Higher ahi's after switching mask

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Mpaul2012
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Higher ahi's after switching mask

Post by Mpaul2012 » Sun Apr 08, 2018 5:28 am

I am using Resmed bipap machine, I was using a nasal mask but switched to a cushioned full face mask due to nasal allergies, now my ahi's have doubled, does anyome know why this happened or how to readjust my machine.

ajack
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Re: Higher ahi's after switching mask

Post by ajack » Sun Apr 08, 2018 6:52 am

My guess..The machine is working properly now. You were probably mouth breathing and such before.
Put up a sleepyhead chart and get some opinions, you will probably need to raise the epap and keep the same difference between ipap, also raise that by the same amount. How much will depend on the chart.

The clinical manual and sleepyhead is available on apneaboard.

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LSAT
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Re: Higher ahi's after switching mask

Post by LSAT » Sun Apr 08, 2018 7:08 am

ajack wrote:
Sun Apr 08, 2018 6:52 am
My guess..The machine is working properly now. You were probably mouth breathing and such before.
Put up a sleepyhead chart and get some opinions, you will probably need to raise the epap and keep the same difference between ipap, also raise that by the same amount. How much will depend on the chart.

The clinical manual and sleepyhead is available on apneaboard.

This doesn't make any sense....If he was mouth breathing before and now it is corrected, the AHI would have dropped...it would not have doubled.

TedVPAP
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Re: Higher ahi's after switching mask

Post by TedVPAP » Sun Apr 08, 2018 7:08 am

If you slept worse (more wakeups) then you may have had more false events. The machine assumes you are asleep. Awake breathing is more irregular.

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ajack
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Re: Higher ahi's after switching mask

Post by ajack » Sun Apr 08, 2018 7:24 am

LSAT wrote:
Sun Apr 08, 2018 7:08 am
ajack wrote:
Sun Apr 08, 2018 6:52 am
My guess..The machine is working properly now. You were probably mouth breathing and such before.
Put up a sleepyhead chart and get some opinions, you will probably need to raise the epap and keep the same difference between ipap, also raise that by the same amount. How much will depend on the chart.

The clinical manual and sleepyhead is available on apneaboard.

This doesn't make any sense....If he was mouth breathing before and now it is corrected, the AHI would have dropped...it would not have doubled.
I could be wrong, but it makes sense to me. With the nasal mask, it was missing a lot of events. The sleepyhead chart for the last week will be saved and show, if the nasal mask was on during that time. If not, for an experiment the nasal mask can be used for one night.

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Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
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Pugsy
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Re: Higher ahi's after switching mask

Post by Pugsy » Sun Apr 08, 2018 7:27 am

It's also possible that leaks weren't a problem but when switching to a full face mask a person might need little more pressure to attain same results.
So we need to see the reports from both masks...both to see if leaks were ever an issue and see what constitutes "AHI doubled".
Did it double from 1 to 2 or 5 to 10 or what????

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palerider
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Re: Higher ahi's after switching mask

Post by palerider » Sun Apr 08, 2018 1:32 pm

LSAT wrote:
Sun Apr 08, 2018 7:08 am
ajack wrote:
Sun Apr 08, 2018 6:52 am
My guess..The machine is working properly now. You were probably mouth breathing and such before.
Put up a sleepyhead chart and get some opinions, you will probably need to raise the epap and keep the same difference between ipap, also raise that by the same amount. How much will depend on the chart.

The clinical manual and sleepyhead is available on apneaboard.

This doesn't make any sense....If he was mouth breathing before and now it is corrected, the AHI would have dropped...it would not have doubled.
Since when has anything that one says made any sense?

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palerider
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Re: Higher ahi's after switching mask

Post by palerider » Sun Apr 08, 2018 1:34 pm

Pugsy wrote:
Sun Apr 08, 2018 7:27 am
It's also possible that leaks weren't a problem but when switching to a full face mask a person might need little more pressure to attain same results.
So we need to see the reports from both masks...both to see if leaks were ever an issue and see what constitutes "AHI doubled".
Did it double from 1 to 2 or 5 to 10 or what????
I agree that's most likely... we've seen many reports from people that needed less pressure when switching FROM a ffm, because FFMs, pushing on the jaw, tend to narrow the airway in some people.

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Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.