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[CPAP] Apnea event as falling asleep impedes CPAP
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Cromwell Offline

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Posts: 3
Joined: Dec 2015

Machine: Resmed A10 airsense
Mask Type: Nasal pillows
Mask Make & Model: resmed pillow
Humidifier: resmed
CPAP Pressure: 7-20
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #1
Apnea event as falling asleep impedes CPAP
Hello all. i wonder if any of you have this problem.

I have been using CPAP devices successfully for 25 years. Never missed a night.

A wonderful release.

But recently things have not gone so well.

Now i find it difficult to fall asleep. Just as i am drifting off a sort of snuffle , catch to my nose, snort , snore jerks me awake .

5 minutes later i am drifting off again and .........same thing.

Some nights now are very frustrating - i dont really sleep at all. Just doze , drift towards sleep, jerk , awake etc etc,

Has anyone else had this problem?

Any suggestions?

My pressures have been creeping up over the past month and are now at the 18-19 level. So the machine is running near to flat out. Im on a belated diet.

Any help gratefully received. I got so used to sleeping well - i thought this problem had gone away. Very frustrating to have it back.
02-11-2016 04:49 AM
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PollCat Offline
Apnea Board Polling Administrator
Monitors

Posts: 1,576
Joined: Feb 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: H5i Cleanable with ClimateLine
CPAP Pressure: 10 - 18
CPAP Software: SleepyHead

Other Comments: CPAP-ing since 1995; Type 2 Diabetes; Chronic Asthma; Gout

Sex: Male
Location: Westfield, IN

Post: #2
RE: Apnea event as falling asleep impedes CPAP
Go see your local ENT and maybe have a scan done of your nasal and sinus passages. oldman

BTW, Welcome


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(This post was last modified: 02-11-2016 07:16 AM by PollCat.)
02-11-2016 07:13 AM
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Rob S Offline

Preferred Members

Posts: 44
Joined: May 2015

Machine: ResMed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: ResMed AirFit F10
Humidifier: ResMed H5i
CPAP Pressure: min EPAP 6, 90% IPAP16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New England. USA

Post: #3
RE: Apnea event as falling asleep impedes CPAP
if your machine is set to 7-20 like it says in your profile and your constantly in the 18-19 range i'd suggest raising the minimum.

if i'm understanding your problem correctly this should help as i had a similar issue with pressure being to low to keep my airway open, it would quickly snap shut and was very disruptive.
02-11-2016 07:33 AM
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OpalRose Offline

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Posts: 3,166
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #4
RE: Apnea event as falling asleep impedes CPAP
Download the free Sleepyhead software so that you can track your data. Agree that your start pressure is probably too low, but would be better to see why your pressure is rising.

How are your AHI numbers?

OpalRose
(This post was last modified: 02-12-2016 04:46 AM by OpalRose.)
02-11-2016 07:42 AM
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Ghost1958 Offline

Advisory Members

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: #5
RE: Apnea event as falling asleep impedes CPAP
Raise you min to around 9 or 10.
Should help your problem, lower your ahi, and bring your max pressure down as well.
My min set at 8 will have my max running at 18 due to machine response times.
My min set at 12 my max never goes over 14.
02-11-2016 03:43 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
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: #6
RE: Apnea event as falling asleep impedes CPAP
Hi Cromwell,
WELCOME! to the forum.!
Hang in there for more responses to your post and much success to you with your CPAP therapy and fine tuning it to meet your needs.

trish6hundred
02-11-2016 04:45 PM
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Cromwell Offline

New Members

Posts: 3
Joined: Dec 2015

Machine: Resmed A10 airsense
Mask Type: Nasal pillows
Mask Make & Model: resmed pillow
Humidifier: resmed
CPAP Pressure: 7-20
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #7
RE: Apnea event as falling asleep impedes CPAP
Thank you all for your welcome and suggestions.

Raising the minimum seems like a good step.

I have set it at 16 as i am very keen for a good night's sleep.

I was also asked how the APIs are doing .
- They are good at about 2.9. But im not certain the machine is picking up these rapid events that prevent me falling asleep.

As i understand it the machine only picks up events that wake you up. But I may be wrong on that.

Lets see how tonight goes[/size][/font]
02-11-2016 07:09 PM
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pholynyk Offline

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Posts: 306
Joined: Mar 2015

Machine: ResMed AirSense 10 APAP
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: included
CPAP Pressure: 11-17
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Ontario, Canada

Post: #8
RE: Apnea event as falling asleep impedes CPAP
You haven't mentioned which model AirSense machine you have, so I hope it has data capabilities.

Before you change from starting at 7 to starting at 16, I would strongly suggest that you download SleepyHead software from the page linked at the top of this page. Look at the data from the last little while (it will be on the SD card) and determine your median and 90% pressure levels. There is a wiki page about using SleepyHead and understanding its charts, and many people here willing to help you.

Change your pressure slowly (perhaps 1 cm at a time, waiting 4-5 days between each change), with the goal of getting to about 2 cm below your median pressure. Your body will need time to adapt to these changes, so don't go overboard.
(This post was last modified: 02-11-2016 07:47 PM by pholynyk.)
02-11-2016 07:45 PM
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PoolQ Offline

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Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #9
RE: Apnea event as falling asleep impedes CPAP
would there be any reason to think you might be developing COPD? That's what it was for me. Told the Doc that it seemed like my apnea was starting just after I laid down. That triggered testing and diagnosis of COPD. I am way better now
02-11-2016 08:55 PM
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richb Offline

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Posts: 525
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: #10
RE: Apnea event as falling asleep impedes CPAP
Do you have any ramp time set? If you do you might be at lower pressures when you are falling asleep. Post some data from Sleepyhead and we can offer more ideas based on our own experiences.

RichB
02-11-2016 09:47 PM
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