Testing Max pressure 4cm

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AHI88
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Testing Max pressure 4cm

Post by AHI88 » Mon Dec 24, 2018 11:40 am

Strange question or test.

I'm not having a great time with therapy, barely making 2hrs every night. Started off much better but for some reason it's getting worse.

I'm thinking the pressure is making me uncomfortable.

Have anyone tried min and max settings of 4, how this helped your AHI from not using the machine at all?

Just a thought as I'm planning a test run :-)

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Goofproof
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Re: Testing Max pressure 4cm

Post by Goofproof » Mon Dec 24, 2018 11:47 am

Maybe Santa will bring you a real toy for Christmas to play with, providing you have been good. However 2 hours a night isn't good. 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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Pugsy
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Re: Testing Max pressure 4cm

Post by Pugsy » Mon Dec 24, 2018 11:55 am

A person needs X amount of air pressure to hold the airway open. How much depends on the airway tissue floppiness. Some people need a lot more than other people.

You can certainly try a 4 cm minimum and max just to see what happens. Might bean eye opener for you one way or the other.
I never tried it because I already found out that a pressure of 8 cm wasn’t enough.

Bear in mind that it might not be the pressure that is disturbing your sleep. It might be the sleeep disordered breathing events themselves.

Word of warning if you try the 4cm experiment......a lot of people feel like they are suffocating at such low pressure which in itself isn’t conducive to sleep.

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AHI88
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Re: Testing Max pressure 4cm

Post by AHI88 » Mon Dec 24, 2018 11:57 am

Goofproof wrote:
Mon Dec 24, 2018 11:47 am
Maybe Santa will bring you a real toy for Christmas to play with, providing you have been good. However 2 hours a night isn't good. Jim
My question was serious, don't answer if not constructive or trying to help.

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LSAT
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Re: Testing Max pressure 4cm

Post by LSAT » Mon Dec 24, 2018 12:02 pm

AHI88 wrote:
Mon Dec 24, 2018 11:40 am
Strange question or test.

I'm not having a great time with therapy, barely making 2hrs every night. Started off much better but for some reason it's getting worse.

I'm thinking the pressure is making me uncomfortable.

Have anyone tried min and max settings of 4, how this helped your AHI from not using the machine at all?

Just a thought as I'm planning a test run :-)
What is the pressure that is making you uncomfortable?..What does uncomfortable mean...leaks....can't breathe...claustrophobic ???

AHI88
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Re: Testing Max pressure 4cm

Post by AHI88 » Mon Dec 24, 2018 12:10 pm

Pugsy wrote:
Mon Dec 24, 2018 11:55 am
A person needs X amount of air pressure to hold the airway open. How much depends on the airway tissue floppiness. Some people need a lot more than other people.

You can certainly try a 4 cm minimum and max just to see what happens. Might bean eye opener for you one way or the other.
I never tried it because I already found out that a pressure of 8 cm wasn’t enough.

Bear in mind that it might not be the pressure that is disturbing your sleep. It might be the sleeep disordered breathing events themselves.

Word of warning if you try the 4cm experiment......a lot of people feel like they are suffocating at such low pressure which in itself isn’t conducive to sleep.
Thx Pugsy, I'm willing to try anything to get a good night's rest. I can easy do 8 hours without the machine although finding out only last month I've got an AHI of 88.

Ill try and see what readings are

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Wulfman...
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Re: Testing Max pressure 4cm

Post by Wulfman... » Mon Dec 24, 2018 12:32 pm

AHI88 wrote:
Mon Dec 24, 2018 11:40 am
Strange question or test.

I'm not having a great time with therapy, barely making 2hrs every night. Started off much better but for some reason it's getting worse.

I'm thinking the pressure is making me uncomfortable.

Have anyone tried min and max settings of 4, how this helped your AHI from not using the machine at all?

Just a thought as I'm planning a test run :-)
What pressure settings were your machine set to before you decided to try 4 cm.?
What is your prescribed setting?
Are you monitoring your therapy with Sleepyhead software? ANY software?

Sure, a few people have tried 4 cm. for various reasons, but the vast majority of folks can't breathe at that low of a setting.


Den

.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
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Pugsy
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Re: Testing Max pressure 4cm

Post by Pugsy » Mon Dec 24, 2018 1:13 pm

Wulfman... wrote:
Mon Dec 24, 2018 12:32 pm
AHI88 wrote:
Mon Dec 24, 2018 11:40 am
Strange question or test.

I'm not having a great time with therapy, barely making 2hrs every night. Started off much better but for some reason it's getting worse.

I'm thinking the pressure is making me uncomfortable.

Have anyone tried min and max settings of 4, how this helped your AHI from not using the machine at all?

Just a thought as I'm planning a test run :-)
What pressure settings were your machine set to before you decided to try 4 cm.?
What is your prescribed setting?
Are you monitoring your therapy with Sleepyhead software? ANY software?

Sure, a few people have tried 4 cm. for various reasons, but the vast majority of folks can't breathe at that low of a setting.


