Hope2SleepGuide

Sleep Apnoea Forum Bringing Help + Support to the Patient

I have had problems with my Resmed S9 APAP staying at 20 cm for 2-3 hours at a time which wrecks me the next day.

This problem has been ongoing for many months and when I think I have fixed it it comes back

Using Sleepyhead I can see that during this spell of high pressure it looks like I am double inhaling.

Is this possible??

Views: 1172

Reply to This

Replies to This Discussion

I think its time to make a decision.

Either buy another make of APAP or get referred to another hospital which supplies a different make

Before I make a decision I am going to try something different.

I have noticed that when it goes up to 20 most times it has done so when the pressure has dropped to minimum which is 12 at present.

I will increase the minimum pressure to 14 so hopefully this will keep my airways open.

Might work

Don't rule out a fault with the machine or restricted airflow.

I would also not rule out that you might be one of the few that needs a different machine.

In any case, it should not go to 20 and sit there, I would get it checked or replaced.

If you get another machine and it does the same then the problem is with you rather than with the machine.

Have you contacted the hospital and complained about it?

I would stick with ResMed gear if I could, it is considered the best option by many.

However, I have used Resperonics as well and it worked fine, but the ResMed was a little quicker in reacting to events.

However, it looks like your machine is over reacting.  If you are awake and it still sits at 20 then complain it is faulty.

Insist on getting another machine.

Its me not the machine.

The S9 has been checked by Resmed and no fault was found but the circuit board was changed as a precaution.

I have used another S9 but had the same problem.

I have been told by the hospital that despite my AHI being under 1 most of the time my Apnea was getting worse so I needed the pressure to be at 20

I thought I had found the cause of the problem as I found that the Climateline hose had developed a kink where it was suspended by the hose lift. Buying a new hose seemed to have fixed the problem.

I was advised by Resmed that despite using a full face mask my nasal problems, Polyps and deviated septum, could be causing the problems

I have found a old compliance report from when I used a Remstar. and even though the maximum was set to 20 the pressure rarely went above 15.

So Im tempted to buy a machine ,either a Sleep cube or another Philips APAP 

Or the other option is to get referred to another local hospital which supplies Philips 



Sleep2snore said:

Don't rule out a fault with the machine or restricted airflow.

I would also not rule out that you might be one of the few that needs a different machine.

In any case, it should not go to 20 and sit there, I would get it checked or replaced.

If you get another machine and it does the same then the problem is with you rather than with the machine.

Have you contacted the hospital and complained about it?

I would stick with ResMed gear if I could, it is considered the best option by many.

However, I have used Resperonics as well and it worked fine, but the ResMed was a little quicker in reacting to events.

However, it looks like your machine is over reacting.  If you are awake and it still sits at 20 then complain it is faulty.

Insist on getting another machine.

I have finally found the answer 

I have increased the EPR to 3

This has kept my pressure below 14 for the last 3 days .

Im very annoyed that the hospital and Resmed had not increased this 

For some reason increasing the EPR has reduced the Flow Limitations which is the reverse of what should happen.

If it works .........

Hummmm!  That just shouldn't work!

There must be something unique to the way you breath when sleeping confusing the machine.

It is all a bit strange and a bit confusing!  The Resperonics machines are slightly slower to respond, so it may have been this and setting the EPR to 3 on the ResMed machine that might just be holding off the response for the ResMed machine.  It is pure speculation though.

I think the combination of nasal polyps ,deviated septum and COPD is too much for the Resmed to sort out.

The polyp in my left nostril does act like a one way valve and closes on exhale which may explain why the EPR increase helps. It looks like the only option as far as masks is to get a Oracle Yuck!!!!! 

I have also seen my GP who is going to refer me to a hospital that supplies Philips Dreamstations with humidifiers!!!!

Lastly having nasal surgery is out of the question as its too risky. As the ENT consultant said "I can still breath through my mouth"

That sounds like a get out for the ENT surgeon.

There are a lot of people gone through this op' and even bigger op's to the nose.

Maybe he is just not up to it?

Im on Warfarin for life because of leg DVT,s and Warfarin would be stopped 5 days before the operation. This could leave me at risk of another DVT.. Also the last time my Warfarin was stopped I has to self inject Heparin so my belly turned into a very bruised pin cushion.

Also I weigh 135Kg so a general anesthetic would be risky

As the consultant said " I can still breath through my mouth"

 



Sleep2snore said:

That sounds like a get out for the ENT surgeon.

There are a lot of people gone through this op' and even bigger op's to the nose.

Maybe he is just not up to it?

I have found out why setting the EPR to 3 resolves the problem with high pressure .

Setting the EPR to 3 smoothes out the waveform between exhale and inhale . I have read this about Remstar A flex but not Resmeds EPR.

I have Sleepyhead graphs showing that between Exhale and Inhale the waveform stays on the zero line which is not the case when the EPR is set to 2

I thought EPR was just a comfort feature

EPR just reduces the pressure when you breathe out, this makes it easier to breathe out when on higher pressure.

Current thought is that the higher setting the EPR is the higher pressure is required, however I have not found this, but it does affect my AHI, it goes up slightly when using a higher number of EPR!

Despite changing to a Airsense 10 Autoset Im still having the high pressures and the Sleepyhead waveforms still show that im double inhaling .

In really struggling now . Its taking me all day to recover from the battering the machine gives me at night .

Reply to Discussion

RSS

Sleep Apnoea Forum

New to the Sleep Apnoea Forum? 

