Hi all I use a Resmed Aircurve 10 ASV. For years my AHI has always been less than 2.0 and my hours have been good enough. Over the past few months, AHI has gone high and I'm turning the machine off in my sleep. I have tried increasing pressures including max & min EPAP as well as increased PS max &...

EPAP too low - tons of flow limitations. try higher pressure, start with 11-12/8

Thank you both for the replies and sincere apologies for the delay. ChicagoGranny - I take Tirosint (thyroid med) each morning and vitamin D, magnesium, B-complex, and Iron on a semi/mostly regular basis. =I have studied sleep hygiene and I am pretty good about following it. Could be better about n...

first off; i'm aware that these algorithms are an approximation of the full picture. none of us are getting full fledged sleep screening every night with our machine data. as an example, look at last night's data for me. by the numbers, i'd think "great!" but zoomed in you can see obvious flow limi...

I wonder why I sleep so bad. Maybe it is not apnea but depression after all ??? Or Sertraline side effet... YA THINK!!??? usually it's the other way around, poor sleep causes depression like symptoms. Also, the stress will lower the arousal threshold of neurons which makes you more susceptible to R...

agree with Pugsy. My 2 thoughts:

1. pressure setting needs to go higher: I guess 11-12 cm to start with

2. leaks need better control. You might consider full face mask as they generally work better with higher pressures.

3. pay attention to flow limitations as well.

I wonder why I sleep so bad. Maybe it is not apnea but depression after all ??? Or Sertraline side effet... YA THINK!!??? usually it's the other way around, poor sleep causes depression like symptoms. Also, the stress will lower the arousal threshold of neurons which makes you more susceptible to R...

otterley wrote: ↑

Thu Aug 07, 2025 12:12 am

what do you mean by such as 20/16 cm, epap fixed 16 and ps min 4 ?

sorry, I meant IPAP 20 cm EPAP 16 cm

well, the pressure goes as high as 19cm and it could not fix the flow limitation. You got the best equipments for PAP treatment.. something you can try: 1. try fixed high pressure I/E such as 20/16 cm 2. sleep position control - reduce supine sleep as much as you could 3. weight loss if overweight, ...

pls upload data to sleephq. https://sleephq.com/public/teams/share_links/7c3d647f-4bf8-4c91-9020-d8c9fe6031c6/dashboard RERAs are all hidden, around those CAs flagged by machine. More detailed view is needed to find flow limitations/RERAs. I recommend higher pressure in a tight range 10-12 or fixed....

and the good days/bad days might be explained by how much time you slept on your back each day.

I see REM sleep UARS too: look at the flow limitation starting from 1:42:15 as an example, airway collapsed and 15 seconds later the breathing went back to normal, which cannot happen without a microarousal that restore airway patency and disrupt your deep sleep at the same time. And notice 1:43:59 ...

Thanks for the suggestion: https://sleephq.com/public/teams/share_ ... 16d30a5779 Your breathing data looks decent. I would like to look at your most recent night. Can you upload again to SleepHQ and post the link to your latest night? 1. Assuming you had a sleep study, can you post a copy of the s...

The RERAs around 3am is not looking too bad - no awakenkings. Just curious how do you rate your sleep quality? 14cm IPAP is already high pressure. Maybe higher EPAP might help such as 8 or 10cm.

I have look of surprise! Given the amount of FL I would not have expected APAP to result in in any significant pressure changes, but not only did that occur, when significant FL did appear, it did not respond despite obvious FL with arousal (RERA): fls.jpg Hi Nocibur How many RERAs do you see here,...