Trouble with too many events

I have been using cpap about 12 years. Have a new Resmed AirSense 10 elite . Used it 10 times. Too many events. Low of 9 and high of 22. I think average is 16 per hour. Not having trouble with leakage. Sleep study suggested pressure of 7. I raised it to 9 (same pressure I used on old cpap) and helped a little. Are there any suggestions? Doctor wants me to do another sleep study. I figure if they didn't get it right the first time, they wouldn't second time.

What is that AHI composed of?
Pick a typical night and tell us the AHI and what the index is for each separate category.
Central
Obstructive apnea
Hyponea

How to try to reduce them depends on which type of even you are having the most of.

Do you know about SleepyHead?
https://sleep.tnet.com/equipment

If you want to show us the detailed report...follow the directions
viewtopic/t103468/Need-help-with-screen-shots.html

https://sleep.tnet.com/equipment

My machine is new Resmed AirSense 10 Elite. Only used it 11 times. Used 2 different units during past 12 years. Never told that I was having too many events only told about leakage once. I changed doctors to get one closer to home. May need to go back to old doctor who only uses NPs. They are more hands on then present doctor. I tried pressure of 10 last night. Haven't got that report yet. Here is one of my best readings:


7:38 usage hours
70
Good mask seal
20
12.1 events per hour
3
2 mask on/off
4
Total myAir score
97

Events per hour (AHI) means the number of apneas and hypopneas you experience each hour of sleep

Yes, AHI is events per hour average.
But we need to know what that AHI is composed of.

AHI....Apnea Hyponea Index.

There are 2 kinds of Apneas...
Central Apnea and Obstructive Apnea
plus
Hyponea

so the Central Index plus the Obstructive Index plus the Hyponea Index equals the AHI
You need to know what your AHI is made up of before you start going changing pressures because if it is mainly central apnea more pressure won't help and might make things worse.

I turned pressure to 10 last night and here are results:


7:28 usage hours
70
Good mask seal
20
8.9 events per hour
4
3 mask on/off
3
Total myAir score
97

Still got my pressure on 10. Last night events were 5 per hour. That is good enough for me. Thanks to the person who suggested trying 10 or even 11. I am going to go to 10.5 and enjoy better sleep than I have had in years.

alancaudle1 wrote:Still got my pressure on 10. Last night events were 5 per hour. That is good enough for me. Thanks to the person who suggested trying 10 or even 11. I am going to go to 10.5 and enjoy better sleep than I have had in years.

An AHI of 5 is decent. Maybe not your best possible, but you're going in the right direction. A few days at that pressure will show if it consistently kept your events low. Hopefully you'll find out about the breakdown of the events. One could reasonably guess that since a pressure increase resulted in a lower AHI that you're probably not dealing with pressure induced centrals, but hey, if all of those 5 happen to be centrals, maybe that needs another look. Personally, an AHI of 5 would leave me feeling miserable. I think we should seek our personal best in order to feel our personal best. Now, if increasing the pressure causes air in the belly, pressure induced centrals, unresolvable mask leaks, or difficulty with the tolerating the pressure then one might decide a little bit of reduction in the AHI causes more problems than it fixes. Some people have wide fluctuations in pressure needs during the night. Those people benefit from the auto adjusting machine the previous poster mentioned. We don't know if that applies to you. I wouldn't run out and buy a different machine without knowing that. Many of us do fine with a fixed pressure. I am one whose pressure needs don't move around much. I used to have an auto and for the most part, my pressure climbed immediately when I fell asleep and pretty much stayed up the whole night. Your machine data could tell you that. I think most machines can be turned up in increments. Now that you have it close to being effective, an increase of not even a whole digit might take you over the line from better to best. Good luck going forward.

alancaudle1 wrote:Still got my pressure on 10. Last night events were 5 per hour. That is good enough for me. Thanks to the person who suggested trying 10 or even 11. I am going to go to 10.5 and enjoy better sleep than I have had in years.

An AHI of 5 is unacceptable for me. Sure it is fantastic compared to my 60 without treatment, but I prefer <1.
With a little effort from you (learning what AHI is comprised of, examining your raw data using sleepyhead, making treatment adjustments based on data), you may have much better results. It is worth spending a few hours trying.

TedVPAP wrote:

alancaudle1 wrote:Still got my pressure on 10. Last night events were 5 per hour. That is good enough for me. Thanks to the person who suggested trying 10 or even 11. I am going to go to 10.5 and enjoy better sleep than I have had in years.

An AHI of 5 is unacceptable for me. Sure it is fantastic compared to my 60 without treatment, but I prefer <1.
With a little effort from you (learning what AHI is comprised of, examining your raw data using sleepyhead, making treatment adjustments based on data), you may have much better results. It is worth spending a few hours trying.

Indeed, an AHI of 5 is like being poked with a pointy stick every 12 minutes. all night long. It's mighty difficult to get any rest like that.

xxyzx wrote:

palerider wrote:

TedVPAP wrote:

alancaudle1 wrote:Still got my pressure on 10. Last night events were 5 per hour. That is good enough for me. Thanks to the person who suggested trying 10 or even 11. I am going to go to 10.5 and enjoy better sleep than I have had in years.

An AHI of 5 is unacceptable for me. Sure it is fantastic compared to my 60 without treatment, but I prefer <1.
With a little effort from you (learning what AHI is comprised of, examining your raw data using sleepyhead, making treatment adjustments based on data), you may have much better results. It is worth spending a few hours trying.

Indeed, an AHI of 5 is like being poked with a pointy stick every 12.5 minutes. all night long. It's mighty difficult to get any rest like that.

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not sure abuot that analogy

once i was actually poked with a pointy stick 3-4 times a night
and i felt a lot worse than an AHI of 19 gave me

they should have poked much much harder. :sigh: