Welcome... I can commiserate with your numbers.. mine looked like: AHI= 127.3 an O2 level of 62% with notations of me having cyanosis
All this time I always thought sleep was completely over rated!
and completely unnecessary
I never sleep on my back or stomach so I've got that going for me.
I started with a CPAP at a constant 18 cmH2
0 and a nasal mask. Seems like the pressure would escape around the bridge of my nose, blow into my eyes and wake me up. Grrrrrrrr....
Switched to a ResMed P 10 pillows mask. While they were really comfortable, they were always leaking badly.
A pal of mine suggested I use a sailine gel product (called AYR) and you can get it at many of the superstores with pharmacies in them or actual pharmacies. Getting it at a "superstore" with a pharmacy seems to be more cost effective.
What you do is to put a really small bead of the gel on your finger and run it around the flanges of the P-10 pillows. Then insert them into your nose. Unfortunately, at a constant pressure of 18 cmH2
0 the pillows would push away from my nostrils and the gel would dry out. When the gel would go away, it would wake me up.
My sleep Dr switched me to a bi-level AirSense 10 Vauto. IPAP=20, EPAP = 12, PS = 8 and also switched me to a Phillips Respironiscs DreamWear under the nose nasal mask
. This new mask comes in Small (S), Medium (M), Medium Wide (MW), and Large (L). I'm using a MW. While it's very comfortable, the air port being on the crown of your head is somewhat of a pain in the tail.
This new mask seemed to handle the constant 18 cmH2
0 much better on the CPAP but I was going to get the bi-level machine a week later.
Now, I'm on the Bi-Level machine, using the Phillips Respironiscs DreamWear under the nose nasal mask
with the prescribed settings. My AHI's have dropped significantly, but the story is my sleep pattern is like a fractured fairy tale. I did try the ResMed P-10 pillows with the bi-level and they worked better, but when it hit the upper pressures, they came undone like they did with the CPAP at a constant 18 cmH2
I get 30 mins here, 45-60 mins there, maybe a couple hrs here once in a while I hit 4 hrs of contiguous sleep, it's really rare. So I'm sleeping all hours of the day and night anywhere from 6-14 hrs per day.
I'm usually up at 06:00 and frequently taking naps anytime after 10:00 AM. Then again any time after 14:00 and frequently after about 20:00... and as you can see I'm awake now (I've been awake since say about 02:00)... and I'm fixin' to lay back down and see if I can inspect the inside of my eyelids for any significant amount of time.
BTW, because I can't get any real continuous sleep I've been placed on disability because I have a hard time concentrating and it seems my short term memory is shot.
So you might want to try the Phillips Respironiscs DreamWear under the nose nasal mask
device. If you find any other masks that work, I'd be interested....
maybe some of my experiences will help you ..