CPAP control of hypopnea

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
Dogjudge
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CPAP control of hypopnea

Post by Dogjudge » Sat Jul 08, 2017 11:32 am

For over six months everything has been going great. Pressures set at 8/15. Running very few incidents, but especially very few hypopnea incidents (which has always been my biggest issue). Running an AHI of 2.2 plus or minus .3 or .4.

In the last thirty days things have started to change for the worse. NO change to the settings. All of a sudden my AHI is averaging 4.5, or more (not good for me) and the hypopnea have skyrocketed to 30+ per night.

So I understand that hypopnea are shallow breathing measures.

Is the prime solution to increase the low end pressure?

Don't understand why things would change while there have been no other changes. Machine the same. Settings the same. Bed/pillow the same. Temperature in the room about the same. Going to sleep at the same time and getting up at the same time.

??????

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Goofproof
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Re: CPAP control of hypopnea

Post by Goofproof » Sat Jul 08, 2017 11:41 am

Dogjudge wrote:For over six months everything has been going great. Pressures set at 8/15. Running very few incidents, but especially very few hypopnea incidents (which has always been my biggest issue). Running an AHI of 2.2 plus or minus .3 or .4.

In the last thirty days things have started to change for the worse. NO change to the settings. All of a sudden my AHI is averaging 4.5, or more (not good for me) and the hypopnea have skyrocketed to 30+ per night.

So I understand that hypopnea are shallow breathing measures.

Is the prime solution to increase the low end pressure?

Don't understand why things would change while there have been no other changes. Machine the same. Settings the same. Bed/pillow the same. Temperature in the room about the same. Going to sleep at the same time and getting up at the same time.

??????
I think we are getting older, change happens. Jim
Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

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LSAT
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Re: CPAP control of hypopnea

Post by LSAT » Sat Jul 08, 2017 11:52 am

Post some Sleepyhead charts.

love stupid answers

Re: CPAP control of hypopnea

Post by love stupid answers » Sat Jul 08, 2017 2:57 pm

I think we are getting older, change happens. Jim[/quote]


What a fucking stupid answer. And so helpful. You call yourself goofproof but you clearly aren't. You are a goof and a moron.

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JimW159
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Re: CPAP control of hypopnea

Post by JimW159 » Sat Jul 08, 2017 3:21 pm

love stupid answers wrote:I think we are getting older, change happens. Jim

What a fucking stupid answer. And so helpful. You call yourself goofproof but you clearly aren't. You are a goof and a moron.[/quote]

If so, share with us your smart answer.

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Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Mask: Brevida™ Nasal Pillow CPAP Mask with Headgear
Additional Comments: BU Mach AirSense 10 AutoSet - Mask = F&P Brevida BU ResMed P10 - Pressure = 10-17 On CPAP since 12/05/2008 Prior ID on CPAPTalk.com = JimW203

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LSAT
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Re: CPAP control of hypopnea

Post by LSAT » Sat Jul 08, 2017 3:40 pm

JimW159 wrote:
love stupid answers wrote:I think we are getting older, change happens. Jim

What a fucking stupid answer. And so helpful. You call yourself goofproof but you clearly aren't. You are a goof and a moron.
If so, share with us your smart answer.[/quote]

Not so stupid.....I've been on CPAP for 8+ years. I started with a fixed pressure of 8 and currently I need 11/14 to maintain a low AHI.

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ChicagoGranny
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Re: CPAP control of hypopnea

Post by ChicagoGranny » Sat Jul 08, 2017 3:48 pm

LSAT wrote:Post some Sleepyhead charts.
+1

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Uncle_Bob
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Re: CPAP control of hypopnea

Post by Uncle_Bob » Sat Jul 08, 2017 3:55 pm

JimW159 wrote:
love stupid answers wrote:I think we are getting older, change happens. Jim

What a fucking stupid answer. And so helpful. You call yourself goofproof but you clearly aren't. You are a goof and a moron.

If so, share with us your smart answer. .
Do you also post under the name of palerider?

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Goofproof
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Re: CPAP control of hypopnea

Post by Goofproof » Sat Jul 08, 2017 4:03 pm

I don't believe JimW159's post Quote came out right. I hope. Jim
Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

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JimW159
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Re: CPAP control of hypopnea

Post by JimW159 » Sat Jul 08, 2017 4:23 pm

Goofproof wrote:I don't believe JimW159's post Quote came out right. I hope. Jim
Indeed, it did not. My comment was related to "Loves Stupid Answers." It is simple to call a statement stupid (and it may, in fact, be stupid) but providing an enlightening and thoughtful answer that addresses the issue is not. My request was for "Loves Stupid Answers" to provide us with his/her answer addressing the issue and demonstrating thought and consideration.

In answer to Uncle Bob: no, I am not PR.

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Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Mask: Brevida™ Nasal Pillow CPAP Mask with Headgear
Additional Comments: BU Mach AirSense 10 AutoSet - Mask = F&P Brevida BU ResMed P10 - Pressure = 10-17 On CPAP since 12/05/2008 Prior ID on CPAPTalk.com = JimW203

Soothest Sleep
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Joined: Mon Dec 12, 2016 11:35 pm

Re: CPAP control of hypopnea

Post by Soothest Sleep » Sun Jul 09, 2017 12:21 am

Dogjudge wrote: Is the prime solution to increase the low end pressure?
Don't understand why things would change while there have been no other changes. Machine the same. Settings the same. Bed/pillow the same. Temperature in the room about the same. Going to sleep at the same time and getting up at the same time.
Yes. Just spoke to my RT yesterday about trying to reduce hypopneas, which form the bulk of my AHI: she said the solution is to raise the lower end pressure. Best to start with a small incremental change (i.e., 0.5 or 1.0), monitor results for a week or so to see what happens. The experienced Sleepyhead chart readers here can offer further ideas if you post your data.

As for the impetus for the change you are experiencing, there are so many variables that can contribute beyond the sleep hygiene ones you seem to have in consistent order. Consider: room humidity; ambient air pressure; gain or loss of weight; sleeping position; mood (anxiety/depression symptoms); seasonal allergies; etc.

As always, do discuss your concerns with your health care provider(s). Even if they may not know all the ins and outs of PAP machines, I think it pays to keep the conversation open with them.

Jean
O soft embalmer of the still midnight,
Shutting, with careful fingers and benign,
Our gloom-pleas'd eyes, embower'd from the light,
Enshaded in forgetfulness divine
-- John Keats

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Re: CPAP control of hypopnea

Post by Guest » Sun Jul 09, 2017 11:16 am

Success.

Changed low end pressure from 8.0 to 9.0. Hypopneas dropped to 8. AHI dropped to 2.0

Thanks.

Soothest Sleep
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Joined: Mon Dec 12, 2016 11:35 pm

Re: CPAP control of hypopnea

Post by Soothest Sleep » Mon Jul 10, 2017 12:14 am

Good for you!
I'm still waiting to see positive results with my recent changes. . . . Patience is a virtue, they say!

Jean
O soft embalmer of the still midnight,
Shutting, with careful fingers and benign,
Our gloom-pleas'd eyes, embower'd from the light,
Enshaded in forgetfulness divine
-- John Keats