First night on cpap!

[Atmosphere00]

Just got done with my DME. At first on the phone they told me the machine I was buying was the dream station cpap. I asked if it was a auto and they said no. Had me worried for 2 weeks that I was going to get a crap machine!
Well the DME showed up with the dream station auto! So happy! She told me this is the machine I bought (after I asked her 10 times)
So all and all so far the DME hasn't been bad and I'm keeping my figures crossed.
Right now I'm on a range of basically 4 to 20 so my doc can dial in my settings.
Any tips for first night? I'm so excited to sleep for a change I don't know if I can pass out lol.

[HoseCrusher]

Many people find it difficult to breathe with a pressure of 4. They end up feeling like they just aren't getting enough air.

You may want to consider starting at a little higher pressure... something like 8.

[Goofproof]

Just got done with my DME. At first on the phone they told me the machine I was buying was the dream station cpap. I asked if it was a auto and they said no. Had me worried for 2 weeks that I was going to get a crap machine!
Well the DME showed up with the dream station auto! So happy! She told me this is the machine I bought (after I asked her 10 times)
So all and all so far the DME hasn't been bad and I'm keeping my figures crossed.
Right now I'm on a range of basically 4 to 20 so my doc can dial in my settings.
Any tips for first night? I'm so excited to sleep for a change I don't know if I can pass out lol.

So basically your doctor has no idea how XPAP works, and is going to let the machine do his job for him, even if it is set to a failure range. Jim

[Pugsy]

They probably only have you the normal user manual....there's another manual with more information in it.
The provider/clinical manual so I suggest you go here and request a copy of that manual for your machine.
I think it is a combination manual...just scroll down the page until you find the instructions for requesting the clinical manual.

http://www.apneaboard.com/adjust-cpap-p ... tup-manual

The 4 cm might be too low in terms of comfort..it can make a person feel like they are suffocating....the 8cm suggestion may seem a bit strong but most people are good with something around 6 cm.

[Julie]

Agreed. 4-20 is essentially useless, not therapeutic and feels like you're breathing through a skinny straw, if that. You'll need to raise the low pressure at least 2-3 cm (and likely more in time) to begin to feel at all better. Leave the high at 20 as it's not as important now and can be changed later if it matters. Not knowing more about your machine however, I hope others come along (they will) with more info to help you fix things.

[Cardsfan]

Nice machine. Glad u got the auto.
Let us know how it goes.

[andy2016]

Just got done with my DME. At first on the phone they told me the machine I was buying was the dream station cpap. I asked if it was a auto and they said no. Had me worried for 2 weeks that I was going to get a crap machine!
Well the DME showed up with the dream station auto! So happy! She told me this is the machine I bought (after I asked her 10 times)
So all and all so far the DME hasn't been bad and I'm keeping my figures crossed.
Right now I'm on a range of basically 4 to 20 so my doc can dial in my settings.
Any tips for first night? I'm so excited to sleep for a change I don't know if I can pass out lol.

Exact same one I have. Here are instructions , I got from members here, to manually adjust your pressure settings. Hope it helps.

DreamStation Setup Menu Instructions

Accessing the Provider Mode Screens
Accessing Provider mode unlocks settings that cannot be modified by the user.
To access Provider mode:
1. Supply power to the device. First, plug the socket end of the AC power cord into the power supply. Then plug the
pronged end of the AC power cord into an electrical outlet that is not controlled by a wall switch. Finally, plug the power
supply cord’s connector into the power inlet on the back of the device.
2. Once the device is powered, press and hold both the control dial and the Ramp button on the device for at least 5
seconds.
3. You are now in Provider mode. You can choose between the following Provider mode screens.
Therapy Settings
Comfort Settings
Device Settings
Info
Patient Menu Return