Den

.

Den,
Per some reports he has posted in the past looks like 7 min and 16 max with median average being around 8 and 90% numbers being around 10ish. Never really gets anywhere near the max.
AHI being below 1.0.

He might have some wiggle room in there....and of course might not.....to try lower and not have a huge truckload of apnea events happen.

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Wulfman...
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Re: Testing Max pressure 4cm

Post by Wulfman... » Mon Dec 24, 2018 1:24 pm

Pugsy wrote:
Mon Dec 24, 2018 1:13 pm
Wulfman... wrote:
Mon Dec 24, 2018 12:32 pm
AHI88 wrote:
Mon Dec 24, 2018 11:40 am
Strange question or test.

I'm not having a great time with therapy, barely making 2hrs every night. Started off much better but for some reason it's getting worse.

I'm thinking the pressure is making me uncomfortable.

Have anyone tried min and max settings of 4, how this helped your AHI from not using the machine at all?

Just a thought as I'm planning a test run :-)
What pressure settings were your machine set to before you decided to try 4 cm.?
What is your prescribed setting?
Are you monitoring your therapy with Sleepyhead software? ANY software?

Sure, a few people have tried 4 cm. for various reasons, but the vast majority of folks can't breathe at that low of a setting.


Den

.

Den,
Per some reports he has posted in the past looks like 7 min and 16 max with median average being around 8 and 90% numbers being around 10ish. Never really gets anywhere near the max.
AHI being below 1.0.

He might have some wiggle room in there....and of course might not.....to try lower and not have a huge truckload of apnea events happen.
Maybe it's the pressure changes that are bothering his sleep.
Maybe trying a straight pressure of 10 instead of 4 may be the way to go.......for a trial, at least. (a week or two)


Den

.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05

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ChicagoGranny
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Re: Testing Max pressure 4cm

Post by ChicagoGranny » Mon Dec 24, 2018 2:11 pm

LSAT wrote:
Mon Dec 24, 2018 12:02 pm
What does uncomfortable mean...leaks....can't breathe...claustrophobic ???
Good questions.

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Goofproof
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Re: Testing Max pressure 4cm

Post by Goofproof » Mon Dec 24, 2018 2:26 pm

AHI88 wrote:
Mon Dec 24, 2018 11:57 am
Goofproof wrote:
Mon Dec 24, 2018 11:47 am
Maybe Santa will bring you a real toy for Christmas to play with, providing you have been good. However 2 hours a night isn't good. Jim
My question was serious, don't answer if not constructive or trying to help.
So was mine. :roll: Jim
Use data to optimize your xPAP treatment!

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

AHI88
Posts: 55
Joined: Sun Nov 25, 2018 4:16 am

Re: Testing Max pressure 4cm

Post by AHI88 » Mon Dec 24, 2018 3:09 pm

LSAT wrote:
Mon Dec 24, 2018 12:02 pm


What is the pressure that is making you uncomfortable?..What does uncomfortable mean...leaks....can't breathe...claustrophobic ???
@LSAT this is not the answer you looking for, but honestly I cannot really explain, all it is I need to remove the mask asap and give myself a break Cpap less.

I'm a little concerned why some say it's difficult to breath at 4cm, I find this strangely easier and most comfortable, used this for my 10min ramp and had no issues.

If anything it's the high pressures i feel to be wierd? I find exhalining difficult against the pressure even though pressure relief is set to on.

Before I started the therapist set it to 4 / 20 (probably like they always do) I've been doing some experiments thereafter.

After waking up after 2 hours I just need a break and need to remove the mask, I then fall asleep quickly without it and end up waking the next morning, leaving me with only 2hours event free 😭😭😭😭

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Re: Testing Max pressure 4cm

Post by Lucyhere » Mon Dec 24, 2018 3:30 pm

AHI88 wrote:
Mon Dec 24, 2018 11:57 am
Goofproof wrote:
Mon Dec 24, 2018 11:47 am
Maybe Santa will bring you a real toy for Christmas to play with, providing you have been good. However 2 hours a night isn't good. Jim
My question was serious, don't answer if not constructive or trying to help.

+1000
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Pugsy
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Re: Testing Max pressure 4cm

Post by Pugsy » Mon Dec 24, 2018 3:38 pm

Some people have a problem in terms of comfort with pressures in the 4 to 5range. Some people don’t. If you don’t have a problem then don’t worry about what other people feel. You will find that all of the Cpap stuff comes with a huge YMMV sicker on everything. I would rather a person got some therapy even at maybe lower pressures than what might be optimal than to sleep 2 hours with Cpap and 6 hours totally without. Some therapy is better than no therapy even if not ideal.
Maybe work up to ideal in small steps.

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D.H.
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Re: Testing Max pressure 4cm

Post by D.H. » Mon Dec 24, 2018 6:34 pm

Most patients need more than 4cmH2O.


However, than might be enough for you. If it is, you're in a small minority.

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