APAP and Snoring

roster · Post by **roster** » Sun Jul 22, 2007 12:34 pm

I complained about aerophagia to the sleep doc. He told the technician to reduce my cpap pressure to 7 cm H2O. It has been 10 cm since the initial titration 19 months ago.

When I objected to 7 cm, the doc said the sleep study showed most of the apneas were taken care of by 7 cm and the lab had to increase the pressure to 10 cm to take care of the snoring.

If I get an apap and set it on a range of say 7 - 10, will it sense the snoring and increase the pressure?

I am considering buying an AFLEX or a Goodknight 420E.

Goofproof · Post by **Goofproof** » Sun Jul 22, 2007 1:18 pm

Yes, maybe too much, I wish they came with a control you could turn down. Jim I'd crank mine back a bit.

dsm · Post by **dsm** » Sun Jul 22, 2007 2:25 pm

An A-Flex machine could be just what you need but it is a case of try it and see.

It will vary the CMS by up to 2 CMS as it tracks your breathing so if set to 10 it will vary down to 8 on a per breath basis.

Imho the best machines of all for people prone to aerophagia are BiLevels. Mine always relieves the aerophagia whereas autos even with pressure relief (which partly reduces aerophagia) never seem to get rid of it completely.

For me aerophagia intake always happens just as I start to exhale & it is how the machine handles exhaling that determines the extent of the aerophagia effect. When I used C-Flex I could only do so on a setting of 1 as if I used 3, the rush of air after the C-Flex dip ended, cause greater aerophagia. A-Flex stops that ending rush by controlling the rise better than C-Flex does.

Good luck

DSM

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CPAPopedia Keywords Contained In This Post (Click For Definition): C-FLEX, aerophagia

Snoredog · Post by **Snoredog** » Sun Jul 22, 2007 2:36 pm

yes it will take care of your snoring. Some machines are more sensitive to snores and others are not.

I would suggest the A-Flex, while I cannot say it 100% avoids the conditions of aerophagia (especially under 10cm), I'd say it is about 90-95% effective in that arena for me.

I only have 9 nights use on the A-Flex and so far I'm feeling better and better every day, don't know what it is but it treats me pretty darn good. My 7-day 90% pressure is 9.3. My 7-day AHI=5.4, I looked at the daily reports to see what that score was made up of, AI=.8 and the rest was from Hypopnea, so I'm not changing anything, letting it ride.

The LCD shows my 7-day leak avg. rate with the Soyala is 8L/m. I sure hope it ain't broken because I have never gotten that low a leak rate with any machine, but the 420e and that mask was pretty close. The IMPORTANT thing is that leak rate shows I'm NOT mouth breathing so that is a huge plus in my book. I pulled up an EncorePro report the other day it only had 2 snore tics across the session, and I've been known to saw a log or two.

I'm waking up between 6-7AM wide awake and fully refreshed. This is without a doubt the best Remstar I've used to date (therapy-wise).

I say get the A-Flex machine. I've used a lot of Remstar Auto's, I think this A-Flex is my 7th or 8th one, I know between the different machines even in the same class they can respond differently most likely from the different firmware installed. I believe my Classic Auto was too sensitive to snore and responded accordingly, my M series Auto the same, with this new A-Flex it seems they have toned down snore detection which in my case is good.

I'm currently using mine:

Auto:Min=7.5cm
Auto:Max=14.0cm (could never have that higher than 9cm on any other machine).
AFlex=2

I also have Auto:Ramp programmed but haven't used it or needed to use it. This machine is effort-less to breathe against. I thought real hard on getting a Bipap Auto, thought I'd gamble one more time on this new A-Flex and glad I did.

Still have my 420e and it is a great little machine, if I want a night's worth of easy detailed reports, I'll use it. By the way my A-Flex is quieter than my 420e which is a full 10dB quieter than my M series was, but I think I may have just got lucky. My dB meter won't measure anything below 50dB even sticking it up close.

My night time cocktail consists of:

1e 325mg Ecotrin Aspirin
1e 3mg WonderLabs Melatonin
1e Hyland's Calms Forte (don't ask me, been using it a couple months now, using it seems to completely eliminate the occasional centrals on my 420e reports).

roster · Post by **roster** » Sun Jul 22, 2007 3:02 pm

Thanks.

How and what are the machines sensing to detect snores?

lindy7 · Post by **lindy7** » Mon Jul 23, 2007 12:20 am

Hi:

i have central and obstructive sleep apnea. what is 1e Hyland's Calms Forte

(also what is 1e)? and where would I purchase this product?

thanks for help

Snoredog · Post by **Snoredog** » Mon Jul 23, 2007 2:36 am

lindy7 wrote:Hi:

i have central and obstructive sleep apnea. what is 1e Hyland's Calms Forte

(also what is 1e)? and where would I purchase this product?

thanks for help

Hylands is a supplement manufacturer, they make homeopathic sleep aids for insomnia and other disorders including one to assist with RLS

http://www.hylands.com/products/calmsforte.php

for RLS:
http://www.hylands.com/products/restfullegs.php

A few people here use Hyland's with pretty good results.

I have a 250 count bottle I bought from local health food store, it was $16.99 on the sticker at the bottom. I can see the difference in my machine reports when using it and not.

1e=1each