Vibratory Snores

[ronster2]

I just printed my therapy numbers for my 1st 10 days using the System One REMstar Pro w/C-Flex+ and I have a question about the vibratory snores. It appears that I have an Average VS Index of 207 for the Long Term Trend report. I can't imagine this being actual snores and I was wondering how this number can climb to this level. I'm using the FlexFit 431 full face mask and I have noticed a vibrating sound coming from the mask occasionally even before I start to dose off. I'm not sure why or what causes this vibrating, but it happens while I'm awake, so I assume it is ocurring all night as well. My understanding is the machine senses snoring as vibrations and marks them a snores. Is this correct? I have C-flex set to 2, my pressure is set to 9cm, and my average AHI for that same period is 3.6. Any suggests or experiences concerning this issue?

Ronster

[unadog]

Go take a look at the mask leak numbers on your "detailed" report for the periods when you have the high "VS".

Is it a nice, smooth "leak" line, or lots of spikes and changes? Let us know what you see. As you mentioned, they are likely mask leaks.

[ronster2]

Go take a look at the mask leak numbers on your "detailed" report for the periods when you have the high "VS".

Is it a nice, smooth "leak" line, or lots of spikes and changes? Let us know what you see. As you mentioned, they are likely mask leaks.

Average mask leak 29.0 for a night that indicated a VS of 315.7. My AHI was 3.6. There are just a few, small transitions, but it looks relativity steady during most of the periods indicating VS's.

[Wulfman]

You didn't say what your pressure is, but you're probably going to need a bit more.
If you're not already, I would also suggest doing nasal cleansing/rinsing before bedtime. These machines interpret airflow and various vibrations can translate to "snores".......in addition to the actual snoring.
Along those lines, if you're using alot of humidity, I'd recommend turning it down or off. Higher levels of humidity can exacerbate nasal congestion and mouth-breathing.......and.....snoring.

For what it's worth, on the sixth night after beginning my therapy, my snore index hit 600......with an AHI of about 2.5. I had a number of nights in the 200-300 range in the beginning......but they gradually came down on their own. But, nasal cleansing and a couple more centimeters of pressure took care of them.
It's possible to have good AHI numbers with high SI numbers. Snoring is not necessarily indicative of the presence of apneas.......it can just be "sound effects".


Den

[ronster2]

You didn't say what your pressure is, but you're probably going to need a bit more.
If you're not already, I would also suggest doing nasal cleansing/rinsing before bedtime. These machines interpret airflow and various vibrations can translate to "snores".......in addition to the actual snoring.
Along those lines, if you're using alot of humidity, I'd recommend turning it down or off. Higher levels of humidity can exacerbate nasal congestion and mouth-breathing.......and.....snoring.

For what it's worth, on the sixth night after beginning my therapy, my snore index hit 600......with an AHI of about 2.5. I had a number of nights in the 200-300 range in the beginning......but they gradually came down on their own. But, nasal cleansing and a couple more centimeters of pressure took care of them.
It's possible to have good AHI numbers with high SI numbers. Snoring is not necessarily indicative of the presence of apneas.......it can just be "sound effects".


Den

My pressure was RX at 9 cm. I'm thinking about increasing it by 0.5 cm over time to see if that helps. I do use a nasal cleaner/solution on occasion, but I don't like using it when the weather is cold. Our gas fired central heating system tends to dry out my sinuses even keeping the house cool at night, so the humidifier on my CPAP does help this problem. It may be fueling another. I'll try keeping it off once the weather warms and try using the "neti pot" more often. Thanks for the advise and I'll post any improvements. Your experience with high snore numbers makes me feel better about my numbers. I was thinking having my nose broken numerous times during my younger years has come back to haunt me. I sure wish I'd taken better care of myself when I was younger....

Ronster

[DoriC]

Could it be the hose rubbing over the headboard if that's your setup? Do you use a hose cover?

[ronster2]

Could it be the hose rubbing over the headboard if that's your setup? Do you use a hose cover?

No, I have the hose cover and the hose hook hanging from the headboard. I get very little movement of the hose from the hook to the mask.
I asked my wife to listen for my snoring during the night, if she can. She swears she doesn't hear any snoring since I began my CPAP therapy. We'll see. Thanks.

Ronster

[mars]

Our gas fired central heating system tends to dry out my sinuses even keeping the house cool at night, so the humidifier on my CPAP does help this problem. It may be fueling another.

Ronster

Hi Ronster2

A vapouriser should solve the above problem.

cheers

Mars

[bailachel]

I have the same issue with the PR1. However, when looking at the graphs, I saw that the vibratory snores occur at the same time as the leaks. I discussed it with my sleep doctor and his opinion was that the leaks cause the mask to vibrate and the machine can't tell the difference between vibrations caused by snores and vibrations caused by leaks. Could that be your situation as well?

[Huffer]

I get the same type of report from my PR1, but I think that it's reading the squeaking or farting sounds of leaks from my nasal mask, especially up around my nose. The wind, however gentle tends to gum up my eyes and the squeaking and the vibration wakes me up. I believe that is what the program is registering. As well, my wife hasn't heard me snore since I started APAP.

[dwsupt]

If your experiencing sinus congestion and drainage, are you clearing your throat? They could be registering. I know mune does.

[ronster2]

If your experiencing sinus congestion and drainage, are you clearing your throat? They could be registering. I know mune does.

No, I don't have any noticeable issues with my sinuses when using the humidifier on the PR System One. Someone suggested my humidifier be the cause of my VS's. I tried the Neti Pot just before bedtime and stopping using the humidifier. My VS's were still in the 150 range. I changed my pressure from 9 to 10.5 and the first night the VS's were 152, but my AHI came down from 4.6 to 1.0 along with a couple of other indexes. Last night I set my humidifier to 1 and my AHI was 0.2 and VS's 32.8, which was a considerable change for the better. My PB, CA, OA, and FL indexes were 0.0. My leaks increased a bit, but I can adjust my mask some. Hopefully, this trend will remain constant, because I did get a good 6.5 hours of sleep last night and my sinuses were normal this morning with no blood traces. It's all good this morning!
Thanks.

Ronster