Navigating the Provider Mode Screens
The User Interface (UI) on this device allows you to adjust the device settings and view information about your therapy.
The UI is comprised of the display screen and the control dial. Rotate the control dial in either direction to scroll through the
menu options on the display screen.
Note: The display is not a touch screen. You must use the control dial to navigate the device menu.
To adjust a setting:
1. Rotate the control dial to your desired menu option.
2. Press the control dial to select that setting.
3. Rotate the control dial to change the setting.
4. Press the control dial again to save the change.
Note: The rotate dial icon on any screen indicates to rotate the dial to perform an action. The click dial icon on any
screen indicates to press the dial to perform an action.
Note: Pressing the dial when the down arrow appears on any screen will take you to a sub-menu with more menu
options. Pressing the dial when the up arrow appears on any sub-menu will return you back to the main menu.
Note: The screens shown throughout this guide are examples for reference only. Actual screens may vary based upon
device model and provider settings.
Provider Mode Screen Descriptions
The following sections will describe the options available from the Provider screens:
Therapy Settings, Comfort Settings, Device Settings, Info, Return to Patient Mode


Therapy Settings
Choosing this screen will take you to a sub-menu where you can adjust the device therapy modes and pressure
settings. These settings are described here.
Sample Therapy Sub-Menu
Note: Not all settings shown here will display on the device. The display will vary based on therapy device model and device settings.

[Atmosphere00]

So ive had six days in on Auto Cpap. I did the first night on 4 to 20 but I did turn it up to 6 the next night.
Julie you were right it felt like I was breathing threw a straw.
Last night I kicked it to 6.5
everything seems to be ok. I don't notice much of a difference in myself so far but I do notice I have a lot of hypopneas. Looks like 27 last night.
Anyways ill take a screen shot when I get home tonight and see if anyone has any suggestions.
Also I guess I got lucky the DME left my the providers manual with the patient manual so if anyone needs anything out of it let me know I can take pictures of it.

[Julie]

Turn it to 7 or 8 and get rid of the hypopneas. Don't be so cautious about 1/2 a cm - you're still at very low pressure.

[Atmosphere00]

Turn it to 7 or 8 and get rid of the hypopneas. Don't be so cautious about 1/2 a cm - you're still at very low pressure.

You don't think the Cpap would be causing Hyponeas do you? And it doesn't mean I need a bipap or anything else right?
Sorry still learning as I go.

[andy2016]

So ive had six days in on Auto Cpap. I did the first night on 4 to 20 but I did turn it up to 6 the next night.
Julie you were right it felt like I was breathing threw a straw.
Last night I kicked it to 6.5
everything seems to be ok. I don't notice much of a difference in myself so far but I do notice I have a lot of hypopneas. Looks like 27 last night.
Anyways ill take a screen shot when I get home tonight and see if anyone has any suggestions.
Also I guess I got lucky the DME left my the providers manual with the patient manual so if anyone needs anything out of it let me know I can take pictures of it.

I am fairly new also and I am constantly tweaking my pressure range. Last night I changed my min. pressure to 11 and lowered my AHI to 0.51. Today I changed my max pressure to 15. It's ok to keep playing around with the settings to make it more comfortable. That is what the data is for. To make adjustments to fit your needs and make it the most efficient for you.

[palerider]

Also I guess I got lucky the DME left my the providers manual with the patient manual so if anyone needs anything out of it let me know I can take pictures of it.

there's another cpap board(apneaboard) who's best contribution is distributing PDFs of manuals.

[palerider]

Turn it to 7 or 8 and get rid of the hypopneas. Don't be so cautious about 1/2 a cm - you're still at very low pressure.

You don't think the Cpap would be causing Hyponeas do you? And it doesn't mean I need a bipap or anything else right?
Sorry still learning as I go.

the cpap isn't causing them, but your pressure is not high enough to allow the machine to prevent more of them.

[Atmosphere00]

so I raised it to 8 the past 2 nights, just left the max at 20. Went from a 3.3-3.8 AHI to a 1.9
17 Hypopneas and 1 obstr last night

[palerider]

so I raised it to 8 the past 2 nights, just left the max at 20. Went from a 3.3-3.8 AHI to a 1.9
17 Hypopneas and 1 obstr last night

not bad, not bad, probably need to go to 9... but a 1.9 is in the acceptable range, as far as my own standards go.