NEED A HIGHER CPAP PRESSURE???

bsgontijo · Post by **bsgontijo** » Sun Jun 30, 2019 3:04 pm

Hello everyone!!

4 years ago I was diagnosed as having sleep apnea.. My doctor indicated me a CPAP with 9cm2 pressure, than my life got much better!!! I began to live as I never lived before... But unfortunately 10 months later I began to feel everything again (sleepy, tired, dizzy, grumpy e etc).. Since that time, I've been looking for a lot of doctor and each one says me one different thing: anxiety, insomnia, depression and give me a lot of medicines, but all of them work just 2 or 3 days and than I just have the side effects.. One month ago I went to a different doctor that said my CPAP pressure should be increased to 16cm!!!! I'm increasing 1 cm by week and now I'm already at 13cm2.

Need help with these questions:

1) It may happen that you have to increase the CPAP pressure from 9cm to 16 in just a few time? My weight is exactly the same of 4 year ago...
2) With my results (down are the report of Oscar), do you thing I'll get better with a 16cm pressure?
3) As I'm increasing the pressure, my mouth is getting dry every night.. Is it normal? What should I do?

I will thank so much if someone could help me!!!

PS: sorry if I made mistakes with my english, I'm not fluent yet.

zonker · Post by **zonker** » Sun Jun 30, 2019 4:43 pm

bsgontijo wrote: ↑
Sun Jun 30, 2019 3:04 pm
Hello everyone!!

PS: sorry if I made mistakes with my english, I'm not fluent yet.

welcome! and i am sure that you speak english better than i can speak your language.

you say you have oscar? if so, can you show us the data from that?

also, when you have time, could you please fill in your equipment profile? we don't all have the same equipment, so it will make a difference which one you have.

good luck!

bsgontijo · Post by **bsgontijo** » Sun Jun 30, 2019 8:36 pm

MY CPAP MODEL IA A PHILIPS SYSTEM ONE 60 SERIES - AUTO CPAP

ajack · Post by **ajack** » Sun Jun 30, 2019 8:59 pm

Put the machine in auto mode and start with the pressure back to min 9cm and have max at 20 and see what the machine wants.
You can't treat CA with your machine, they may be just pressure induced, if you didn't have them before. See what the reduced pressure does.

The clinical manual for your machine, is available on apneaboard.

Pugsy · Post by **Pugsy** » Sun Jun 30, 2019 9:28 pm

See this thread for detailed report graph formatting. You can get all we need on one image and if we need something else we can ask.
viewtopic/t158560/How-to-post-images-for-review.html
No need to redo this one though.

Do you take any medications like some pain meds that might suppress your respiration???

I am not so sure that all those hyponeas are obstructive and if they aren't more pressure isn't going to help them.
Drop back to 9 cm and lets see what it shows....and turn Flex exhale relief off if you can...if you can't then try reducing it.

I would like to see some of that PB flagged breathing zoomed in though..
See this for some videos explaining how to zoom in and see the breath by breath flow rate.
http://freecpapadvice.com/sleepyhead-free-software
What I want to see is some PB flagged time with a few CAs and hyponeas in the green PB time frame.
This time frame that I circled would be a good one to zoom in on.

zomminonthis.JPG

bsgontijo · Post by **bsgontijo** » Mon Jul 01, 2019 9:28 am

Thank you very much Pugsy!!

The only medication I take is venlafaxine in the morning and melatonin 5mg at night. I will try to drop back to 9 cm next night, than I send you the results. Just one question: the flex exhale relief could be related to the problem? I never tried before to turn it off.

Check if this is what you want to see:

Pugsy · Post by **Pugsy** » Mon Jul 01, 2019 9:35 am

Sometimes the drop in pressure when using exhale relief creates a situation with bilevel pressures can trigger central apneas...those CAs you see flagged.
Very small percentage of people who use exhale relief will have it happen...but need to rule out simple and easy fix first for all those centrals.

See if there is any reduction in the number of centrals with Flex exhale relief off.

bsgontijo · Post by **bsgontijo** » Mon Jul 01, 2019 10:38 am

Tks again!

Look at my last night report, when I increased the pressure to 14cm2!! My AIH got worse!!! And now with a lot of "OA"! Do you Know what it means?

PS; next night I'll try pressure 9.

Janknitz · Post by **Janknitz** » Mon Jul 01, 2019 2:46 pm

I'm curious if your doctor even looked at your data before deciding that you needed more pressure? How did the doctor arrive at the idea that your pressure needed to be 16 cm. Was it just a guess???

palerider · Post by **palerider** » Mon Jul 01, 2019 3:07 pm

bsgontijo wrote: ↑
Mon Jul 01, 2019 10:38 am
Tks again!

Look at my last night report, when I increased the pressure to 14cm2!! My AIH got worse!!! And now with a lot of "OA"! Do you Know what it means?

PS; next night I'll try pressure 9.

Sleep varies, you need *more* pressure to prevent the OAs.

A one cm pressure change is pretty insignificant.

Don't make big changes based on a single night.

djams · Post by **djams** » Mon Jul 01, 2019 5:01 pm

Pugsy wrote: ↑
Sun Jun 30, 2019 9:28 pm
I would like to see some of that PB flagged breathing zoomed in though..
See this for some videos explaining how to zoom in and see the breath by breath flow rate.
http://freecpapadvice.com/sleepyhead-free-software
What I want to see is some PB flagged time with a few CAs and hyponeas in the green PB time frame.
This time frame that I circled would be a good one to zoom in on.
zomminonthis.JPG

@bsgontijo - please do as Pugsy requested above. There's a very good reason she asked.A lot to be learned about your therapy by looking at the circled area. Heck, I learned something just from the fact that she chose this area.

The videos are extremely instructive. For one, you'll learn how to examine your events and understand whether or not they are real asleep events.

Miss Emerita · Post by **Miss Emerita** » Mon Jul 01, 2019 7:12 pm

To follow up on djam’s message, just zoom in tighter so that the area Pugsy circled fills up the entire horizontal chart space.

bsgontijo · Post by **bsgontijo** » Sat Jul 06, 2019 9:15 am

Hello, Puhsy, are you fine?

I used my CPAP with pressure at 9cm2.. Also turned off the Flex exhale relief.. Last Night I had 6,6 AIH. What do you think I should do now? Still feeling tired...

Tks very much!

palerider · Post by **palerider** » Sat Jul 06, 2019 11:05 am

bsgontijo wrote: ↑
Sat Jul 06, 2019 9:15 am
Hello, Puhsy, are you fine?

I used my CPAP with pressure at 9cm2.. Also turned off the Flex exhale relief.. Last Night I had 6,6 AIH. What do you think I should do now? Still feeling tired...

Tks very much!

I think you should turn off the calendar and pie chart so we can see some numbers on the left.

Pugsy · Post by **Pugsy** » Sat Jul 06, 2019 11:11 am

How many times were you awake last night? I see at least one break in therapy where the machine was turned off and back on again so you were awake at that time. What about from 5:15 on? Awake or semi awake from that time on?

Refresh my memory please.....why are you using cpap fixed pressure mode?

Are you aware that in cpap mode the FL flagging is turned off?

NEED A HIGHER CPAP PRESSURE???

NEED A HIGHER CPAP PRESSURE???

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