Can CPAP work better than APAP?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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tiredman
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Can CPAP work better than APAP?

Post by tiredman » Tue Nov 03, 2015 10:54 am

Haven't had much success with auto pap, having used it for over 2000 hours. I still wake up after 2-4 hours almost every night.

I'm wondering if changing my machine to CPAP mode could help?

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Julie
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Re: Can CPAP work better than APAP?

Post by Julie » Tue Nov 03, 2015 11:10 am

Why not try it - nothing to lose unless something's very unusual to begin with.

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Pugsy
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Re: Can CPAP work better than APAP?

Post by Pugsy » Tue Nov 03, 2015 11:15 am

If the pressure changes involved with apap mode are maybe causing you to wake up then going to cpap mode might help.
If the wake ups are caused by something else then it may not help but it is worth trying for sure.
Some people find that even the slightest pressure change in auto (apap) mode disturbs there sleep.

Of course all this is assuming that your therapy is optimal (at least on paper) with low AHI and low leaks being reported.

By all means try fixed cpap mode and see what happens. Nothing to lose.

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CaptainRaven40
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Re: Can CPAP work better than APAP?

Post by CaptainRaven40 » Tue Nov 03, 2015 11:37 am

Pugsy wrote:If the pressure changes involved with apap mode are maybe causing you to wake up then going to cpap mode might help.
If the wake ups are caused by something else then it may not help but it is worth trying for sure.
Some people find that even the slightest pressure change in auto (apap) mode disturbs there sleep.

Of course all this is assuming that your therapy is optimal (at least on paper) with low AHI and low leaks being reported.

By all means try fixed cpap mode and see what happens. Nothing to lose.
Pugsy once again is right on I think. As long as you are checking the data and seeing the changes then I wouldn't see it being something not to try. I know some people are all about straight CPAP and don't care for APAP but everyone has their own preference.

TonyG
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Re: Can CPAP work better than APAP?

Post by TonyG » Tue Nov 03, 2015 11:47 am

In my case I have found I get better results with CPAP then with APAP for unknown reasons. In the same breath I also get much better results with a nasal mask vs a ffm. Each and every one of us is different so I say do whatever works best for YOU and don't worry about what someone else thinks is the best.

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tiredman
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Re: Can CPAP work better than APAP?

Post by tiredman » Tue Nov 03, 2015 12:47 pm

Thanks a lot for your responses. I'm going to give it a try. Not sure why I wake up every night but I do, and it's really hard to fall asleep with the mask on at that point.

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Goofproof
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Re: Can CPAP work better than APAP?

Post by Goofproof » Tue Nov 03, 2015 3:09 pm

Does a apple taste different from a orange, to most people yes, but I'm sure somewhere out there's really there's a kook than can't tell the difference.

It's all about option's with a APAP you have more, and the ability to use CPAP if you desire. You can't buy a CPAP, and use the APAP mode. Jim
Last edited by Goofproof on Tue Nov 03, 2015 9:01 pm, edited 1 time in total.
Use data to optimize your xPAP treatment!

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Wulfman...
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Re: Can CPAP work better than APAP?

Post by Wulfman... » Tue Nov 03, 2015 4:24 pm

Pugsy wrote:If the pressure changes involved with apap mode are maybe causing you to wake up then going to cpap mode might help.
If the wake ups are caused by something else then it may not help but it is worth trying for sure.
Some people find that even the slightest pressure change in auto (apap) mode disturbs there sleep.

Of course all this is assuming that your therapy is optimal (at least on paper) with low AHI and low leaks being reported.

By all means try fixed cpap mode and see what happens. Nothing to lose.
Phewwwww........
I'm FINALLY getting her "educated".

Good answer, Pugsy!


Den

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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
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Wulfman...
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Re: Can CPAP work better than APAP?

Post by Wulfman... » Tue Nov 03, 2015 4:26 pm

CaptainRaven40 wrote:
Pugsy wrote:If the pressure changes involved with apap mode are maybe causing you to wake up then going to cpap mode might help.
If the wake ups are caused by something else then it may not help but it is worth trying for sure.
Some people find that even the slightest pressure change in auto (apap) mode disturbs there sleep.

Of course all this is assuming that your therapy is optimal (at least on paper) with low AHI and low leaks being reported.

By all means try fixed cpap mode and see what happens. Nothing to lose.
Pugsy once again is right on I think. As long as you are checking the data and seeing the changes then I wouldn't see it being something not to try. I know some people are all about straight CPAP and don't care for APAP but everyone has their own preference.
Yeah. Me, too.


Den

.
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Pugsy
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Re: Can CPAP work better than APAP?

Post by Pugsy » Tue Nov 03, 2015 5:06 pm

Wulfman... wrote:Phewwwww........
I'm FINALLY getting her "educated".
Awww shucks, I just thought I would save your fingers from typing your usual this time.
I do realize that while I can sleep through some pretty drastic stuff (leaks and pressures) that others aren't so fortunate and fixed pressure is for sure something that a person needs to try if they aren't sleeping so great.

