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AHI TREATED OR NOT?
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fiur Offline

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Posts: 6
Joined: Aug 2016

Machine: Resmed AirCurve 10 Vauto
Mask Type: Full face mask
Mask Make & Model: comfort Gel Blue
Humidifier: AirCurve 10
CPAP Pressure: 8-15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Grand Junction CO

Post: #1
AHI TREATED OR NOT?
Hi folks,

I've been using a RESMED S9 auto for two years. My AHI ratings are consistently about 18-35. Nothing I do, no settings I set can lower this. Does this mean the machine is treating my apnea? If not what can I do? I've had three sleep studies which claim I can be treated at pressures of 8-12. But setting it there lands me at 20-30 AHI daily. Occasionally I can get a 7-10 rating, but very rarely. I also have a standard Resmed S9 Cpap machine, that when I use this in my travel trailer and am away, it is the same.

How do you know if your apneas recorded on the graph is treated or not when the pressure rises to meet it? I do have clear airway (CA) apneas about 20% of the time too. Any advice is appreciated. Thanks. - fiur
08-15-2016 08:31 AM
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DeepBreathing Offline
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Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #2
RE: AHI TREATED OR NOT?
G'day Fiur, welcome to Apnea Board.

The apneas recorded by your machine and reported in ResScan or SleepyHead are not treated. If the machine is treating your apnea properly then your AHI will be low, typically below 5. If you're getting numbers up to 30 then something is very wrong. There could be a lot of reasons for this - the best thing is to see a screen shot from SleepyHead so we can identify any particular problem.

DeepBreathing
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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.
08-15-2016 08:59 AM
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trish6hundred Offline

Advisory Members

Posts: 6,452
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #3
RE: AHI TREATED OR NOT?
Hi fiur,
WELCOME! to the forum.!
Good luck to you with your CPAP therapy and getting it adjusted to meet your needs, hang in there for more responses to your post.

trish6hundred
08-15-2016 09:18 AM
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dclaryjr Offline

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Posts: 41
Joined: Jul 2016

Machine: ResMed Airsense 10 (Autoset)
Mask Type: Full face mask
Mask Make & Model: ResMed AirFit F10
Humidifier: ResMed
CPAP Pressure: 10
CPAP Software: SleepyHead

Other Comments: I wanna sleep like this baby (my great-grandson)

Sex: Male
Location: Texas U.S.A.

Post: #4
RE: AHI TREATED OR NOT?
I feel your pain. I've had two sleep studies that show AHI <1 at a pressure of 10, but my Resmed S10 Autoset consistently shows AHI at 7-11 (with just one 4.9). The folks at the sleep lab tell me it isn't the same thing but I don't understand how. Good luck finding a solution!!

Dave
08-15-2016 10:27 AM
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richb Online

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Posts: 542
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #5
RE: AHI TREATED OR NOT?
(08-15-2016 08:31 AM)fiur Wrote:  Hi folks,

I've been using a RESMED S9 auto for two years. My AHI ratings are consistently about 18-35. Nothing I do, no settings I set can lower this. Does this mean the machine is treating my apnea? If not what can I do? I've had three sleep studies which claim I can be treated at pressures of 8-12. But setting it there lands me at 20-30 AHI daily. Occasionally I can get a 7-10 rating, but very rarely. I also have a standard Resmed S9 Cpap machine, that when I use this in my travel trailer and am away, it is the same.

How do you know if your apneas recorded on the graph is treated or not when the pressure rises to meet it? I do have clear airway (CA) apneas about 20% of the time too. Any advice is appreciated. Thanks. - fiur

Hi fiur. Welcome to the Forum. Post those screen shots from Sleepyhead. We can probably help you with this.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
08-15-2016 11:12 AM
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Ghost1958 Offline

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Posts: 957
Joined: Aug 2014

Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

Sex: Male
Location: KY

Post: #6
RE: AHI TREATED OR NOT?
Could be the CAs.
Happened to my wife temporarily . Running consistantly at 1 or below. One morning boom she had ahi of 20.

