HIGH NUMBER OF EVENTS AT START OF SLEEP

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
bajeiceman
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HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by bajeiceman » Sun Feb 02, 2020 3:32 pm

Hello,
I have been noticing a high number of obstructive apnea events occurring in rapid succession. It usually stops during the night and the apneas reduce to zero events. It has happened a few times now so I am wondering what is the cause. Please have a look at the attached screen capture of my last night's rest. Please have a look and let me know what are your thoughts.
Baje
Annotation 2020-02-02 170448.png
Annotation 2020-02-02 170448.png (71.16 KiB) Viewed 1301 times

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Machine: DreamStation Auto CPAP Machine
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Humidifier: DreamStation Heated Humidifier
Additional Comments: Using OSCAR......Using apap mode minimum pressure = 14 cmH20, Maximum 19.5 cmH2O

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Pugsy
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Re: HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by Pugsy » Sun Feb 02, 2020 3:37 pm

Are you actually asleep when those events are flagged?

Can you zoom in on a few sections?

Watch the videos here.
http://freecpapadvice.com/sleepyhead-free-software

Please include the stuff on the left side of the detailed report....it's important.
See this
viewtopic/t158560/How-to-post-images-for-review.html

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bajeiceman
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Location: Barbados

Re: HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by bajeiceman » Sun Feb 02, 2020 5:29 pm

I have added some more screenshots for you. i hope they give the information you need.

What I did realise after your question was that there seemed to be two sessions. I must have awoken and went back to sleep...….really don't remember that :shock: and here is what the charts look like when they are separated
1st Hour
Annotation 2020-02-02 191143_1st Hour.png
Annotation 2020-02-02 191143_1st Hour.png (80.46 KiB) Viewed 1284 times

_________________
Machine: DreamStation Auto CPAP Machine
Mask: ResMed AirFit™ F30 Full Face CPAP Mask with Headgear
Humidifier: DreamStation Heated Humidifier
Additional Comments: Using OSCAR......Using apap mode minimum pressure = 14 cmH20, Maximum 19.5 cmH2O
Attachments
Annotation 2020-02-02 191143_1st Hour sidebar.png
Annotation 2020-02-02 191143_1st Hour sidebar.png (57.2 KiB) Viewed 1284 times

bajeiceman
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Location: Barbados

Re: HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by bajeiceman » Sun Feb 02, 2020 5:30 pm

Here is the 2nd Sleep session
Annotation 2020-02-02 191143_2nd Sleep.png
Annotation 2020-02-02 191143_2nd Sleep.png (85.47 KiB) Viewed 1284 times

_________________
Machine: DreamStation Auto CPAP Machine
Mask: ResMed AirFit™ F30 Full Face CPAP Mask with Headgear
Humidifier: DreamStation Heated Humidifier
Additional Comments: Using OSCAR......Using apap mode minimum pressure = 14 cmH20, Maximum 19.5 cmH2O
Attachments
Annotation 2020-02-02 191143_2nd Sleep side bar.png
Annotation 2020-02-02 191143_2nd Sleep side bar.png (58.93 KiB) Viewed 1284 times

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Pugsy
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Re: HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by Pugsy » Sun Feb 02, 2020 6:07 pm

You've not zoomed in enough. Did you watch those videos? They show the level of zooming in needed to maybe decide if awake or asleep.
If you aren't asleep when all those flagged events are noted....they don't count and have to be ignored.
You have to be asleep for anything flagged to be worth worrying about.

Did you read the thread I linked to? It shows how we like to see the detailed reports.

Overall image format.
zeroleak.JPG
Level of zooming in format needed for flow rate
Image

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bajeiceman
Posts: 20
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Location: Barbados

Re: HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by bajeiceman » Mon Feb 03, 2020 1:02 am

How are these
Zoomed Area 1.PNG
Zoomed Area 1.PNG (134.82 KiB) Viewed 1249 times
Zoomed Area 2.PNG
Zoomed Area 2.PNG (117.94 KiB) Viewed 1249 times
Zoomed Area 3.PNG
Zoomed Area 3.PNG (130.38 KiB) Viewed 1249 times
I am pretty sure I was sleeping when those events occurred.

