What causes this

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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fdw
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What causes this

Post by fdw » Sun Feb 01, 2015 8:32 am

47 seconds of Hypopnea. I've had many of these, in fact not long ago I had one 127 seconds long.

Thank you so very much

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Started CPAP March 1995 with a pressure of 11.0

Sleeprider
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Re: What causes this

Post by Sleeprider » Sun Feb 01, 2015 9:23 am

Looks like a sleep transition or shift in sleep position. You're doing pretty darn good. With an AHI well below 1.0 I would just keep doing the same thing.

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LSAT
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Re: What causes this

Post by LSAT » Sun Feb 01, 2015 9:44 am

Sleeprider wrote:Looks like a sleep transition or shift in sleep position. You're doing pretty darn good. With an AHI well below 1.0 I would just keep doing the same thing.

Agree +1

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Jay Aitchsee
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Re: What causes this

Post by Jay Aitchsee » Sun Feb 01, 2015 10:47 am

Yes, you're looking good, don't worry about it. Remember, that 47 seconds is a "reduction" in breathing. Not a stoppage of breathing. The corresponding Flow Limitation was only about 0.2 max, which some would consider very good, though published guidelines are difficult to find. Also consider that there was a small uptick in leak rate during that time which could be influencing the numbers slightly. The last few charts you've published have looked very good from a respiratory standpoint, at least that seems to be the consensus of folks who have commented on them. With these results, if you're still not feeling rested, perhaps you should consider looking elsewhere, like cardio, depression, or deficiencies, for example.

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Julie
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Re: What causes this

Post by Julie » Sun Feb 01, 2015 10:49 am

If you're sleeping on your back, I would do whatever possible not to, as it may be a problem.

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fdw
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Re: What causes this

Post by fdw » Sun Feb 01, 2015 1:52 pm

Jay Aitchsee wrote:Yes, you're looking good, don't worry about it. Remember, that 47 seconds is a "reduction" in breathing. Not a stoppage of breathing. The corresponding Flow Limitation was only about 0.2 max, which some would consider very good, though published guidelines are difficult to find. Also consider that there was a small uptick in leak rate during that time which could be influencing the numbers slightly. The last few charts you've published have looked very good from a respiratory standpoint, at least that seems to be the consensus of folks who have commented on them. With these results, if you're still not feeling rested, perhaps you should consider looking elsewhere, like cardio, depression, or deficiencies, for example.
That's encourging to know.

I've been feeling much better almost every day since switching to straight CPAP 2 1/2 weeks ago from APAP.

I've also been taking ALPRAZolam 0.5mg 1/day@night so I can fall back asleep if I wake in the middle of the night for nearly 6 months now. I really need to get off this drug though, but I've been getting nearly 9 hours of sleep a night where prior to that I was lucky to get 6 hours a night and that was for many years.

By the way in March I will be celebrating 20 years as a hose head....no doubt without it I'd be in a lot worse health.

Thanks to all
ResMed AirSense S10 Autoset (Ins. Pur. 3/16/2016)
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0

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fdw
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Re: What causes this

Post by fdw » Sun Feb 01, 2015 2:09 pm

Julie wrote:If you're sleeping on your back, I would do whatever possible not to, as al it may be a problem.
Normally don't sleep on my back at all. I've always been a side fetal position sleeper. The only time on my back is the very rare occasion I fall asleep in my recliner, maybe once or twice every 3 or 4 months.
I do have to remember to not tuck my chin to my chest so my airway stays open at night.
ResMed AirSense S10 Autoset (Ins. Pur. 3/16/2016)
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0

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Julie
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Re: What causes this

Post by Julie » Sun Feb 01, 2015 2:15 pm

No you don't, just wear a soft cervical collar and it'll take care of your head, open your airway and help with any leaks.

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fdw
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Re: What causes this

Post by fdw » Sun Feb 01, 2015 2:22 pm

Julie wrote:No you don't, just wear a soft cervical collar and it'll take care of your head, open your airway and help with any leaks.
I tried one for a few days.....had a horrible time with it and finally returned it. Now I use a pillow that allows my head to be level with my shoulder (about 8" thick memory foam) but I still have to remember not to tuck
ResMed AirSense S10 Autoset (Ins. Pur. 3/16/2016)
AutoCPAP 10-15 EPR 1.0 (Latest Sleep Study 3-7-16)
Started CPAP March 1995 with a pressure of 11.0

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Jay Aitchsee
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Re: What causes this

Post by Jay Aitchsee » Sun Feb 01, 2015 4:34 pm

You said about cervical collars:
fdw wrote:I tried one for a few days.....had a horrible time with it and finally returned it. Now I use a pillow that allows my head to be level with my
shoulder (about 8" thick memory foam) but I still have to remember not to tuck
With your results, you probably don't need one, but here's how to make one that might be more comfortable (I've tried them too). Take a piece of 1 inch thick foam cut in a rectangle, nominally, about 4" X 6". Wrap this foam in something soft, a hankie, piece of T-Shirt, whatever. Next time your at the store, or maybe your wife has one, pick up a hair band. It is kind of like a sweat band, only much thinner, two to three inches wide, stretchable, and cheap. Now take the piece of foam which you've wrapped in cloth and place it inside the circle of the hairband so that the long side runs with the band. Safety pin the hairband to the foam on center from the outside. That's it.
Before putting on your mask, slip the hairband over your head and around your neck with the foam under your chin. The hairband will hold it in place without being too tight if your neck circumference isn't too great (Mine's about 17). For larger neck sizes, the hairband could go inside the foam. The advantage of this is that it holds the chin up without the bulk of a cervical collar. The foam support is only under the chin, nothing on the sides and back of the neck except a very thin hair band and, it is easily modified - thicker, taller, wider, just cut the foam to suit.

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