Thanks for the info.
I will leave well enough alone for a while. I now begin to see that events change,
sometimes quite dramatically with the same settings. I feel I am at the top of my comfort zone as far as higher pressures go,
so I will get used to these settings for awhile.
As the subject of this thread suggests, I have learned lesson one. Patience...........
New to Cpap Hope to learn
Re: New to Cpap Hope to learn
_________________
| Machine: DreamStation Auto CPAP Machine |
| Mask: Simplus Full Face CPAP Mask with Headgear |
Re: New to Cpap Hope to learn
It has been a couple of weeks since I last posted a screenshot from Sleepyhead. I have not changed any settings during that period.
This is the most recent and 7 day average numbers from SH stats.
AHI 2.84 2.40
Obstructive Index 1.22 0.74
Hypopnea Index 1.35 1.46
Clear Airway Index 0.27 0.20
Flow Limitation Index 3.25 3.26
Average Pressure 11.63 11.31
Min Pressure 8.00 8.00
Max Pressure 14.00 14.00
90% Pressure 13.50 13.80
Average EPAP 9.85 9.56
Min EPAP 6.10 6.00
Max EPAP 12.40 12.50
I am still sleeping flat on my back and using a soft neck collar. Comfort has been good majority of time with the odd wake up some nights for a leak if I roll my head.
I am feeling somewhat better as well. Still using a sleeping pill each night.
Should I make any adjustments to try to get a lower AHI or perhaps help out with the flow limitations?
Thanks in advance for your time.

This is the most recent and 7 day average numbers from SH stats.
AHI 2.84 2.40
Obstructive Index 1.22 0.74
Hypopnea Index 1.35 1.46
Clear Airway Index 0.27 0.20
Flow Limitation Index 3.25 3.26
Average Pressure 11.63 11.31
Min Pressure 8.00 8.00
Max Pressure 14.00 14.00
90% Pressure 13.50 13.80
Average EPAP 9.85 9.56
Min EPAP 6.10 6.00
Max EPAP 12.40 12.50
I am still sleeping flat on my back and using a soft neck collar. Comfort has been good majority of time with the odd wake up some nights for a leak if I roll my head.
I am feeling somewhat better as well. Still using a sleeping pill each night.
Should I make any adjustments to try to get a lower AHI or perhaps help out with the flow limitations?
Thanks in advance for your time.

_________________
| Machine: DreamStation Auto CPAP Machine |
| Mask: Simplus Full Face CPAP Mask with Headgear |
Re: New to Cpap Hope to learn
I think I would try minimum of 9 if that is comfortable for you to try. Once you are asleep it is pretty much staying up there anyway.
A little more minimum will help with the Flow limitations and the OAs and hyponeas. Not that they are bad now but if it was me I might try to clean things up just a little more.
You are hitting the max of 14 briefly but not staying there for prolonged periods of time and if you feel you don't want to use higher max and see where the machine wants to go it's not a critical issue. Now if you were spending half the night at 14...would be more critical.
The minimum pressure is the most critical pressure for holding the airway open in general and giving the machine a bit of a head start when it feels the need to increase the pressure when it senses the airway is trying to close because the minimum is not quite sufficient for parts of the night.
A little more minimum will help with the Flow limitations and the OAs and hyponeas. Not that they are bad now but if it was me I might try to clean things up just a little more.
You are hitting the max of 14 briefly but not staying there for prolonged periods of time and if you feel you don't want to use higher max and see where the machine wants to go it's not a critical issue. Now if you were spending half the night at 14...would be more critical.
The minimum pressure is the most critical pressure for holding the airway open in general and giving the machine a bit of a head start when it feels the need to increase the pressure when it senses the airway is trying to close because the minimum is not quite sufficient for parts of the night.
_________________
| Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
| Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
I may have to RISE but I refuse to SHINE.
Re: New to Cpap Hope to learn
azuraz,
At this point I think comfort is as important as the data. If you tweak things and it triggers discomfort, then the quality of your sleep is likely to go down, and it's not clear that you need to tweak things.
On the other hand, if you just have to tweak in an effort to get the data to look a wee bit better, Pugsy's suggestion of a modest increase in min pressure is the thing to try. But if bumping the min pressure to 9 triggers any discomfort, then back the min pressure down.
At this point I think comfort is as important as the data. If you tweak things and it triggers discomfort, then the quality of your sleep is likely to go down, and it's not clear that you need to tweak things.
On the other hand, if you just have to tweak in an effort to get the data to look a wee bit better, Pugsy's suggestion of a modest increase in min pressure is the thing to try. But if bumping the min pressure to 9 triggers any discomfort, then back the min pressure down.
_________________
| Machine: DreamStation BiPAP® Auto Machine |
| Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear |
| Additional Comments: PR System DreamStation and Humidifier. Max IPAP = 9, Min EPAP=4, Rise time setting = 3, minPS = 3, maxPS=5 |
Re: New to Cpap Hope to learn
Thanks for the suggestions.
I will try a .5 raise in min to 8.5. Let that settle out and then maybe a bump to 9 min. in the future.
This has been a very helpful site, far more value than my sleep doctor and the supplier here in Saskatchewan.
I will continue to hang around as there is lots of info on products etc. every day.
I will try a .5 raise in min to 8.5. Let that settle out and then maybe a bump to 9 min. in the future.
This has been a very helpful site, far more value than my sleep doctor and the supplier here in Saskatchewan.
I will continue to hang around as there is lots of info on products etc. every day.
_________________
| Machine: DreamStation Auto CPAP Machine |
| Mask: Simplus Full Face CPAP Mask with Headgear |
Re: New to Cpap Hope to learn
Has been a while since since last post. All is going good, I have not changed settings for 100 sleeps.
I have changed masks. Now have a Fisher & Paykel Pilairo Q nasal Pillow mask. I tried this mask
for a few days, had low AHI and considerable fewer Flow Limitations , but developed a sore in nostril. Went back to Simplus FFM while the sore cleared up.
AHI was higher and more Flow Limitations with the FFM. Tried the nasal pillow again and AHI dropped below 1 again. Am still using nasal pillow
as of tonight. Just wondered if this was a common experience or just coincidence for me. I am sleeping on side
with a soft cervical collar.


I have changed masks. Now have a Fisher & Paykel Pilairo Q nasal Pillow mask. I tried this mask
for a few days, had low AHI and considerable fewer Flow Limitations , but developed a sore in nostril. Went back to Simplus FFM while the sore cleared up.
AHI was higher and more Flow Limitations with the FFM. Tried the nasal pillow again and AHI dropped below 1 again. Am still using nasal pillow
as of tonight. Just wondered if this was a common experience or just coincidence for me. I am sleeping on side
with a soft cervical collar.


_________________
| Machine: DreamStation Auto CPAP Machine |
| Mask: Simplus Full Face CPAP Mask with Headgear |
Re: New to Cpap Hope to learn
It's actually fairly common for some people to do better with nasal pillows than with a full face mask when using the same pressure.
And sometimes I have known people to still do better and be able to lower the pressure a bit when going from full face to nasal pillows.
Not everyone of course but for some it can happen and it's a nice plus when it does happen.
And sometimes I have known people to still do better and be able to lower the pressure a bit when going from full face to nasal pillows.
Not everyone of course but for some it can happen and it's a nice plus when it does happen.
_________________
| Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier |
| Additional Comments: Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/ |
I may have to RISE but I refuse to SHINE.

