Please Help! Going backwards?!

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
youngcd12
Posts: 13
Joined: Mon Dec 18, 2017 9:04 pm

Please Help! Going backwards?!

Post by youngcd12 » Thu Feb 01, 2018 6:02 am

Hi everyone, I started APAP therapy on December 8. My sleep study showed very mild apnea of about 6.5 AHI on the night of my study, despite feeling really tired and run down for about a year now. I've used my Dreamstation every night since then, and was getting my AHI down to about 1.5-2 most nights. However, the last new nights it's been on the rise with a 5.2 last night and I can't figure out why. It keeps going up night after night but I haven't changed anything.

Here are some hopefully helpful screenshots:

ImageScreen Shot 2018-02-01 at 5.51.04 AM by Cord Young, on Flickr
ImageScreen Shot 2018-02-01 at 5.52.22 AM by Cord Young, on Flickr
ImageScreen Shot 2018-02-01 at 5.52.59 AM by Cord Young, on Flickr

Does anyone see any obvious issues? Suggestions? Please help!

Thanks in advance everyone!

ajack
Posts: 977
Joined: Thu Mar 02, 2017 2:54 am
Location: australia

Re: Please Help! Going backwards?!

Post by ajack » Thu Feb 01, 2018 6:21 am

I would try min 12 to clean up some stuff. The 2 clusters may come and go, do you often have these groups?
I wouldn't worry about the CA. if you want to try to reduce them, you could lower the flex.

_________________
Mask: ResMed AirFit™ F20 Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: S9 ST-A iVAPS and adapt ASV

youngcd12
Posts: 13
Joined: Mon Dec 18, 2017 9:04 pm

Re: Please Help! Going backwards?!

Post by youngcd12 » Thu Feb 01, 2018 6:49 am

Thanks for the reply. The clusters aren’t usually there. On a “good” night, all my OAs are pretty evenly spread out through the night. I was at 12 min for awhile but wasn’t getting better numbers so I came down to 11. Maybe I’ll go back up!

I won’t worry too much about the CAs. I must have a small airway to have all these OAs, I’m 24 years old, 6’1 and 165 lbs and workout every day! It blows my mind to see that my airway closed 23 times last night. What the heck?!

youngcd12
Posts: 13
Joined: Mon Dec 18, 2017 9:04 pm

Re: Please Help! Going backwards?!

Post by youngcd12 » Thu Feb 01, 2018 6:51 pm

Any one else have any suggestions or see any red flags?

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Bill44133
Posts: 1087
Joined: Tue Jul 09, 2013 8:34 pm
Location: North Royalton, OH

Re: Please Help! Going backwards?!

Post by Bill44133 » Thu Feb 01, 2018 6:59 pm

Looks to me that your OA events are happening while the pressure is down. The machine is not reacting fast enough to stop the events
I think if you raise the minimum pressure it should prevent them from happening in the first place.
I would also raise the min to 12.

_________________
Machine: DreamStation BiPAP® Auto Machine
Humidifier: DreamStation Heated Humidifier
Additional Comments: Settings are IPap 23 EPap 19