pressure induced centrals.

you would have to look at your last titration study to determine the pressure where centrals become an issue. Many don't see them at all, some starting at 12cm and higher.

Guest · Post by **Guest** » Mon Jun 05, 2006 1:32 pm

The Respironics APAP is not any better than the Resmed APAP. The one big difference is that the Respironics model has exhalation relief (CFlex) that can be used in all modes, including auto mode. The Resmed model has exhalation relief (EPR) but it cannot be used in auto mode. If you don't need it exhalation relief in auto mode, the Resmed machine is equally as good as the Respironics machine.

Snoozin' Bluezzz · Post by **Snoozin' Bluezzz** » Mon Jun 05, 2006 1:35 pm

Anonymous wrote:The Respironics APAP is not any better than the Resmed APAP....the Resmed machine is equally as good as the Respironics machine.

Not good, not bad - "DIFFERENT"

David

rested gal · Post by **rested gal** » Mon Jun 05, 2006 5:18 pm

tmailberger, they're tellin' ya right. ResMed makes great machines. There's no reason for you to switch to another brand even if you're willing to buy a different humidifier.

polysomprincess · Post by **polysomprincess** » Thu Jun 08, 2006 1:19 am

yes 2 predominantly. central apneas and airphasia.

GoofyUT · Post by **GoofyUT** » Thu Jun 08, 2006 6:49 am

I love it!!! AIRPHASIA!! A disorder primarily afflicting Republican politicians and Southern evangelical university presidents, wherein they demonstrate the unusual capacity to attempt verbal communications and all that comes out is LOTS of hot air!!!!

Now, PolySom is right. There is the prospect of increased incidence of central (or "non-responsive", as Respironics classifies them) apneas with increased pressure. And, the incidence of aerophagia (swallowing air with resulting stomach distension) increases as well.

So, take care, look up the literature for yourself so you can be informed, and consult the health professional that you trust about your questions.

Chuck

Any side effects if the pressure is too high?

Any side effects if the pressure is too high?

Re: Any side effects if the pressure is too high?

Re: Any side effects if the pressure is too high?

Airphasia