AirCurve 10 VAuto Bipap settings help needed

Angielynn · Post by **Angielynn** » Mon Mar 11, 2019 12:23 pm

For data, if you mean the SleepyHead, I downloaded it and I'm waiting on my husband to help me get the data read into the computer. I think he has some kind of equipment that allows the chip to be read by the computer.

palerider · Post by **palerider** » Mon Mar 11, 2019 12:33 pm

Angielynn wrote: ↑
Mon Mar 11, 2019 11:58 am
Concerning the bruxism, yes. In my sleep study they saw that I was not grinding at the 4/8 level. I was wearing sensors on my jaw joint areas. Plus when I do sleep with those settings, I'm waking without the pain in my teeth. I could not get that relief with the autopap though I tried different settings, and used the EPR.

Just because you didn't grind at those pressures for a little while during your test doesn't mean that is some kinda golden setting. Sleep varies, and sleep tests are very often wrong.

Angielynn · Post by **Angielynn** » Mon Mar 11, 2019 1:32 pm

I do get what you're saying and I'm sure you're right, but the 5-6 times I've used bipap I had no teeth pain. Every single night I used the cpap for months I had major teeth pain, like when you first get braces on (I had them when I was a kid so I'm familiar with that feeling). So I'm hopeful that this was the right call for me, if I can adjust and get more comfortable.

Angielynn · Post by **Angielynn** » Tue Mar 12, 2019 7:02 am

Hi Pugsy, I changed my PS from 4 to 3, and I do feel like it helped. I was able to keep it on all night.

I do feel like I was grinding my teeth as they're a little sore this morning, but it was much less than with the auto-Cpap I had before.

With the PS at 4 I did not seem to grind at all, but if the change in PS is the cause of more grinding, I think I'll have to live with it because the PS of 4 just wasn't working for me.

Also I got my sleepytime working but I don't know what to do with it. Is there somewhere I can read about how to interpret it?

Here's some of the information about last nights sleep on it that I do recognize: clear airway: 0.01%. Obstructive 0.27. Unclassified apnea and Hypopnea are both 0.

Pugsy · Post by **Pugsy** » Tue Mar 12, 2019 7:05 am

There is a tutorial for SleepyHead in the Announcements section. It's a bit outdated but the basics are unchanged.

As far as using PS 3 now vs 4....you can always try 4 later again. After a couple of months at 3 you might not find 4 so difficult to manage.

Angielynn · Post by **Angielynn** » Tue Mar 12, 2019 8:02 am

Pugsy thank you so much for all your help. You're support is a major blessing, and one that could change the quality and length of my life. Bless you.

palerider · Post by **palerider** » Tue Mar 12, 2019 1:06 pm

Angielynn wrote: ↑
Tue Mar 12, 2019 7:02 am
Hi Pugsy, I changed my PS from 4 to 3, and I do feel like it helped. I was able to keep it on all night.

I do feel like I was grinding my teeth as they're a little sore this morning, but it was much less than with the auto-Cpap I had before.

With the PS at 4 I did not seem to grind at all, but if the change in PS is the cause of more grinding, I think I'll have to live with it because the PS of 4 just wasn't working for me.

Also I got my sleepytime working but I don't know what to do with it. Is there somewhere I can read about how to interpret it?

Here's some of the information about last nights sleep on it that I do recognize: clear airway: 0.01%. Obstructive 0.27. Unclassified apnea and Hypopnea are both 0.

The next step is to start increasing your minepap until your apnea is controlled and you stop clenching your jaw, since bruxism is a not uncommon side effect of untreated sleep disordered breathing.

We still need to see some sleepyhead screenshots.

Instructions below.

Angielynn · Post by **Angielynn** » Tue Mar 12, 2019 1:19 pm

Thanks Palerider. I'll work on getting those images together.

Angielynn · Post by **Angielynn** » Wed Mar 13, 2019 11:56 am

Hi Palerider and Pugsy. Second night at a PS of 3, and my teeth hurt. However I felt comfortable enough with the IPAP and was able to fall asleep and I was comfortable enough to put the mask back on and fall asleep again when I woke up to go to the bathroom (I do that frequently). I did not feel like I was hyperventilating.

I've attached images of the sleepytime data. Please let me know if there's something that could help.

I see it only allows 3 images and I have 4 so I'll make a new post for that one.

Angielynn · Post by **Angielynn** » Wed Mar 13, 2019 11:58 am

Here's one more image. Please let me know if there's anything else you need to see from sleepytime.

palerider · Post by **palerider** » Wed Mar 13, 2019 2:10 pm

Really wish you'd follow the simple instructions in my sig about how to format your *one single screenshot*. :sigh:

Angielynn · Post by **Angielynn** » Wed Mar 13, 2019 3:47 pm

Is this better? If not, please tell me what to change.

palerider · Post by **palerider** » Wed Mar 13, 2019 3:56 pm

Angielynn wrote: ↑
Wed Mar 13, 2019 3:47 pm
Is this better? If not, please tell me what to change.

Perfect!

I think your EPAP is too low, but you've got to get used to breathing with the pressure as it is first.

Angielynn · Post by **Angielynn** » Wed Mar 13, 2019 4:07 pm

Thanks Palerider. So in the meantime I was thinking of raising the PS ever so slightly tonight to see if it helps with the grinding, and to see if I can tolerate the higher starting IPAP that comes with that.

As a reminder, I was not grinding when PS was at 4 but felt that hyperventilation sensation so I turned PS down to three. I feel pretty good at 3 but am grinding again. So I thought somewhere in the middle like a PS of 3.4? Would that be a reasonable step, or would you say not to do it?

When you say that my EPAP should be higher, does that mean that you think I should work towards a higher minimum epap and a higher starting epap? Would that also mean I'd need a lower PS, or would it mean having a higher maximum IPAP?

Please excuse me if I'm not understanding correctly.

palerider · Post by **palerider** » Wed Mar 13, 2019 4:10 pm

Angielynn wrote: ↑
Wed Mar 13, 2019 4:07 pm
Thanks Palerider. So in the meantime I was thinking of raising the PS ever so slightly tonight to see if it helps with the grinding, and to see if I can tolerate the higher starting IPAP that comes with that.

As a reminder, I was not grinding when PS was at 4 but felt that hyperventilation sensation so I turned PS down to three. I feel pretty good at 3 but am grinding again. So I thought somewhere in the middle like a PS of 3.4? Would that be a reasonable step, or would you say not to do it?

When you say that my EPAP should be higher, does that mean that you think I should work towards a higher minimum epap and a higher starting epap? Would that also mean I'd need a lower PS, or would it mean having a higher maximum IPAP?

Please excuse me if I'm not understanding correctly.

Why not try and see if you can do a minimum EPAP of 5 with a PS of 3? the EPAP is classically more important for preventing bruxism than is the IPAP/PS

But, you can try increasing the PS part of a CM if you want.

AirCurve 10 VAuto Bipap settings help needed

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