Post Reply 
[CPAP] Compare Sleep Study to first CPAP week
Author Message
Ed1101 Offline

Preferred Members

Posts: 76
Joined: Feb 2016

Machine: Resmed AirSence 10 Autoset
Mask Type: Full face mask
Mask Make & Model: ResMed Aifit F10
Humidifier: Integral
CPAP Pressure: 15-20
CPAP Software: ResScan SleepyHead

Other Comments: Began APAP 8 Feb 2016. Titration Study AHI=29 PreCPAP AHI= 86

Sex: Male
Location: Richardson TX

Post: #1
Compare Sleep Study to first CPAP week
HISTORY: I went to pulmonologist because of some minor shortness of breath on exertion. I have never been excessively fatigued or shown signs of sleepless during the day. I recently drove 600-700 miles per day on 3600 mile road trip over two weeks. No sleepless. I retire around 10-11Pm and getup at 6-6:30 daily. Feal rested and relaxed. At pulmonologist office my wife indicated that I tossed and turned a lot and seemed to stop breathing for a moment. At 75, get up approximately 2 times a night for bathroom calls. Doctor ordered sleep study.

I had a sleep study in Jan 2016. The study was a "split" between diagnostic and titration. During diagnostic my AHI=83 during titration AHI =29. Titration used the same CPAP equipment I current use. Both sessions were conducted supine with 0 leg movement (by direction of tech). Max pressure achieved in titration was 15. The mask leaked everywhere and was to narrow to fully cover the mouth (mouth breather). No mask adjustments were made by the tech after initial fitting. Lab data indicates 0 events at 12 & 13, 2 events at 14, and 0 at 15. More at pressure lower than 12. Note: I am a mouth breather and sleep on my side.

Just completed first 8 days of CPAP use on Feb 16, 2016. AHI < 6 for all 8 days. Pressure set 15-20. Everything "auto". I am now very fatigued during the day. Mask leak issue and extreme dry mouth seem to wake me often during the night. My question, since the AHI <6, does that indicate the CPAP is doing the job and keeping my events low. Why does the events drop from 29 at the lab to < 6 from the get-go using the same setup as the lab test - more side sleeping however?

Thanks for your answer for a new user.

It does not matter how slowly you go as long as you do not stop. --Confucius
02-16-2016 11:32 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
justMongo Offline

Monitors

Posts: 3,853
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: Compare Sleep Study to first CPAP week
(02-16-2016 11:32 AM)Ed1101 Wrote:  Why does the events drop from 29 at the lab to < 6 from the get-go using the same setup as the lab test - more side sleeping however?

Welcome

You now run 15 to 20 auto. I'd bet you are getting more positive pressure when needed. Plus, side sleeping does help most people -- like me.

You should download the software and track your progress. Look at the events, flow, pressure, and leaks graphs; you'll see what's going on.

Mongo

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.
02-16-2016 11:44 AM
Find all posts by this user Post Reply Quote this message in a reply
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: #3
RE: Compare Sleep Study to first CPAP week
Since you drove 3600 miles, can we assume that you live in the USA? Instead of getting your mask from the sleep center you should find a local DME that will allow you to try several masks to see which one fits your face best. I've never been able to use a FFM, preferring nasal pillows - even though I've been known to breathe through my mouth on occasion. Over the years I've trained my mouth to stay closed when I'm sleeping, by using chin straps.

BTW, Welcome


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.
02-16-2016 11:52 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Ed1101 Offline

Preferred Members

Posts: 76
Joined: Feb 2016

Machine: Resmed AirSence 10 Autoset
Mask Type: Full face mask
Mask Make & Model: ResMed Aifit F10
Humidifier: Integral
CPAP Pressure: 15-20
CPAP Software: ResScan SleepyHead

Other Comments: Began APAP 8 Feb 2016. Titration Study AHI=29 PreCPAP AHI= 86

Sex: Male
Location: Richardson TX

Post: #4
RE: Compare Sleep Study to first CPAP week
(02-16-2016 11:44 AM)justMongo Wrote:  
(02-16-2016 11:32 AM)Ed1101 Wrote:  Why does the events drop from 29 at the lab to < 6 from the get-go using the same setup as the lab test - more side sleeping however?

