[CPAP] Getting the right pressure

[Rcol]

I'm also wondering if those events early in the night might be largely fraudulent - like, maybe they're just a misinterpretation of awkward, wakeful breathing (I'm not not used to the pressure, so maybe I'm holding my breath). 

With or without CPAP, it has ALWAYS taken me at least 30-45 minutes to fall asleep.

[Sleeprider]

Take a look at a partial soft cervical collar like the Dr Dakota Stop Snore or The Eliminator Series Sleep Aid Cushion Travel Sleep Pillow Cushion. Both just provide support to prevent your chin from dropping and causing this kind of obstruction. I don't like leaving a machine wide open for pressure. In your case, if the apnea does not resolve somewhere between 14 and 16 cm, it's not going to at 20. I'm rather convinced this has a large positional component and will be taken care of very quickly when you find a good solution for that.

[Rcol]

I'm up for trying it, but check this out. This is the data from me lying down, wide awake, staring at my phone for around 45 minutes just now. 

AHI 20.56, mostly obstructive apneas and a few hypopneas. Pressure climbed up to the max (which I limited to 13).

[tedvpap]

Awake breathing is very irregular so the "events" are meaningless. The machine does not know that you are not asleep so you need to discount event when you are not asleep.

[Rcol]

Awake breathing is very irregular so the "events" are meaningless.  The machine does not know that you are not asleep so you need to discount event when you are not asleep.  

That's what I'm saying. My report for last night was front-loaded with apneas and hypopneas, but I'm thinking I was probably awake for a good portion of that (ie, they're false reports).

[Walla Walla]

Looking at your chart you had plenty of events throughout the night not just at the beginning.

[Sleeprider]

See, now you have to use a collar just to lay down and read your phone.

[Rcol]

Take a look at a partial soft cervical collar like the Dr Dakota Stop Snore or The Eliminator Series Sleep Aid Cushion Travel Sleep Pillow Cushion.  Both just provide support to prevent your chin from dropping and causing this kind of obstruction... I'm rather convinced this has a large positional component and will be taken care of very quickly when you find a good solution for that.

Just posting to keep this thread alive. Thanks to all of you again for your advice.

I did order one of the Eliminator collars and will be giving it a try tonight. I'll post results first thing in the morning.

[Rcol]

Here's last night. Looks pretty good (technically sub-clinical ). Still have some pretty regular obstructives.  

I'll give it another night without changing the pressures.

[tedvpap]

Here's last night. Looks pretty good (technically sub-clinical ). Still have some pretty regular obstructives.  

I'll give it another night without changing the pressures.

Raising your min pressure is helping your OSA.  

Have you ever zoomed in to look at your OSA events?  Do they look like OSA?  If so, then pressure is needed.