How should I adjust my CPAP unit to minimize snoring?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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CPAPblows
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How should I adjust my CPAP unit to minimize snoring?

Post by CPAPblows » Fri Jul 29, 2016 1:52 pm

I've been successfully using a CPAP machine for about 7 years now. I originally got a sleep test because I could hear my snoring as I was trying to fall asleep, and that would wake me up.

Now, however, the snoring issue has returned to a certain extent. My question is what adjustment would deal with this issue? I use a ResMed AirSense 10, and am familiar with clinician mode. I've been thinking of raising the Minimum Air Pressure, which is currently at 5. Other settings are:

Max Pressure: 10
Pressure Relief: ON
SmartStart: ON
Ramp Time: OFF
Mode: AutoSet
EPR: ON
EPR Type: Full Time
EPR Level: 2
Essentials: PLUS

Any ideas?

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Pugsy
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Re: How should I adjust my CPAP unit to minimize snoring?

Post by Pugsy » Fri Jul 29, 2016 1:56 pm

Generally it is the minimum pressure that is increased when we are dealing with snores.

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CPAPblows
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Re: How should I adjust my CPAP unit to minimize snoring?

Post by CPAPblows » Fri Jul 29, 2016 4:27 pm

Thanks, Pugsy. I'll see if raising the min pressure helps. I don't quite understand how this CPAP machine works, but I think it's supposed to automatically adjust the pressure. In the morning, it usually says a pressure of about 8.0 was created. So is there any way to adjust how that automatic system works? I don't see any such settings.

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Pugsy
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Re: How should I adjust my CPAP unit to minimize snoring?

Post by Pugsy » Fri Jul 29, 2016 4:38 pm

No, there is no way to change how the auto adjusting part of the algorithm works if that is what you are asking.
Yes, the auto mode is supposed to auto adjust as the machine senses the need for adjustment but the machine can only respond so fast to whatever airway collapse it senses is happening. It can't go from 0 to 60 in the blink of an eye. The auto adjusting process takes place over a period of minutes.
The function of the minimum pressure is to act as a baseline pressure which holds the airway open for the most part and then the machine increases the pressure for situations where the minimum can't hold it open optimally.

These machines respond not only to the obstructive apneas and hyponeas but also to snores and flow limitations. So there's a complicated algorithm involved that we as end users don't have access to.
Instead it's pretty easy to just adjust the base pressure upwards a little so that it does a better job preventing the airway collapse in the first place.

Actually the whole idea with cpap/apap is to prevent rather than try to fix after the fact.
The machine doesn't/can't "blow the airway open in the event of a collapse"...it just doesn't work that way. Instead it tries to figure out how to best hold it open in the first place. Since it can't make huge jumps in 30 seconds we have to help it out with giving it a little better starting point.

If all someone is dealing with is minor snoring it is usually easily prevent with a small increase in that minimum.

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CPAPblows
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Re: How should I adjust my CPAP unit to minimize snoring?

Post by CPAPblows » Fri Jul 29, 2016 4:41 pm

Thank you so much for that detailed answer!

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palerider
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Re: How should I adjust my CPAP unit to minimize snoring?

Post by palerider » Fri Jul 29, 2016 4:44 pm

CPAPblows wrote:Now, however, the snoring issue has returned to a certain extent. My question is what adjustment would deal with this issue? I've been thinking of raising the Minimum Air Pressure, which is currently at 5.
raise the minimum pressure. you'd have to look at the pressure chart with some software (sleepyhead or resscan) to be sure but if you're seeing 8 on the display, try setting min to 7.

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