Events/Hr.: Changing From Autoset for Her to Autoset?

I see that for the past month my Events Per Hour have ranged from 2.4 to 9.9, with half of the days being above 5.0.

I am wondering if changing the Airsense 10 setting from Autoset for Her to Autoset will help lower the Events Per Hour.

Without knowing what kind of events you are talking about (OAs? Hs? CAs? RERAs?), when they occur, and how the machine is choosing to respond to those events, we really can't answer your question about whether changing from Autoset for Her to plain Autoset will improve your numbers, make them worse, or leave them about the same.

robysue wrote:Without knowing what kind of events you are talking about (OAs? Hs? CAs? RERAs?), when they occur, and how the machine is choosing to respond to those events, we really can't answer your question about whether changing from Autoset for Her to plain Autoset will improve your numbers, make them worse, or leave them about the same.

Thanks, Robysue. I don't use Sleepy Head but the readings say on the 9.9 Events/Hr: AHI 9.9, Total AI 9.6, Central 9.6. The sleeps study results say I had no RERAs.

jaycee2 wrote:

robysue wrote:Without knowing what kind of events you are talking about (OAs? Hs? CAs? RERAs?), when they occur, and how the machine is choosing to respond to those events, we really can't answer your question about whether changing from Autoset for Her to plain Autoset will improve your numbers, make them worse, or leave them about the same.

Thanks, Robysue. I don't use Sleepy Head but the readings say on the 9.9 Events/Hr: AHI 9.9, Total AI 9.6, Central 9.6. The sleeps study results say I had no RERAs.

Unfortunately we need more information than just the overnight summary data you are reporting from the machine's LCD. I know that's not what you want to hear, but we need to see the full detailed daily data.

I can say this: Since Centrals make up the vast majority of your events, it's not clear that any tweaking of the machine's pressure settings and modes of operations will make much difference in bringing down the CAI. In other words, changing modes (or pressure settings) may not do a dang bit of good OR changing modes (or pressure settings) might go a long way in eliminating the CAs. It all depends on what's causing the CAs to happen.

Seeing the full detailed data (from SleeyHead or ResScan) would allow us to determine whether the CAs on the bad nights are likely caused by sleep-wake-junk (SWJ) breathing when you are restless and drifting in and out of sleep or whether they're occurring at times when it pretty clear you are sound asleep. Seeing the full data will also let us see if you have more CAs on nights when the Autoset for Her algorithm is increasing the pressure levels higher than the nights when you have fewer CAs.

If the CAs seem to be confined to periods when you are most likely awake OR when you are drifting in and out of sleep, then anything that allows you to get to sleep more quickly and keeps you more soundly asleep will likely decrease the number of CAs. So if changing modes increases your comfort while using the machine, that might make a difference.

But if pressure increases are driving up the number of CAs, then we need to see what things are triggering the pressure increases. The "For Her" algorithm gives a gentler pressure increase in some ways, but is more aggressive in other ways. If the pressure increases are being driven by flow limitations and the CAs seem to be pressure induced, then the regular algorithm may be a better fit for you since the For Her algorithm is supposed to respond more aggressively to flow limitiations. But if the pressure increases are driven by snoring, the For Her algorithm might respond less aggressively to snoring than the regular algorithm.

Finally, you need to be aware of the fact that some people do have some trouble with pressure induce central apneas after they start PAP therapy. Most of the time, the number of CAs will drop as the person's body acclimates to PAP therapy, but it can take several weeks to a couple of months before the CAs resolve themselves on their own. But if the CAs don't resolve on their own after a few months of PAPing, then the person may have what's called complex sleep apnea, and in that case, the sleep doc needs to be involved in deciding what the next step in treating the apnea problem should be.

So if you continue to see CAI numbers in the 9-10 range on half or more of your nights for the next several weeks, you probably will need to show the data to the sleep doc and get some professional advice about whether the CAs are or are not clinically important. The A10 Autoset for Her is not designed to treat things like complex sleep apnea and central sleep apnea when the number of residual CAs remains very high after starting PAP therapy.

That makes a lot of sense. Last night the Events/Hr were 8.8, the Total AIs were 8.6 and the Centrals were 5.3. I did notice as I was falling asleep that I would stop breathing and then wake myself up with a deep breath.

As for Sleepy Head, I've looked at it but it caused our anti-virus program to raise the red flag and warn us to exit the site immediately. Does anyone else have this happen?

jaycee2 wrote: As for Sleepy Head, I've looked at it but it caused our anti-virus program to raise the red flag and warn us to exit the site immediately. Does anyone else have this happen?

If you get an anti-virus alert here: http://sourceforge.net/projects/sleepyhead/ it's because some of the projects on sourceforge now include adware, etc. SleepHead is not one of them (at least for now), so you can ignore that alert.

Deep Sleep wrote:

jaycee2 wrote: As for Sleepy Head, I've looked at it but it caused our anti-virus program to raise the red flag and warn us to exit the site immediately. Does anyone else have this happen?

If you get an anti-virus alert here: http://sourceforge.net/projects/sleepyhead/ it's because some of the projects on sourceforge now include adware, etc. SleepHead is not one of them (at least for now), so you can ignore that alert.

I think that some of the concern is an actual virus hitching a ride on Sleepy Head. We are very sensitive to such things since a hidden virus found its home on our computer last Winter. It took two days to remove it.

SleepyHead doesn't contain any viruses.
Some anti virus software might raise a flag because it isn't familiar with SleepyHead's executable files but Sleepyhead is free of any viruses or bad guys.
Some security software programs will alert to the sourceforge website itself because of some of the ads but as long as someone just downloads SH they can't pick up any bad guys.
But we do now recommend this website to get SH because there's no potential for downloading something else by mistake.
http://www.sleepfiles.com/SH2/?TestingVersions

There has never been one case of someone who got a virus from SleepyHead itself. A couple of people downloaded something by mistake and got some adware but that was because they clicked on the wrong thing on the sourceforge page.

Thanks. Based on that information we'll have to reconsider this.