New CPAP user here

Hello all,

I have a resmed 11 autoset that I have been using for about 6 weeks. My sleep study showed 49.8 events per hour and I am down around 5 using the machine for 8 hours a night. All of my data is in OSCAR and sleepHQ. What would I share from sleepHQ so that my data can be viewed and any recommendations can be given? Any help would be appreciated!

Jason

Jason780 wrote: ↑

Mon Jul 29, 2024 3:31 pm

Hello all,

I have a resmed 11 autoset that I have been using for about 6 weeks. My sleep study showed 49.8 events per hour and I am down around 5 using the machine for 8 hours a night. All of my data is in OSCAR and sleepHQ. What would I share from sleepHQ so that my data can be viewed and any recommendations can be given? Any help would be appreciated!

Jason

G'day Jason - welcome.

SleepHQ is definitely a better platform for sharing. Once you've uploaded your data to SleepHQ, go to the dashboard and click the {Share Account} button. That will create a link that you can paste into a post here, or share with your doc. If you only want to share a single night, go to the three-dot menu next to the {Share Account} button and select {Share Page}. That will create a link only for the current day.

Thank you for the reply and any assistance or recommendations anyone can give.

https://sleephq.com/public/teams/share_ ... 490f5f5159

Jason780 wrote: ↑

Tue Jul 30, 2024 4:14 pm

Thank you for the reply and any assistance or recommendations anyone can give.

https://sleephq.com/public/teams/share_ ... 490f5f5159

Your min pressure is way too low... at 7 you never see it, it goes way up and stays there... events and snores keep it up there.

If you could tolerate 15cm a lot of that could go away... you're hitting well above that sometimes anyway. I'd start inching your min pressure up.

Welcome to the forum, Jason.

I too think you would benefit from a higher minimum pressure.
As it is, you're spending half your nights at pressures that are more of less 12, or higher. I say nights because you gave a link that lets us see previous nights too.

However, if it were me, I'd actually aim for a minimum of 12 or so.
It's possible that when the machine no longer goes lower than 12, there will be less events pushing the pressure higher and higher.

Your ramp starts at 6, and stays there till you fall asleep. Can you tolerate having it higher? I suggest you try.

I'd leave the ramp at Auto, since apparently , the switch to therapy pressure (which is very fast) doesn't seem to bother you. See which ramp pressure you can tolerate - check it when you're awake.
Don't go about making pressure change just when you want to go to sleep - that's usually when we're tired and more prone to making mistakes.

I changed the range to 11-20 and start pressure to 7. I like the pressure lower when I'm trying to fall asleep, but the pressures during the night don't bother me (unless I have a big leak and the machine is pumping like crazy). I'll see how this works tonight.

Thank you for the replies!

Here is a link with the data after the pressure increase. Seems like events went down. Should I continue to raise the minimum? Thank you to everyone that has helped!


https://sleephq.com/public/teams/share_ ... dd72b8270d

Jason780 wrote: ↑

Sun Aug 04, 2024 5:40 pm

Here is a link with the data after the pressure increase. Seems like events went down. Should I continue to raise the minimum? Thank you to everyone that has helped!

Looks like you're making progress! It's still wanting to take you high... lots of FL and Snore, and OA's driving you toward 20cm peaks.

You've got Soft Response turned on... that's not helping I don't think. Median pressure is 13.4... it's wanting to hit you harder. I'd go for Standard response and maybe start turning down that EPR... that will give you an effective pressure increase as well. Some big FL's... can you stay off your back?

I always start on my side breathing through my nose. At some point I roll to my back and my mouth apparently opens and I switch to mouth breathing. Considering trying the whole mouth taping/nasal mask but since I'm only about 7 weeks into the CPAP I'm trying to get the FF mask down.

I changed the response to standard and the EPR down to 2. I'll see how this goes tonight. Thanks for your recommendations van!

Jason780 wrote: ↑

Mon Aug 05, 2024 5:50 pm

I always start on my side breathing through my nose. At some point I roll to my back and my mouth apparently opens and I switch to mouth breathing. Considering trying the whole mouth taping/nasal mask but since I'm only about 7 weeks into the CPAP I'm trying to get the FF mask down.

