Comments on what could be wrong

AHI is typically in the high teens and upwards. Sometime 30 plus. Big gap is where I took off the mask. I had a stuffed up nose and couldn't breath with nasal pillows in. Too claustrophobic to use a FF mask.

Graphs in the future will improve. Still learning how to post correctly from IMGUR.

The image isn't showing up, so we can't see the data.

But! If you are using nasal pillows and can't breathe through your nose, then you are not getting therapy. You have to breathe through the mask or it won't help.

apw5746 wrote:AHI is typically in the high teens and upwards. Sometime 30 plus. Big gap is where I took off the mask. I had a stuffed up nose and couldn't breath with nasal pillows in. Too claustrophobic to use a FF mask.

Graphs in the future will improve. Still learning how to post correctly from IMGUR.

Apw5746,

As an FYI, I found the Aloha Nasal Pillow Mask, https://www.cpap.com/productpage/devilb ... -mask.html, provided alot more air than the P10. However, due to my nasal restriction issues, I found the Elan Cloth Mask listed in my profile to be a better option. Like you, I couldn't tolerate full face masks. Anyway, you might want to try one of these masks to see if it works for you.

Also, have you tried the standard advice for improving nasal congestion such as nasal rinsing, etc.? Do you have nasal issues that might require an evaluation by an ENT?

Best of luck.

49er

I could never get the hang of nasal pillows, but have had great luck with the nasal masks - the Mirage Activa LT is what I use now.

These are the past two nights. I had a lot of mask off time. I have the Respironics Wisp which I'll give another try. It's not a pillows but does cover the nose.

herefishy wrote:I could never get the hang of nasal pillows, but have had great luck with the nasal masks - the Mirage Activa LT is what I use now.

The forehead piece would drive me batty as I wear glasses.

you've obviously got a central problem, now, whether it's mainly central sleep apnea, or complex sleep apnea is the question.

the suggestion to lower your pressure, and pressure support is due to the fact that overdriving the respiration cycle with more pressure and pressure support can cause central apneas to appear, so, conversely, lowering pressure might help with the centrals.

if not, then you'll likely need an ASV.

Is there any chance that you are half awake during the periods of centrals? This is quite possible as the clusters seem to be immediately before you remove the mask and immediately after you put it back on. If you are awake when the centrals are happening, the machine might be misreading your waking (or half-awake) breathing pattern as a cluster of central apneas. If that is the case, then it isn't as bad as it looks. But you would still need to solve the issue with frequent waking and removing the mask.

Zoom in close on those CA events in the flow rate graph and see how long they last.

How long have you been doing CPAP?

To all newbies: It's generally a good idea to crop your screenshots or blur out your real name etc, etc. Unless you don't give a damn one way or the other. Oh wait, I see you live in Security, CO... maybe that's why

Sir NoddinOff wrote:To all newbies: It's generally a good idea to crop your screenshots or blur out your real name etc, etc. Unless you don't give a damn one way or the other. Oh wait, I see you live in Security, CO... maybe that's why

Ouch Was that a dig? Goes to show John Denver was ahead of his time when he recorded "Rocky Mountain High." Didn't notice full screen mode was turned off, but thanks for the tip. Wasn't high either when mistake was made. I'm a native son of the great state of CA Stockton to be exact. However, I got smart and left the state after high school in '64. Where in CA do you live?

Sir huh? Did the Queen knight you? I wasn't aware she came to visit us colonials Or did you make the trip to jolly old England?