pendergast
Machine: Redmed Airsense 11 Other Comments: Sex: Male
Posts: 4
Threads: 1
Joined: Nov 2024
Mask Type: Nasal pillows
Mask Make & Model: F&P Solo
Humidifier: Resmed Humidifier
CPAP Pressure: 5-15
CPAP Software: OSCARmyAir
Location: United States
#1
11-16-2024, 06:43 PM (This post was last modified: 11-16-2024, 06:44 PM by pendergast. Edit Reason: typo)
Help with APAP settings
Hey,
Just tried my first night of APAP using a Resmed Airsense 11. My sleep study indicated an AHI of 15.5.
My machine is set to a range of 5-15 cm H20. I'm using a nasal pillow cushion with a F&P Solo.
I guess I feel ok the next day (but then again, my only symptom of sleep apnea was snoring). Should I be worried about any of the results? I see that the leak rate is high - any recommendations for that?
Should I be changing my max pressure to help with that?
Thanks!
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pendergast
Machine: Redmed Airsense 11 Other Comments: Sex: MalePosts: 4
Threads: 1
Joined: Nov 2024
Mask Type: Nasal pillows
Mask Make & Model: F&P Solo
Humidifier: Resmed Humidifier
CPAP Pressure: 5-15
CPAP Software: OSCARmyAir
Location: United States
#2
11-16-2024, 07:10 PM
RE: Help with APAP settings
Also, I have a Samsung watch I use for sleep tracking - it showed that while my O2 levels were better (the typical lowest recorded is 81%), it was now 89%. Anything I should be changing to help with that? Also, I see that I wasn't able to stay in deep sleep, I kept falling between deep sleep and light sleep - is that just because I'm getting used to a CPAP?
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staceyburke
Machine: Resmed AirCurve VAUTO Other Comments: O2 and pulse CMS 50F Sex: Male
Posts: 3,692
Threads: 15
Joined: Jun 2020
Mask Type: Full face mask
Mask Make & Model: ResMed f30 & f30i
Humidifier: ResMed
CPAP Pressure: PS 5.6 over 6.2-19
CPAP Software: OSCARmyAir
Location: colorado usa
#3
11-17-2024, 12:26 AM
RE: Help with APAP settings
I would make 2 changes. Min 8 and EPR 3. Please post again with those settings.
Apnea (80-100%) 10 seconds,Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed Cervical Collar - Dealing w DME - Chart Organizing
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pendergast
Machine: Redmed Airsense 11 Other Comments: Sex: MalePosts: 4
Threads: 1
Joined: Nov 2024
Mask Type: Nasal pillows
Mask Make & Model: F&P Solo
Humidifier: Resmed Humidifier
CPAP Pressure: 5-15
CPAP Software: OSCARmyAir
Location: United States
#4
11-17-2024, 10:16 AM
RE: Help with APAP settings
I tried that - that definitely reduced leak and felt more comfortable. Should I try any other changes?
Thanks for the pointers!
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G. Szabo
Machine: ResMed AirCurve 10 VAUTO Other Comments: humidifyer setting:8, Hose temp: 28C. Sex: Male
Posts: 913
Threads: 18
Joined: Jul 2023
Mask Type: Nasal mask
Mask Make & Model: Philips DreamWear
Humidifier: Built in
CPAP Pressure: MinEPAP 4; MaxIPAP 11; PS 3.4
CPAP Software: OSCAR
Location: Canada
#5
11-17-2024, 12:42 PM
RE: Help with APAP settings
I suggest to increase your minium further to 9.6 cm
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Dormeo
Machine: ResMed Aircurve 10 VAuto Other Comments: Sex: FemalePosts: 2,823
Threads: 15
Joined: Jan 2019
Mask Type: Nasal pillows
Mask Make & Model: Bleep
Humidifier: Came with machine
CPAP Pressure: EPAP 5, PS 5.0
CPAP Software: OSCAR
Location: California US
#6
11-17-2024, 01:25 PM
RE: Help with APAP settings
You could certainly try inching up your minimum to see whether that will reduce your flow limitations and obstructive events. I'd suggest doing that gradually, maybe just .2 or .4 at a time, with multiple days at each new minimum.
I'd also suggest either turning the ramp off or setting your ramp minimum to 7. That way you can get your full EPR of 3 right from the beginning. Also, many people feel somewhat air-starved at a pressure of 4.
Do you spend only 5 to 5.5 hours in bed at night? Or are you taking your mask off and sleeping without it?
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pendergast
Machine: Redmed Airsense 11 Other Comments: Sex: MalePosts: 4
Threads: 1
Joined: Nov 2024
Mask Type: Nasal pillows
Mask Make & Model: F&P Solo
Humidifier: Resmed Humidifier
CPAP Pressure: 5-15
CPAP Software: OSCARmyAir
Location: United States
#7
11-17-2024, 04:25 PM
RE: Help with APAP settings
I wore the mask for around 7 hours - but I'm finding it difficult to fall asleep (typically takes me 1.5 hrs or so vs 20 minutes before using a CPAP) - I just excluded that from the Oscar data as I assumed the data from when I'm awake wouldn't be useful.
I'm guessing it just takes a while to get used to wearing a CPAP and overtime I'll acclimate...if anyone has any tips for this, I would be highly appreciative
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Dormeo
Machine: ResMed Aircurve 10 VAuto Other Comments: Sex: FemalePosts: 2,823
Threads: 15
Joined: Jan 2019
Mask Type: Nasal pillows
Mask Make & Model: Bleep
Humidifier: Came with machine
CPAP Pressure: EPAP 5, PS 5.0
CPAP Software: OSCAR
Location: California US
#8
11-17-2024, 04:43 PM
RE: Help with APAP settings
I think you may find it easier to fall asleep with either no ramp or a ramp min of 7.
A really good way to speed up the process of getting used to the new experience is to set your machine up outside your bedroom during the day or evening and use it while you read, watch TV, or use your devices. (The reason for doing this outside the bedroom is so that you will associate being in your bedroom with going to sleep.)
There are a few lucky souls who report being gloriously rested after their first night, but for the rest of us, it takes some time to get there. I'd say you're off to a good start and just need a bit of perseverance and patience to start feeling the benefits.
Keep us posted!
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G. Szabo
Machine: ResMed AirCurve 10 VAUTO Other Comments: humidifyer setting:8, Hose temp: 28C. Sex: MalePosts: 913
Threads: 18
Joined: Jul 2023
Mask Type: Nasal mask
Mask Make & Model: Philips DreamWear
Humidifier: Built in
CPAP Pressure: MinEPAP 4; MaxIPAP 11; PS 3.4
CPAP Software: OSCAR
Location: Canada
#9
11-17-2024, 05:48 PM
RE: Help with APAP settings
(11-17-2024, 04:25 PM)pendergast Wrote: I'm finding it difficult to fall asleep (typically takes me 1.5 hrs or so vs 20 minutes before using a CPAP)
Take 2.5- 5 mg melatonin 1-2 hours before bedtime. It helps.
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