I changed the response to standard and the EPR down to 2. I'll see how this goes tonight. Thanks for your recommendations van!

Go for it! I tape my mouth even with the FF mask... stops drooling and mouth breathing. You might think about a chin strap or cushion for the jaw drop... tape can help with that too... let us know etc.

https://sleephq.com/public/teams/share_ ... 490f5f5159

So my AHI has gone down since adjusting the settings but I am having continuous problems with leaking. Seems like I will have a night where I felt like I leaked a lot (waking up, whistling etc.) but the app will tell me my leak score was good. Another night I felt like I had a solid seal all night and I have a bad score for leaks. Should I be concerned with the scores/graphs? Or since my AHI is generally under 2 should I not worry about it?

I felt more sleepy, tired today then normal since I started on the CPAP. Is it possible to that since I had such hight leaks last night some events didn't register? Just looking for any insight on the detailed data and any advice. Thank you!

Your latest link to SleepHQ is broken.

Sorry, link should be good now.

Jason780 wrote: ↑

Wed Aug 14, 2024 6:30 pm

https://sleephq.com/public/teams/share_ ... 490f5f5159

So my AHI has gone down since adjusting the settings but I am having continuous problems with leaking.

Yes. Your leaks are LARGE enough and LONG enough to adversely affect the efficacy of your therapy. You really do need to work on troubleshooting them. And in my opinion, fixing the leak problem needs to come before any additional changes to your pressure settings.

What mask are you using? And are you fitting it at your minimum pressure setting?

Seems like I will have a night where I felt like I leaked a lot (waking up, whistling etc.) but the app will tell me my leak score was good. Another night I felt like I had a solid seal all night and I have a bad score for leaks. Should I be concerned with the scores/graphs? Or since my AHI is generally under 2 should I not worry about it?

If you frequently have leaks like the one shown in the above link for Aug. 13, then you need to be concerned about the leaks. Resmed's definition of a large leak is anything above 24 L/min, but their engineers are not worried about large leaks unless you are leaking at or above 24 L/min for at least 30% of the night. Your statistics show that you were in Large Leak territory for over 40% of the night. That's a problem

Now my guess is that the nights where you feel like you leaked a lot, but the MyAir App says your leak score was good are nights where your leak rate was over 24 L/min for LESS THAN 30% of the night. My guess is that you thought you were leaking a lot because the leaks were waking you up and you fiddled with the mask enough to temporarily fix the leak and so the amount of time spent in Large Leak territory was a lot less than 30% of the night. But if leaks are waking you up, then they need to be dealt with---multiple wakes all night long to fix leaks is disruptive to your overall sleep quality.

Now on the nights where you don't remember waking up to any leaks, but app gives you a bad score? When we're really tired, it's amazing what kind of leaking we can sometimes sleep through as long as the leaks are not hitting our eye or making a whole lot of annoying noises. In other words, the way the leak was occurring was probably just not as annoying and that's why you managed to sleep through them.

The first part of troubleshooting bad leaks is to tell us what mask you are using and how you are fitting it. It also helps us help you if you can tell us whether you do a lot of mouth breathing even if you are using a full face mask.

I felt more sleepy, tired today then normal since I started on the CPAP. Is it possible to that since I had such hight leaks last night some events didn't register? Just looking for any insight on the detailed data and any advice. Thank you!

Yes, it's possible that given the large leaks your therapy was adversely affected: When the leaks are really long and really large, the machine can have a very difficult time properly tracking your breathing as well as maintaining the appropriate pressure. Both things can lead to events happening and not being scored.

Robysue,

Thank you for your reply. I'm really frustrated with the leaks. I'll have a night like Aug 17 where everything was near perfect, but then another night where I'm leaking like crazy. I'm using the Airfit f30i mask.

I started taping my mouth Aug 16th, and every night since (except for one) my mouth was taped. I don't tape it to seal it shut, just to stop it from gaping open.

I'll try doing a mask fit this evening. I generally just put it on the same way every night and results obviously vary wildly. I'm starting to think it's just unrealistic to expect consistent results every night.

Here's the updated link. Appreciate any other observations/advice based on the data.

https://sleephq.com/public/teams/share_ ... 490f5f5159