1. Stop by our Sleep Apnoea Welcome Center to introduce yourself to the SleepGuide community.
2. Start a New Topic of Conversation.
3. Post your photos - of yourself, your old CPAP machine, your new CPAP machine, your pet, something about you!

Interested in advertising, have a problem or need to contact us? Click the Report an Issue page.

 

Latest Activity

Jonathan replied to John's discussion Airsense 10 -humidifier runs dry
"I did replace the tank in my SleepCube, and had to regularly take the silicone sealing gasket out and give it a goof clean, but not infrequently found it standing in a pool of water in the morning.  The machine sat on a tray because of…"
yesterday
John posted a discussion

Nasal valve collapse

Does anyone have any experience of nasal valve collapse?Wondering if I have this but I don't know what the norm is.Been trying widgets that hold the nose open and it's like night and day.See More
Sunday
John replied to John's discussion Airsense 10 -humidifier runs dry
"Wow it's the other way round for me.I found with the Sleepcube I'd often have a good bit of water still there in the morning. Today I woke up with a dry tank on the Resmed again and it's not on full heat or flow. I got it on 6…"
Sunday
Becky Murkin posted a discussion

F20 AirFit small marking bridge of nose

Please help or give advice all wise people on here.I have had the Resmed F20 AirFit small mask for over a month. Seals yet…See More
Mar 19
Frances Knight replied to Frances Knight's discussion Air Sense 10 - changing pressure settings
"A very helpful reply Jonathan. I found the pressure setting for the full face mask to be too high when I changed to a nasal mask, but perhaps I should have persisted? I'll try again and I'll also discuss with the clinic whether an APAP…"
Mar 13
Jonathan replied to Frances Knight's discussion Air Sense 10 - changing pressure settings
"Ramble alert!  My history is that I spent part of each week at a different location, so bought a second machine identical to my fixed pressure NHS machine and set it up to match using the clinician menu.  This was a very long time…"
Mar 12
Frances Knight replied to Frances Knight's discussion Air Sense 10 - changing pressure settings
"Thanks Jonathan - I had seen the YouTube video. My question is really about the experience of people who have control of their pressure settings, for example those people who have bought their machines directly and not obtained them through an NHS…"
Mar 12
Jonathan replied to Frances Knight's discussion Air Sense 10 - changing pressure settings
"This is NOT a recommendation http://www.youtube.com/watch?v=VNUWhd2UgQM"
Mar 11
Frances Knight posted a discussion

Air Sense 10 - changing pressure settings

I have been successfully using my air sense 10 since OSA diagnosis, and my AHI is now under 2. I had an appointment with my clinic this week and have been told there is no need for further appointments and just to contact them if I need supplies or…See More
Mar 11
Swen Greve is now a member of Hope2SleepGuide
Mar 4
Jonathan replied to Sue Reeves's discussion A few questions..
"If you have a helpful GP, I would ask them to re-refer you to the sleep clinic."
Mar 3
Sue Reeves posted a discussion

A few questions..

A quick bit of backgroundDiagnosed with OSA about 7/8 years ago by my local sleep clinic and given a F &P Icon CPAP.  After a couple of follow-up appts to sort out any issues, I was sent on my merry way. I have had no further face to face…See More
Mar 3
Jonathan replied to John's discussion Airsense 10 -humidifier runs dry
"I previously had a DeVilbiss Sleepcube and the dehumidifier did sometimes run dry.  On the other hand I now have an AirSense 10 and it never runs dry, and I've had the humidity turned up high."
Feb 26
John posted a discussion

Airsense 10 -humidifier runs dry

Hi. I'm finding the Airsense 10 the hospital gave me, the humidifier chamber runs dry. It's not even on max settings, which I'm guessing would empty it a lot quicker. Seems like a big design oversight to me. Does anyone else have this trouble? The…See More
Feb 26
David Hudson posted a discussion

Decline in hearing

HiI have regular, well yearly check ups at work. One being a hearing test. Since having my cpap machine my hearing has declined rapidly in 1 ear.....could this be as a result of pressure? I believe I'm on 15cm p max h2o. I just use a nasal…See More
Feb 26
Profile Icontim richards, mark & les, Lesley Parks and 1 more joined Hope2SleepGuide
Feb 13
Jenny Wren replied to Jenny Wren's discussion Feeling Abandoned by the Sleep Clinic
"I've got lucky! I can collect a new machine next week. It's been really helpful to 'speak' to people here and to Kath. It alerted me to the fact that I'd slipped through the net. The clinic were very apologetic and now all…"
Feb 8
Ejog1 replied to Jenny Wren's discussion Feeling Abandoned by the Sleep Clinic
"Thanks. Good news for me today, my clinic did finally reply to me and they’re giving me a new machine. The person I spoke to was super helpful. The NHS clinics are great when you’re able to speak to them, but they seem to be…"
Feb 7
Jenny Wren replied to Jenny Wren's discussion Feeling Abandoned by the Sleep Clinic
"Yes, my machine is affected. Seems I slipped through the net. I'm now on the sleep clinic's radar again and am hopeful that this will be sorted soon. Thanks for your reply and stay well."
Feb 7
Jenny Wren replied to Jenny Wren's discussion Feeling Abandoned by the Sleep Clinic
"I'm sorry to hear that. I emailed Kath about this and she was very helpful. She advised me to get in touch with my sleep clinic and I have had a reply from them. I so hope that you get a response soon."
Feb 7

© 2024   Created by The SleepGuide Crew.   Powered by

Badges  |  Report an Issue  |  Terms of Service