APN - HYP Index

SleeplessInLasVegas · Post by **SleeplessInLasVegas** » Mon Mar 05, 2007 12:43 pm

My APN- HYP Index as listed on my REMStar "M" Series is 9.4 per hour. Does this seem a little high for being under therapy? I have my machine set for auto from 10 - 14 CM and the 90% pressure is 13.7.

rested gal · Post by **rested gal** » Mon Mar 05, 2007 12:50 pm

SleeplessInLasVegas wrote:My APN- HYP Index as listed on my REMStar "M" Series is 9.4 per hour. Does this seem a little high for being under therapy?

If you're seeing AHI's of 5.0 or more most nights for a week or so, yes, I'd say that's rather high.

SleeplessInLasVegas wrote:I have my machine set for auto from 10 - 14 CM and the 90% pressure is 13.7.

I'm not a doctor or anything in the health care field. If it were me, I'd set the range at 11 - 16 or 12 - 16 and see how that goes for awhile.

Wulfman · Post by **Wulfman** » Mon Mar 05, 2007 1:00 pm

SILV,

You should be able to see in the software reports where the events are occurring. If they're happening at the lower pressures, move your bottom pressure up (as RG suggested). You should also be able to see if they're mostly made up of apneas or hypopneas......leaks, snoring, etc.

Den

Goofproof · Post by **Goofproof** » Mon Mar 05, 2007 1:12 pm

Also you use a nasal mask, could you be mouthbreathing? Do you tape? If you can't maintain the pressure needed to splint your airway open, treatment won't be successful. Jim

Guest · Post by **Guest** » Mon Mar 05, 2007 4:58 pm

Sleepless,

I'm in roughly the same boat. My AHI average seems to be staying around 9.1 with my M series RemStar Pro CPAP. Without CPAP, my AHI was 15 according to my sleep study. So I have 6 fewer events per hour using CPAP. I guess that's worth it.

NightHawkeye · Post by **NightHawkeye** » Mon Mar 05, 2007 7:01 pm

SleeplessInLasVegas wrote:My APN- HYP Index as listed on my REMStar "M" Series is 9.4 per hour. Does this seem a little high for being under therapy? I have my machine set for auto from 10 - 14 CM and the 90% pressure is 13.7.

Yeah, I'd bet (Vegas, huh?) that you can get it down well below 5. What does your Encore Pro software show? Do your events happen at maximum pressure? Do you see any NR flags? If your answers are yes and no, respectively to these last two questions, then raising your maximum pressure as RG suggested is probably the right thing to do. Otherwise, you probably want to consider other possibilities.

Regards,
Bill

APN - HYP Index

APN - HYP Index

Re: APN - HYP Index

Re: APN - HYP Index