Welcome

You now run 15 to 20 auto. I'd bet you are getting more positive pressure when needed. Plus, side sleeping does help most people -- like me.

You should download the software and track your progress. Look at the events, flow, pressure, and leaks graphs; you'll see what's going on.

Mongo

I felt that the pressure ordered by the doctor was a more than needed. If I get the pressure reduced and do not see an increase in events then that should be ok, right. I will download "sleepyhead" this weekend and look at the results more closely.

Does the 4-6 event the device sees now mean that the pressure (Steady state min of 15 max of 20) was insufficient to prevent the event? I do not understand the range. Does the device ramp up if an event occurs while it is at 15? If so, does it drop back to 15 or stay at the new pressure (value of new?)?

It does not matter how slowly you go as long as you do not stop. --Confucius
02-16-2016 01:20 PM
Find all posts by this user Post Reply Quote this message in a reply
Ed1101 Offline

Preferred Members

Posts: 76
Joined: Feb 2016

Machine: Resmed AirSence 10 Autoset
Mask Type: Full face mask
Mask Make & Model: ResMed Aifit F10
Humidifier: Integral
CPAP Pressure: 15-20
CPAP Software: ResScan SleepyHead

Other Comments: Began APAP 8 Feb 2016. Titration Study AHI=29 PreCPAP AHI= 86

Sex: Male
Location: Richardson TX

Post: #5
RE: Compare Sleep Study to first CPAP week
(02-16-2016 11:52 AM)PollCat Wrote:  Since you drove 3600 miles, can we assume that you live in the USA? Instead of getting your mask from the sleep center you should find a local DME that will allow you to try several masks to see which one fits your face best. I've never been able to use a FFM, preferring nasal pillows - even though I've been known to breathe through my mouth on occasion. Over the years I've trained my mouth to stay closed when I'm sleeping, by using chin straps.

BTW, Welcome

I have now obtained a Hybrid mask (use first 2/16) about the same result but no so many wake up leaks. Will need to acclimate to the new mask. I am a fairly constant mouth breather - working on that when awake by keeping my tongue to roof of mouth behind upper teeth. The F10 mask was a medium and the width left the corners of my mouth at the seal point on each side. I would wake up with bottom of mask in my mouth and major leak - mouth so dry it seemed "glued" shut. Used chin strap one night and that did help with dry mouth but the mask still rides up and leaks at mouth corners. And into each eye at nose. New hybrid mask is much wider and only minor dry mouth with fairly good seal on nose plus does not ride up obviously. Plan to increase humidity from auto to 5 and 80 deg. Also I get a better pillow today - I hope it helps sleep time.

Thanks

It does not matter how slowly you go as long as you do not stop. --Confucius
02-16-2016 01:33 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
trish6hundred Offline

Advisory Members

Posts: 6,450
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: Compare Sleep Study to first CPAP week
Hi Ed1101,
WELCOME! to the forum.!
Hang in there for more responses to your post and much success to you with your CPAP therapy.

trish6hundred
02-16-2016 06:45 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Sleep latency -study results Dagmar 1 83 12-06-2016 10:04 PM
Last Post: chill
  [Diagnosis] Waiting for sleep study results...got Pulse Ox in the meanwhile jds2001 10 316 12-01-2016 03:13 AM
Last Post: kwhenrykerr
  sending sleep study to another doctor's office sleepytimegal 3 238 11-30-2016 10:26 PM
Last Post: Mosquitobait
  Accuracy of Resmed AS10 vs Sleep Study Type IMSleeplessInSeattle 5 452 11-28-2016 12:11 AM
Last Post: sleepytimegal
  Sleep Study: Nasal vs. Full Mask harmon k 2 325 11-20-2016 06:38 PM
Last Post: harmon k
  When is it time to get another sleep study done. duece12345 7 366 11-19-2016 11:51 PM
Last Post: Sleepster
  First week- why is my cpap making me dizzy? sleepjunky 44 26,422 11-12-2016 05:44 PM
Last Post: Clay L

Forum Jump:

Who's Online (Complete List)