Settings suggestion -- partner still hearing snoring

Resmed Autosense 10 with P30i nasal pillow.

I've been using a CPAP since 2020/2021 for mild/moderate sleep apnea. I don't remember what my initial sleep lab results are but I got the sense the sleep techs there didn't know what they were doing so I've been on an experimentation journey since. Quit on and off since then when it didn't seem to be helping. First nasal mask I tried hurt my noise. Tried a full face mask and it seemed to be damaging the bridge of my nose. Finally things clicked into place as I found a mask that seemed to work for me in January 2023 (P30i). However, my spouse still complains of snoring sometimes (sometimes chainsaw-esque, sometimes like a large lion or velociraptor purring), and is awoken by leaks 1-2x a night. The snoring seems to coincide somewhat with leakage, best I can tell from the data and her recollections. I had my settings at Min 8 max 12 with EPR3, and pressure rarely seemed to ever even reach 12, but I bumped max to 15 last night just in case. Does anything stand out to you on this chart? Any settings I should change?



Here's a chart from the night before, and she noted my weird snoring at about 7:15, which was a little bit after an event:



Bonus -- she took a recording of the snoring:

http://sndup.net/w8by

Thanks for any tips.

The minimum pressure setting is your most critical setting especially when someone is still snoring too much.
Snores mean the airway is still trying to collapse a bit. Now it may not fully collapse to the point of apnea events materializing enough to get flagged.

You need to better PREVENT the impending collapse in the first place instead of trying to fix it with more max pressure.
Try a small increase in the minimum pressure....usually doesn't take much in situations like yours where everything else looks pretty good.

Well, it does sound like a bit of soft snoring, but the panels on your charts say that for at least 99.5% of the time you’re not snoring at all. If you look at your snore graph, do you see any flags?

Miss Emerita wrote: ↑

Sun Apr 09, 2023 2:44 pm

Well, it does sound like a bit of soft snoring, but the panels on your charts say that for at least 99.5% of the time you’re not snoring at all. If you look at your snore graph, do you see any flags?

The snore graph shows snoring a little after the apnea event.

Pugsy wrote: ↑

Sun Apr 09, 2023 11:49 am

The minimum pressure setting is your most critical setting especially when someone is still snoring too much.
Snores mean the airway is still trying to collapse a bit. Now it may not fully collapse to the point of apnea events materializing enough to get flagged.

You need to better PREVENT the impending collapse in the first place instead of trying to fix it with more max pressure.
Try a small increase in the minimum pressure....usually doesn't take much in situations like yours where everything else looks pretty good.

Thank you, I will try this and report back in a week or so.

Tiny bit of snoring, well after the OA. But do try Pugsy’s suggestion. If it works, I’m sure your wife will thank you.

The *standard* response to 'snoring' is 'more pressure'.