Cpap treatment

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
Pugsy
Posts: 65001
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: Cpap treatment

Post by Pugsy » Fri Mar 20, 2020 10:30 pm

What you see being reported are apnea events that slipped past the defenses and happened.
These were NOT prevented and they happened and you aren't getting optimal therapy.

Your central apnea count is fairly low...pretty much well within an acceptable number of centrals. Having a few centrals here and there is normal and to be expected and no big deal.

Your hyponeas are obviously your main problem. The majority of the time hyponeas are obstructive in nature...think of them as baby OAs that didn't quite grow up to earn an OA flag.
OA....80% to 100% airway flow reduction that lasts at least 10 seconds
hyponea....40 % to 79% airway flow reduction that lasts at least 10 seconds. Once a hyponea hits 80% flow reduction..it becomes an OA.

Are you sleeping on your back at all? That can make things worse and cause a need for more pressure.
I can't imagine them doing a titration study and being happy with that level of hyponeas at the pressure you were told to use.
Again...I strongly urge you to request a written copy of your sleep study results.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/
I may have to RISE but I refuse to SHINE.

Macjacket
Posts: 13
Joined: Fri Mar 20, 2020 6:15 am

Re: Cpap treatment

Post by Macjacket » Fri Mar 20, 2020 10:49 pm

zoocrewphoto wrote:
Fri Mar 20, 2020 10:24 pm
The machine can only report the events that slipped by. Not what it prevented.

I assume your machine is only straight pressure. Is there any chance it can be set to auto range? It looks like you need more pressure. And we can't tell if it is certain parts of the night or all night long.
Machine is a fixed pressure. On my prescription it says DO NOT SUPPLY AN AUTO machine .

User avatar
chunkyfrog
Posts: 34545
Joined: Mon Jul 12, 2010 5:10 pm
Location: Nowhere special--this year in particular.

Re: Cpap treatment

Post by chunkyfrog » Fri Mar 20, 2020 10:57 pm

Macjacket wrote:
Fri Mar 20, 2020 10:49 pm
zoocrewphoto wrote:
Fri Mar 20, 2020 10:24 pm
The machine can only report the events that slipped by. Not what it prevented.

I assume your machine is only straight pressure. Is there any chance it can be set to auto range? It looks like you need more pressure. And we can't tell if it is certain parts of the night or all night long.
Machine is a fixed pressure. On my prescription it says DO NOT SUPPLY AN AUTO machine .
[[[[Imagine video of donald Duck throwing a tantrum.]]]

_________________
Mask: AirFit™ P10 For Her Nasal Pillow CPAP Mask with Headgear
Additional Comments: Airsense 10 Autoset for Her

Macjacket
Posts: 13
Joined: Fri Mar 20, 2020 6:15 am

Re: Cpap treatment

Post by Macjacket » Fri Mar 20, 2020 11:04 pm

Pugsy wrote:
Fri Mar 20, 2020 10:30 pm
What you see being reported are apnea events that slipped past the defenses and happened.
These were NOT prevented and they happened and you aren't getting optimal therapy.

Your central apnea count is fairly low...pretty much well within an acceptable number of centrals. Having a few centrals here and there is normal and to be expected and no big deal.

Your hyponeas are obviously your main problem. The majority of the time hyponeas are obstructive in nature...think of them as baby OAs that didn't quite grow up to earn an OA flag.
OA....80% to 100% airway flow reduction that lasts at least 10 seconds
hyponea....40 % to 79% airway flow reduction that lasts at least 10 seconds. Once a hyponea hits 80% flow reduction..it becomes an OA.

Are you sleeping on your back at all? That can make things worse and cause a need for more pressure.
I can't imagine them doing a titration study and being happy with that level of hyponeas at the pressure you were told to use.
Again...I strongly urge you to request a written copy of your sleep study results.
I kind of figured the CA was pretty low but agree hypopnia count is way too high . Usually over 100 per night ? Maybe I need more direct pressure on my nose . I might try a nose mask with taped mouth.

Macjacket
Posts: 13
Joined: Fri Mar 20, 2020 6:15 am

Re: Cpap treatment

Post by Macjacket » Fri Mar 20, 2020 11:22 pm

Macjacket wrote:
Fri Mar 20, 2020 11:04 pm
Pugsy wrote:
Fri Mar 20, 2020 10:30 pm
What you see being reported are apnea events that slipped past the defenses and happened.
These were NOT prevented and they happened and you aren't getting optimal therapy.

Your central apnea count is fairly low...pretty much well within an acceptable number of centrals. Having a few centrals here and there is normal and to be expected and no big deal.

Your hyponeas are obviously your main problem. The majority of the time hyponeas are obstructive in nature...think of them as baby OAs that didn't quite grow up to earn an OA flag.
OA....80% to 100% airway flow reduction that lasts at least 10 seconds
hyponea....40 % to 79% airway flow reduction that lasts at least 10 seconds. Once a hyponea hits 80% flow reduction..it becomes an OA.

Are you sleeping on your back at all? That can make things worse and cause a need for more pressure.
I can't imagine them doing a titration study and being happy with that level of hyponeas at the pressure you were told to use.
Again...I strongly urge you to request a written copy of your sleep study results.
I kind of figured the CA was pretty low but agree hypopnia count is way too high . Usually over 100 per night ? Maybe I need more direct pressure on my nose . I might try a nose mask with taped mouth.
I’m a side sleeper mainly . Either left or right