ok. great. looks like you got it down.
i think we were posting at the same time.
now the good folks here can check out your data and give you feedback.
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
First to clarify the data. It is actually using 2 different masks. First part of the night was my first time trying a full face Mirage Quattro, and then we have a 2 hour break before I went back to bed wearing a ResMet Swift LT For Her nasal pillow that I had been using before on the other machine S8 Escape II. The machine was made aware that I had switched from one to the other.Pugsy wrote:Do you remember waking often during the night for some reason or other?
Did the leaks disturb your sleep or did you sleep right through them? I have slept through worse myself.
I don't see any need to increase the minimum at this point. The stuff we could fix with more minimum really isn't enough to worry about.
Now if the variations in pressure disturb your sleep...maybe tightening the range to lessen the variations could be beneficial.
You are having some big leaks even at lower pressures so the higher pressures aren't like the sole cause of the leaks.
Could be mask movement or mouth breathing going on there. I don't remember if you said which mask you were using.
When you have time please update your equipment profile so we know at a glance what you are using.
The centrals seem to mainly cluster a bit...if you know you were awake a lot then we might explain away the bulk of the centrals as awake/semi awakening breathing irregularities and not worry about them.
If you are sleeping soundly then maybe we look at them a little closer.
If you are sleeping soundly...I think I would turn EPR off and see if the centrals are still numerous.
There is a very small subset of cpap users who will have centrals pop up because of the way EPR works.
Yours doesn't look like that normally looks but if you aren't waking often...wouldn't hurt to turn EPR off just to see if it helps the number of centrals reduce or not.
If you are having trouble falling asleep or getting back to sleep in the middle of the night then awake/semi awake breathing irregularities could be to blame for the centrals.
I would try to work on the leaks...whatever they are caused from.
While I will let less than perfect slide....yours is pushing it a bit. Especially when you spend much time above 30 L/min. We don't know if not much happened to result in the low obstructive stuff or the machine missed it.
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
Yes, the full face mask may be relegated to the backup bin. The nasal pillow is working best for me, but the one I have is too small. Has anyone done a favorite headgear poll? It would be a good place for newbies to start, at least newbies who aren't being babysat by a sleep technician. I would like to weed through the best nasal pillow options.Pugsy wrote:Some people just need more pressure when using a full face mask. I think it has to do with what that lower strap on the full face mask does to the positioning of the jaw.
Also pressure needs can vary with sleeping position (need more when on our backs) or in REM sleep (need more in REM).
I think you may be heading towards a recommendation of a higher minimum pressure setting? Should I bump to 8 tonight, or get some more data first?Here's a little hint though...sometimes when the minimum pressure is set more optimally people find that the pressure line doesn't go up as high as it does when the minimum is a bit too low. I can't promise you that it will work for you but if that minimum is more optimal then you may not see the pressure go as high as it is going now no matter what mask is ultimately used.
Special pillow? How far down this rabbit hole are you going to lead me?? <grin> I already has my special pillow and nobody is going to take it away from me <big grin>They make special cpap pillows with cut outs for the mask or you might look at a buckwheat hull pillow because it allows for movement of the hulls to make a "nest" for the mask (I use a buckwheat hull pillow).
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
I wouldn't waste anymore time at 6 if it were me. I don't like what I am seeing on the report and it all points to more pressure being needed. No sense in waiting...I don't think it will change for the better with more nights at what we are seeing here especially the last half of then night when nasal pillows were used.trslp1 wrote: I think you may be heading towards a recommendation of a higher minimum pressure setting? Should I bump to 8 tonight, or get some more data first?
Mask preferences are highly personal and a poll won't necessarily point you to what might be the best choice for you. All it does is point to what is the best choice for the people that posted and that doesn't really mean much.trslp1 wrote:Has anyone done a favorite headgear poll? It would be a good place for newbies to start, at least newbies who aren't being babysat by a sleep technician. I would like to weed through the best nasal pillow options.
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
The Airfit P10 and competitors would be a good start. It looks like the P10 doesn't have adjustable straps?? The RESMET Swift LT I have is too small.Pugsy wrote: Mask preferences are highly personal and a poll won't necessarily point you to what might be the best choice for you. All it does is point to what is the best choice for the people that posted and that doesn't really mean much.
So which mask do you want to concentrate on using first?
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
Graph replaced above. Yes I was awake at the 3:48 time but other than that I don't remember. After 8am I was awake enough to answer emails on my phone. Perhaps the mask should have been removed earlier?Pugsy wrote:You don't need to include the snore or AHI graphs.
Omit those and make the flow limitation a little bigger.
I assume you were awake a good bit of the night due to leaks and dry mouth????
If so that could explain the high ClearAirway/Central index which is the bulk of the AHI and won't respond to more pressure.
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier |
Mask: AirFit™ P10 Nasal Pillow CPAP Mask with Headgear |
Not if the bulk of those CAs are awake/semi awake breathing irregularities getting flagged by mistake.trslp1 wrote:Does the Clear Airway / Central index point to other things?
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |