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AHI Got Worse after I got my own machine
#1
AHI Got Worse after I got my own machine
Hi all,

Merry Christmas and Happy Holidays everyone

I was on a one month CPAP trial; tried the Dreamstation first and then the Dreamstation Go. I got very good results during the trial, and was a believer from the second day. 

I recently bought my own DS Go, and have been using it for about a week. And the results are very discouraging. AHI has gone up to 11.6, and I don't wake up refreshed as I did during the trial. I checked the settings on my machine, and they are identical to the trial; except for Opti-Start, which I thought will help.

I have attached a few screen shots, will appreciate some assistance in getting a good night's sleep.

Diagnosed AHI - 39
Average AHI during One month Trial - 3.1
One Week average AHI on my own DS Go - 11.6

Edit: Mask is the same, Dreamwear Full Face Hybrid

Latest OSCAR Report
   

Encore Report During Trial (Did not import this data into OSCAR)
   

Encore Report from My Machine
   

Trial Machine Settings
   

My own machine settings
   
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#2
RE: AHI Got Worse after I got my own machine
It looks like you have a problem with positional apnea. In other words you were sleeping in a position that was cutting off you airway. No adjustment to the machine will help. You just have to get out of that position. For instance did you sleep on your back? Did you sleep with a higher pillow? What did you do to cut off your airway? Many times we see people “chin tuck” and cut off their airway.

One way to help IF you can’t change it by yourself is to use a collar to keep your airway open. See collar at the bottom of the post
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#3
RE: AHI Got Worse after I got my own machine
Thanks for the response. And yes, my sleeping position was altered by a CPAP pillow I put  on top of my usual pillow.

Maybe I'll try removing that first, or I'll get a soft collar.
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#4
RE: AHI Got Worse after I got my own machine
Sounds good. Post when you have had a night without the pillow and someone can give you suggestions on pressures to change.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#5
RE: AHI Got Worse after I got my own machine
Mate, you're likely needing the collar to combat the positional cluster apnea. AND your pressures with that DreamStation aren't doing you much favors. That Min pressure needs a big bump. Your OSCAR stat on the pressures listed your EPAP at 10.9 for the 95%. You're needing this slow responding Respironics much closer to 11 than 4, maybe at least try 8, but I can picture it needing a Min of 9-11 when it's all said and done.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#6
RE: AHI Got Worse after I got my own machine
Try using one of those U-shaped neck pillows people use for sleeping on planes and trains instead of a CPAP pillow. Get a thick sturdy one. I’ve been using that for some years and have found it useful in allowing me to adjust sleep positions.
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#7
RE: AHI Got Worse after I got my own machine
Turn off opti start it limits the pressure rises of the machine, also look up our wiki on positional apnoea


http://www.apneaboard.com/wiki/index.php...ng_therapy
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#8
*Update* AHI Got Worse after I got my own machine
Hi all,

My AHI has definitely gone done after pushing up the minimum pressure to 10, and I have ordered a Soft Cervical Collar to see if it helps. However, i am still waking up feeling a bit foggy. What else could be wrong?


Latest OSCAR Chart attached for your review and feedback
   
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#9
RE: AHI Got Worse after I got my own machine
You still clearly have some positional issues as shown on your chart. Even though your AHI is lower, I think you need to give things time to heal and recover. This thread only began Christmas Eve, and you still have outstanding issues. If you want to feel like a million bucks, get a Resmed...seriously. Don't believ e me, read this page of this thread http://www.apneaboard.com/forums/Thread-...epy?page=3
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
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Optimizing Therapy
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#10
RE: AHI Got Worse after I got my own machine
(01-08-2021, 10:06 PM)Sleeprider Wrote: You still clearly have some positional issues as shown on your chart.  Even though your AHI is lower, I think  you need to give things time to heal and recover.  This thread only began Christmas Eve, and you still have outstanding issues.  If you want to feel like a million bucks, get a Resmed...seriously.  Don't believ e me, read this page of this thread http://www.apneaboard.com/forums/Thread-...epy?page=3

Ok thanks, I will report back once I have had a chance to use the Cervical Collar.
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