New to Cpap Hope to learn

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
azuraz
Posts: 15
Joined: Sun Jun 11, 2017 3:08 pm

Re: New to Cpap Hope to learn

Post by azuraz » Fri Jun 30, 2017 8:22 pm

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...........

azuraz
Posts: 15
Joined: Sun Jun 11, 2017 3:08 pm

Re: New to Cpap Hope to learn

Post by azuraz » Fri Jul 14, 2017 8:40 pm

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.

Image

User avatar
Pugsy
Posts: 65328
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: New to Cpap Hope to learn

Post by Pugsy » Fri Jul 14, 2017 8:53 pm

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.

_________________
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.

User avatar
robysue
Posts: 7520
Joined: Sat Sep 18, 2010 2:30 pm
Location: Buffalo, NY
Contact:

Re: New to Cpap Hope to learn

Post by robysue » Sat Jul 15, 2017 8:51 am

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.

_________________
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

azuraz
Posts: 15
Joined: Sun Jun 11, 2017 3:08 pm

Re: New to Cpap Hope to learn

Post by azuraz » Sat Jul 15, 2017 12:22 pm

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.

azuraz
Posts: 15
Joined: Sun Jun 11, 2017 3:08 pm

Re: New to Cpap Hope to learn

Post by azuraz » Tue Oct 24, 2017 7:21 pm

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.

Image

Image

User avatar
Pugsy
Posts: 65328
Joined: Thu May 14, 2009 9:31 am
Location: Missouri, USA

Re: New to Cpap Hope to learn

Post by Pugsy » Tue Oct 24, 2017 7:32 pm

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.

_________________
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.