The type of power supply fitter to these machines will operate in most countries in the world, with a few rare exceptions. Europe is not a problem with 230 to 250 volts AC it will not be a problem. We can buy a machine from America and plug it in here and it will work fine. Bring an adaptor and an extension lead for your machine as power points tend to be some distance from the bed, typically the other end of the room. Put a twin socket extension on you extension cord to plug in your phone to have the phone near you (if you need to use it at any time) otherwise it will be at the other end of the room. This is not unusual for hotels in Europe, a 6mtr 6amp extension should cover most rooms though a 2mtrs to cover all. You do not need a heavy extension even with the phone charger plugged in.
Without seeing your daily data I think (guessing) you are sleeping on your back and tucking your chin into your chest causing a restricted flow and even lying on your side you could be doing this. Also, it looks as if your machine would like to go to a higher pressure but you have restricted it. There is no harm in leaving the machine set to 20 if it is in auto mode. My machine has been set at 20 since it came home and although on the old CPAP machine I had a set pressure of 18 the machine now is an ResMed 10 Autoset and I have it set to 11 low and 20 high, it has never went above 13.5. I usually get low readings of less then 0.4. I have a cold just now and it is at 0.6AHI but as I have a cold I know it is that that is causing the higher readings. However, I did get three nights where the data was all over the place and I have no idea why? I had an AHI of 6.0, the highest I have ever had, this was just before the cold hit me but it had not developed into a cold. There was two nights when I turned on the machine (we can switch off the power here at our sockets) and when I let it start on auto it started on full power, wow, 20 is strong when it starts on 20!! If you are getting high readings the odd night, do not panic, however, as you are feeling tired again I would open up the machine to 20 MAX and 11 low and see what happens. Make sure your mask is not to tight, this is a common mistake and can lead to a lot of leaks. Make sure the machine is also set to Full-Faced mask, this is often overlooked even by those setting up the machine for you. To go into the settings, press the round button and the rectangular button at the bottom, press for a few seconds and display should change. If you have the manual it should give you all the settings, if not (ResMed used to have a .pdf of the Adjusting the clinical settings, but they appear to have removed it} but the Chinese branch still have it [url=https://china.resmed.com/zh-cn/dam/secure/clinical-guide/airsense-series/airsense10-autoset-plus-elite-plus-afh-plus_clinical-guide_apac_eng.pdf][/url] or join and request one from http://www.apneaboard.com/forums/ where you will also get some good advice (NOTE: None are doctors) but there is a lot of good advice. But don't run away and abandon this forum. In this country we still get the manual with the clinical settings in it.
I can't agree either. When I was diagnosed in the UK, the Sleep Doctor (A Professor) sat down and explained OSA, CSA and Hypopnoeas. Yes CAs and Hypopnoea might be related, but they are not the same. He went through my data in detail and he pointed out the three types to look out for. His next words were "Do not play around with the settings!" "Yes Doctor" I said as I was already working out how to do it. He took the manual from me, but I sent away for another. He knew fine I was going to get the best out of the limited machine I had, I did as well. As machines got better so did the treatment. But he didn't keep the manuals from me after the second machine. There was little or no internet back then, or Sleepyhead. It took me a while to get an Internet connection worth using, it was very slow, but at least the modems had evolved by then. Dial up! Slow Dial up at that.
I never use ramp these days, I did try when I had a Sullivan machine (a long long time ago) it was slow in raising pressure, but it reached a pressure where I found it very difficult to breathe, around 7 or 8 if I remember. So I stopped using it early and just start at full pressure, this has the advantage of finding leaks early on. I always made sure I was settled before turning on the machine. Later I got a machine with EPR on it, this reduces pressure when you breathe out, and supplies the pressure the machine is set for when you breathe in again. An APAP (Auto) machine will go to the pressure it thinks you need. It is up to you if you use the EPR or whatever name they call it on other machines, all it does is reduce the pressure when you breathe out and go straight back to the pressure it is set for as soon as you stop breathing out, or in an auto machine the pressure you require at the time. I have not used the ramp on my ResMed Airsense10Autoset since I got it as I was so used to just powering up, so I don't know how it normally behaves. The idea behind ramp was to allow you to get to sleep before it reached full pressure (pressure set or what you require) and this used to go up in slow steps. It is a bit odd that the ResMed should go up to pressure in a few seconds, unless it thinks you are asleep! The ols Sullivan used to go up in five minute steps so when it reached the pressure I found it hard to breathe I had to wait five minutes before I found it easy to breathe again. This is why I stopped using ramp and I find it easier to go straight to required pressure. When I switch on the ResMed it takes a few seconds to reach a pressure of 13 anyway, it does not just jump right in at pressure.
Hi Big Mike, you do not need to adjust the max pressure on your machine, it is only going p to 13 anyway. There is spikes in the pressure, I don't know for sure, but could you be tucking your chin into your chest cutting off your air supply? A soft collar would stop this, maybe this is disturbing you and you are noticing your hart speeding up. It does appear to peak with some but not all. You are a bit high on breathing but your AHI is good though. If you are not using a collar, try one for all the cost. Get the ticker checked just in case it is having a problem, then stop worrying.
A common mistake is using the Nasal Pillows with to small a Pillow fitted. Start with the biggest and go smaller if you have to. Another mistake is tightening the Nasal Pillow mask to tight, it should only be tight enough to stop leaks and not tight, tight. Hope this helps a bit. I wish ResMed would put the hose from the mask over the head instead of down to get caught in bedding ect. Much easier to get on with as it goes over the head and behind the pillows or to a hose hoist.
I would guess that it is OSA. Let me ask you this, Did you gasp for breath when you woke up, do you snore and did you feel your throat move when you woke up? Think about it. OSA does hit you when you are falling asleep, I used to notice it when falling asleep. Just starting to sleep, then the next you know is you waken up with a start and gasp for breath. There is also another thing that can happen, you slowly slow down with your breaths, then they get shallower until you stop breathing altogether, but it is not normal to wake up gasping, more you just get a start and start to breath again, this is more like CSA. I used to do this as well, but I didn't get a so big a gasp of air, but breathing did quicken until it caught up. OSA can leave you gasping, hart racing and a bit confused. I would wait until you get your results. If you do have OSA, ask for your report so you have a copy of your results. If you can get an APAP machine, these adjust to the pressure you need and are a lot better. You will have to work on thet one, ask your doctor to give you a prescription for an APAP.
Did the dentist not check the fit of it before you got it to use? Go back and get it adjusted. It is not right.
Turn on the EPR to reduce the pressure when you breath out. If it is not turned on, you can get it turned on or you could do this yourself. Ask you provider if you can do it yourself or if they say no, ask then to do it. If you have the manual you can do it if it has the Clinicians part in it.
Just a bit of condensation going on. A little more heat in the room should stop it or turn down the humidifier if you are running one.