_________________
Machine: DreamStation Auto CPAP Machine
Mask: ResMed AirFit™ F30 Full Face CPAP Mask with Headgear
Humidifier: DreamStation Heated Humidifier
Additional Comments: Using OSCAR......Using apap mode minimum pressure = 14 cmH20, Maximum 19.5 cmH2O

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Pugsy
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Re: HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by Pugsy » Mon Feb 03, 2020 7:35 am

Your breathing doesn't look like asleep breathing.

You've zoomed in a little too close this time but at least the breaths can be seen.

Asleep breathing flagged events here. Note the extremely rhythmic pattern and no irregularities.

Image

Asleep breathing.

Image

Asleep breathing circled in red. The rest of it is awake/arousal related even the part with the flags.

Image

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
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bajeiceman
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Location: Barbados

Re: HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by bajeiceman » Mon Feb 03, 2020 7:48 pm

Ok. Not sure what the take away is here. Did some checking of the machine when I got in from work this evening and found that the dehumidifier was not pushed all of the way in (must have occurred during reassembly after one of my recent travels). Anyway, let's see what happens tonight. Thanks for the thoughts though.

_________________
Machine: DreamStation Auto CPAP Machine
Mask: ResMed AirFit™ F30 Full Face CPAP Mask with Headgear
Humidifier: DreamStation Heated Humidifier
Additional Comments: Using OSCAR......Using apap mode minimum pressure = 14 cmH20, Maximum 19.5 cmH2O

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palerider
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Re: HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by palerider » Mon Feb 03, 2020 10:46 pm

bajeiceman wrote:
Mon Feb 03, 2020 7:48 pm
dehumidifier
*humidifier*.

Cpap's can add moisture, not take it away

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bajeiceman
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Re: HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by bajeiceman » Tue Feb 04, 2020 9:35 am

OOps!!! I meant humidifier! Thanks for pointing out the error.
palerider wrote:
Mon Feb 03, 2020 10:46 pm
bajeiceman wrote:
Mon Feb 03, 2020 7:48 pm
dehumidifier
*humidifier*.

Cpap's can add moisture, not take it away

_________________
Machine: DreamStation Auto CPAP Machine
Mask: ResMed AirFit™ F30 Full Face CPAP Mask with Headgear
Humidifier: DreamStation Heated Humidifier
Additional Comments: Using OSCAR......Using apap mode minimum pressure = 14 cmH20, Maximum 19.5 cmH2O

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palerider
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Location: Dallas(ish).

Re: HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by palerider » Tue Feb 04, 2020 10:43 am

bajeiceman wrote:
Tue Feb 04, 2020 9:35 am
OOps!!! I meant humidifier! Thanks for pointing out the error.
palerider wrote:
Mon Feb 03, 2020 10:46 pm
bajeiceman wrote:
Mon Feb 03, 2020 7:48 pm
dehumidifier
*humidifier*.

Cpap's can add moisture, not take it away
I point out things like that because they will confuse new people.

Hope that getting the humidifier seated properly fixes your issue!

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

Lobo7
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Re: HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by Lobo7 » Sat Feb 08, 2020 2:10 pm

I have a similar issue. I suggest that you consider your meds; those that you take in the evening.
For me, I believe that the cause is a common prostate relaxant....and even sal pametto might cause the same slowed breathing.
After an hour or two, the AHI declines (improves) to about 8. This at a starting pressure of #16.
For now, I have started taking the meds in the AM.
A female sleep tech suggested the medication idea, but no one has suggested the best way to keep
my scores from sometimes starting in the mid 20's to 50's (AHI).
I am beginning to think that maybe a bipap will help, but my HMO is
slow to go in that direction, due to costs. More patient pressure is indicated.

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zonker
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Re: HIGH NUMBER OF EVENTS AT START OF SLEEP

Post by zonker » Sat Feb 08, 2020 5:31 pm

Lobo7 wrote:
Sat Feb 08, 2020 2:10 pm
I have a similar issue. I suggest that you consider your meds; those that you take in the evening.
For me, I believe that the cause is a common prostate relaxant....and even sal pametto might cause the same slowed breathing.
After an hour or two, the AHI declines (improves) to about 8. This at a starting pressure of #16.
For now, I have started taking the meds in the AM.
A female sleep tech suggested the medication idea, but no one has suggested the best way to keep
my scores from sometimes starting in the mid 20's to 50's (AHI).
I am beginning to think that maybe a bipap will help, but my HMO is
slow to go in that direction, due to costs. More patient pressure is indicated.
hello, lobo. if you want some advice on those pressure settings, please start your own post and let the experts here help you.

good luck!
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