Turned out to be a new med triggering CAs.
Med gone back to normal.
Point being setting pressures wont fix CAs.
Use sleepyhead abd you can see if it is CAs.
08-15-2016 04:15 PM
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0rangebear Offline

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Posts: 342
Joined: Jan 2016

Machine: ResMed AirSence 10
Mask Type: Other
Mask Make & Model: Amara View
Humidifier: HumidAire (Built-in)
CPAP Pressure: APAP 12.8-15 EPR 3 (cmH2O)
CPAP Software: ResScan SleepyHead

Other Comments: Ramp off

Sex: Male
Location: Brighton Colorado

Post: #7
RE: AHI TREATED OR NOT?
Hello flur
Welcome

Good to see another Coloradan in the forum,Big Grin there are a few of us

My first impression from your starting pressure is it's too low.
You could start bump up the starting pressure in small increments.

The high pressure setting could as be contributing since pressure that is too high can cause CA's, which is exacerbated in people living in Hugh altitude.

Do you live in the valley under 5000 ft or in the mountains?Thinking-about

Without knowing how much of a risk taker you are, or what you insurance/financial situation is, I wouldl also like to recommend you consider a trip over the divide to Denver for a visit with the folks at National Jewish Respiratory Hospital. They are one of the best and oldest respiratory sleep medicine treatment centers in the world.

They have many awards, accolades and bragging rites Rolleyes

https://www.nationaljewish.org/programs/directory/sleep-center

Their number is 303.270.2708

The Sleep Center at National Jewish Health is the oldest and most comprehensive sleep medicine program in the Denver region. We have the most up-to-date information on sleep disorders and the most current technology available to treat and diagnose all respiratory and non-respiratory sleep disorders

2004-Bon Jovi
it'll take more than a doctor to prescribe a remedy

Observations and recommendations communicated here are the perceptions of the writer and should not be misconstrued as medical advice.
08-15-2016 05:23 PM
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fiur Offline

Members

Posts: 6
Joined: Aug 2016

Machine: Resmed AirCurve 10 Vauto
Mask Type: Full face mask
Mask Make & Model: comfort Gel Blue
Humidifier: AirCurve 10
CPAP Pressure: 8-15
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Grand Junction CO

Post: #8
RE: AHI TREATED OR NOT?
Thanks for reply. I Just updated my new machine I received, which is a RESMEd AirCurve 10 VAuto with humidifier. How do I place a screenshot on my post? Any help is appreciated.

Just figured out how to upload screen shot below. Any further help is appreciated. Thanks


Attached File(s) Thumbnail(s)
       
(This post was last modified: 09-20-2016 05:58 PM by fiur.)
09-20-2016 05:36 PM
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richb Online

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Posts: 542
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #9
RE: AHI TREATED OR NOT?
My first guess is that you are getting onto your back during those severe Obstructive Apnea periods. To rule out sleeping on your back as the cause you have to make sure that you stay on your side for the night. There are lots of tricks like using pillows or sewing tennis balls into the back of your t-shirt. Many Obstructive Apnea sufferers cannot sleep on their back.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
09-20-2016 06:19 PM
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Sleeprider Online
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Posts: 3,398
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #10
RE: AHI TREATED OR NOT?
For what it's worth, your minimum pressure of 4.0 is a waste of time. Your machine quickly reaches 15 cm and can't do a thing against your apnea. You need a combination of higher pressure, and getting off your back, or you will have severe apnea even when treated. A soft cervical collar may also be a help.

On the positive side, your leak rae and tidal volumes are very good, so this is a simple case of obstructive apnea. If your insurance is good, and you have a responsive doctor, I would suggest a consultation. Over 15 cm, you might qualify for bilevel therapy.

______________________________________________
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09-20-2016 07:25 PM
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