Scared! How high people might go on their pressure?

I see my self moving up fast on my pressure. the machine keep pointing up every couple of months. I am fast approaching the upper limit of 20. I know there is a BiPAP but I am wondering how high people might go up on their pressure.

are there patients who need pressure that is unattainable by the machines?

I didn't want to make a poll about pressure set for people on this forum. I am a newbie and I see that you covered all discussions on this forum so I am sure you had this poll before, if so would you refer me to it along with your thoughts
thanks for your inputs

You are new to cpap and may not have had the best sleep study so your titrated pressure may be off. It will take time to find the right pressure.

For the record, I have been on cpap for 7 years and my pressure has only increased by 1 cm (just 2 years ago) in all that time.

Once you get the titrated pressure right you will know.

It also may well be that you do need a bipap.

williamco wrote:I see my self moving up fast on my pressure. the machine keep pointing up every couple of months. I am fast approaching the upper limit of 20. I know there is a BiPAP but I am wondering how high people might go up on their pressure.

are there patients who need pressure that is unattainable by the machines?

I didn't want to make a poll about pressure set for people on this forum. I am a newbie and I see that you covered all discussions on this forum so I am sure you had this poll before, if so would you refer me to it along with your thout

thanks for your inputs

Same here. I know that 20 doesn't seem to be high enough. Fortunately, I have another sleep study in few weeks...

Will BiPAP be enough? I hope so!

Hawthorne wrote:You are new to cpap and may not have had the best sleep study so your titrated pressure may be off.

I think he's going by what his APAP tells him. He implies his machine is taking him upward from his titrated pressure at an alarming rate.

yes, this what exactly what I mean. the machine keeps edging up the pressure from the titrated pressure and symptoms keeps getting worse unless I follow the machine up

I'd like to point out a machine setting which my Remstar auto had so I assume yours has it too.
It is called split night and it means that the machine only monitors for the first four hours before it starts correcting/raising pressure to deal with apneas.
It's easy to see that the machine is working this way when you look at the reports, IF you know what to look for.
The pressure line will be flat for four hours and then ramp in response to events.

Another possibility is that you are adjusting the upper limit to allow the machine more top end, but you are not raising the bottom number to deal with the apneas quickly when they happen.

I myself am much happier running on a steady CPAP pressure with CFlex rather than an APAP arrangement which allows the apnea to occur before raising the pressure, sometimes disturbing my sleep in the process.

Perhaps you are aware of these things, but perhaps not. I wish you luck in finding a comfortable therapy.

TerryB

Terry: No I wasn't aware of split night. thanks for that

but I use the required pressure (15) as a minimum and give only 2 CM for max (17)
the reason is that I want to be able to use A flex, which is only available on Auto- also Auto can accept minimum range of 2cm so this is what I set it on, 15-17 cm
so the idea of chasing the events shouldn't exist because I should be covering all the events by the reqired pressure (15 cm)
am I correct in my thoughts???