Hope2SleepGuide

Sleep Apnoea Forum Bringing Help + Support to the Patient

How is it decided what machine I need?

At present I use a S9 Apap  with the EPR set at 3 but I feel that a Bipap would be better for me.

Views: 288

Reply to This

Replies to This Discussion

An APAP with EPR is almost Bipap.

The Sleep Centre would know from their readings if you would be better with another type of machine, if you had a home study you need to take it up with your GP and raise it with your Sleep Centre.

I checked with my hospital but they dont supply Bipap,s to outpatients so looks like Im stuck with the S9

You can always ask to be transferred to another hospital if there is one near you.

Or you can buy one of you can afford one and ask if they will service it and repair it if you buy one, some hospitals will and others will not.  But in any case, if it breaks down you will have to wait, but they may give you a loan APAP until it is repaired.

Worth a try, you have nothing to loose.

But before you go down that route, ask if they think you need one.

Its not easy to get transferred to another local  hospital as I am finding out.

Rather than getting a appointment for my local hospital ,which supplies Philips machines, I have been given a appointment for a London Sleep Clinic instead.

I will have to cancel that one.

I have increased the minimum pressure to 14 as I have seen, on Sleepyhead, that the pressure tends to shoot up to 20 when the pressure has dropped to 12.. Increasing the minimum pressure to 14 does reduce the amount the pressure is bouncing around

Look for your 90% and set the low pressure just below that or on that figure and it should behave a lot better.

It is 90% that most clinics set a CPAP at, this covers most events without undue pressure and a bit of discomfort.

My ResMed machine was set by the clinic to 8 and 20 when I got it, but since then I have moved the low pressure to 11 and left it at 20, it has never gone above 13,5.  Before I did this the pressure used to rise suddenly and wake me up, so I took the lower pressure nearer the higher pressure, Now I have no problems, but I do get an angry red face every now and again, due to air escaping out of my mouth through my lips.  Very little I can do about that, but the highest I have ever got was a 1 and it is normally 0.0 to 0,4 at worst.

 Last month my 95% pressure varied from a minimum of 14.9 to a maximum of 19.8 this makes it rather difficult to set a range    I was thinking about setting it up to be a CPAP, which the S9 Autoset can do, but with the 95% pressure varying so much   what pressure would you set it to.

As you say that would be difficult.  I would keep it in APAP mode.  All you can do is to keep the high pressure open and start with the low at 10 and go up a step at a time and see where you do best, though if your needs change so much you may need a more advance machine.  If your hospital does not supply them then your only option is to go to another hospital that does or talk to the consultant to see if he thinks you need one.  Then go buy one if they will look after it and service it.  The only thing that they would not have for it would be the machine itself if it did break down.  You would need to get the same brand that they deal with of they agreed to look after it.

It is worth a try, you have nothing to loose and everything to gain.

Sleepyhead YouTube.  Sleepyhead on YouTube

It is my understanding that when a new sleep test is required you need to be off CPAP for a few days to get a accurate test. Is this correct

The London hospital does not seem to be aware of this

I was not off for a few days.

The results were the same as when I started!

Which I have to say was bad!

On saying that, it takes a few days before you yourself feel the affects, usually.

But as far as the results of a sleep test, I don't think it would make ant difference as your throat will still close etc.

I am now finding that the pressure the APAP runs at during the night is dependent  on what I have eaten that evening.

I have found that if I have bolied rice rather than chips with the evening meal then my 95% pressure can reduce by as much as 3 cm.

Im beginning to think that Im having a allergic reaction to something which is affecting my breathing

That is not impossible, even dust and mites can cause problems, even the mites that are so tiny you can't see them and they live on your body.  However, only you yourself can work out if certain food make things worse.  It could be that you like chips more and eat more of them lol.  3cm is quite a bit, I am fairly constant in my max pressure, however, I am not the same every night with AHI.  Some nights and usually not more then 0.3AHI but I have been as high as 1AHI, but that was a night where I was suffering badly with the cold and was a bit choked up.  The worst I usually get on a bad night otherwise is 0.4AHI with no Central or other complicated Apnoea.  I used to have a few central ones until I got the APAP, then they for the most part have been history.  I think the central ones were caused as I used to run the CPAP over pressure to allow for constant leaks.

Mabe just note your AHI every morning against what you ate the night before and see if it does affect it.

I have to say though, the only thing I have seen reported is drink affecting the AHI, and it can be quite a bit!

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

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…"
Wednesday
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
Jonathan replied to Jenny Wren's discussion Feeling Abandoned by the Sleep Clinic
"Hello It seems you can check with Philips Respironics whether your machine is affected by the recall https://www.philipssrcupdate.expertinquiry.com/?ulang=en Hopefully it's not one of the problem machines, and at least you will know that your…"
Feb 5
Jonathan replied to The SleepGuide Crew's discussion Welcome to our Forum - Feel Free to Introduce Yourself Here.
"Hello, I was diagnosed about the same time as you, and also found CPAP therapy live-changing.  My original machine was an NHS issue Respironics, with no reporting or logging of data.  After a throat infection which wouldn't go away, I…"
Feb 5
Ejog1 replied to Jenny Wren's discussion Feeling Abandoned by the Sleep Clinic
"I can’t offer any advice but I sympathise with the feeling of being abandoned. I got given my current Resmed machine about 8 or 9 years ago by my clinic, and I think it’s overdue replacement, but I can’t get a reply from my clinic,…"
Feb 5
Ejog1 replied to The SleepGuide Crew's discussion Welcome to our Forum - Feel Free to Introduce Yourself Here.
"Hi,  thanks for approving my application to the forum. I was first diagnosed in 2007 although for many years I had been suffering from extreme tiredness, and my snoring and stunted breathing at night was often joked about amongst friends and…"
Feb 5

© 2024   Created by The SleepGuide Crew.   Powered by

Badges  |  Report an Issue  |  Terms of Service