You still haven't converted me personally though...remember, I am using the ultimate in changing pressure machine and actually sleeping better with it than when I did try fixed pressures. My pressure needs just vary to much in REM and I sure don't want to use all the time what I might sometimes need in REM.

Hell...if sleeping on my head would help I would do it. Anything is fair game and worth trying in my book.

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Wulfman...
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Re: Can CPAP work better than APAP?

Post by Wulfman... » Tue Nov 03, 2015 5:19 pm

Pugsy wrote:
Wulfman... wrote:Phewwwww........
I'm FINALLY getting her "educated".
Awww shucks, I just thought I would save your fingers from typing your usual this time.
I do realize that while I can sleep through some pretty drastic stuff (leaks and pressures) that others aren't so fortunate and fixed pressure is for sure something that a person needs to try if they aren't sleeping so great.

You still haven't converted me personally though...remember, I am using the ultimate in changing pressure machine and actually sleeping better with it than when I did try fixed pressures. My pressure needs just vary to much in REM and I sure don't want to use all the time what I might sometimes need in REM.

Hell...if sleeping on my head would help I would do it. Anything is fair game and worth trying in my book.
I appreciate that. You're probably a better typist anyway.

And, I don't think I've ever TRIED to convert you........you're knowledgeable enough in this stuff to know what works best for you.
As I've said before, it's mainly the ones who have been using APAP (in ranges) for lengthy periods of time and haven't felt the benefits of this therapy that jump out at me, to suggest trying something else.......like straight pressure (CPAP mode).

I have no doubt in my mind that many APAP users get tired of my suggestions, it's just that some things APPEAR to be obvious to me.
So, my apologies to those who get tired of me suggesting it..........but.........get over it!!!


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
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The Choker
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Re: Can CPAP work better than APAP?

Post by The Choker » Tue Nov 03, 2015 6:48 pm

tiredman wrote:Thanks a lot for your responses. I'm going to give it a try. Not sure why I wake up every night but I do, and it's really hard to fall asleep with the mask on at that point.
You are likely on a wild goose chase with changing the settings to CPAP.

Pugsy said something that is very important and everyone, including you, is overlooking it.
Pugsy wrote:Of course all this is assuming that your therapy is optimal (at least on paper) with low AHI and low leaks being reported.
She's clearly right, and this needs to be answered before you make any changes.

The second big point is that whole issue of sleep hygiene, lifestyle, medications and other health issues. Chicago Granny has a good list of things to check. Search her posts or send her a PM.

The fact that you sleep for a couple of hours, awaken and then can't go back to sleep is indicative of a problem other than APAP settings, irrespective of Wulfman's straight pressure orgasm.
T.C.

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Wulfman...
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Re: Can CPAP work better than APAP?

Post by Wulfman... » Tue Nov 03, 2015 7:00 pm

The Choker wrote:
tiredman wrote:Thanks a lot for your responses. I'm going to give it a try. Not sure why I wake up every night but I do, and it's really hard to fall asleep with the mask on at that point.
You are likely on a wild goose chase with changing the settings to CPAP.

Pugsy said something that is very important and everyone, including you, is overlooking it.
Pugsy wrote:Of course all this is assuming that your therapy is optimal (at least on paper) with low AHI and low leaks being reported.
She's clearly right, and this needs to be answered before you make any changes.

The second big point is that whole issue of sleep hygiene, lifestyle, medications and other health issues. Chicago Granny has a good list of things to check. Search her posts or send her a PM.

The fact that you sleep for a couple of hours, awaken and then can't go back to sleep is indicative of a problem other than APAP settings, irrespective of Wulfman's straight pressure orgasm.
Not necessarily.
But, without seeing some reports, we don't know for sure.
Sleep stages cycle in approximately 2 hour intervals. If his breathing is causing the machine to jack up pressures on Flow Limitations or Snores as he enters some of the sleep stages, it may be waking him up.
And, if a mask isn't properly adjusted for higher pressures, leaks may also be a factor.
Some people are able to fall back to sleep easier than others.


Den

.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
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CaptainRaven40
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Re: Can CPAP work better than APAP?

Post by CaptainRaven40 » Tue Nov 03, 2015 7:26 pm

Time to grab the popcorn and watch the back and forth. Lol. Pugsy is right and so is Wulfman. The thing is it's all so objective to the person. So without trying things including straight CPAP you just don't know.

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Wulfman...
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Re: Can CPAP work better than APAP?

Post by Wulfman... » Tue Nov 03, 2015 7:32 pm

CaptainRaven40 wrote:Time to grab the popcorn and watch the back and forth. Lol. Pugsy is right and so is Wulfman. The thing is it's all so objective to the person. So without trying things including straight CPAP you just don't know.
Put the popcorn away........you just offered the solution to the "problem".


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