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Climate Line worsens my AHI
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BabyDoc Offline

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Posts: 184
Joined: May 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model:
Humidifier: ResMed H5i with Climateline Tubing
CPAP Pressure: 6.0 -16.0 CM
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Beachwood, OHIO

Post: #1
Climate Line worsens my AHI
When I first got my S9 Autoset a few weeks ago, it came the SlimLine tubing. I ran my S5hi humidifier using that tumbing for about a week, before requesting the Climateline heated tube from my DME, when I learned about it on this forum. I was pleasantly surprised that the DME said it was covered by my insurance.

However, after getting the Climate Line, I have noticed that my AHI numbers, which were consistently below one with the Slimline tubing, have consistently become, as high as 3.6, with the Climateline. Using Rescan, I noticed that the maximum pressure and median pressure had gone up some, and that occasionally I was experiencing more leaks. After tightening my Mirage FX nasal mask, those numbers did not improve.

I read elsewhere that the only problem with an Autoset machine is that it can't distinguish nasal congestion from upper airway obstruction. If it encounters nasal congestion of any sort, it may have to deliver a higher pressure to overcome that. While I wasn't aware of any significant nasal congestion with the Climateline, is it possible that the increased humidity (80 percent) and temperature (80 degrees F) delivered by the Climate Line is causing enough intermittent nasal mucosal swelling to cause the AHI to go up?

While I understand there is no worry about an AHI of 3.6, I thought I would experiement last night to see what my AHI would be if I ran the S5hi humidifier in passover mode. (It delivered humidity, but, of course, much less with the Climate Control turned off.) I noticed no difference in comfort. I awoke this morning to find that the AHI was 0.7. This was the first time my AHI was below 1.0, since getting the Climateline Tubing. I'll need to do this a few nights more to be sure that last night's low AHI reading wasn't an aberation, but understand that I was consistently getting sub one AHI results with just the slim line tubing and a humidity setting of 3.

Are there others who have experienced a worsening AHI, when they increased the temperature and humidity? Is this common?
(This post was last modified: 05-31-2012 12:01 PM by BabyDoc.)
05-31-2012 12:00 PM
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PaulaO2 Offline
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Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #2
RE: Climate Line worsens my AHI
Yes, it can happen. Although usually you notice the stuffiness when you wake up and through some of the day.

Try turning the humidity and hose temp down. 80 is rather high for non-winter.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
05-31-2012 12:08 PM
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BabyDoc Offline

Preferred Members-2

Posts: 184
Joined: May 2012

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model:
Humidifier: ResMed H5i with Climateline Tubing
CPAP Pressure: 6.0 -16.0 CM
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Beachwood, OHIO

Post: #3
RE: Climate Line worsens my AHI
The only reason I set the Climateline temp and humidity to 80 was this was the default setting. Furthermore, my wife keeps the air conditioning so cranked up, I can't stand it. It's cold and dry in my home. For practical purposes, it IS winter in my house. I thought the warmth at my face would help me feel better or at least warmer. All of this discussion, for practical purposes is an intellectual exercise, since even with the higher AHI, I can't honestly say I felt any worse in the morning. I still feel rested with an AHI of 3.6. Still, I thought it was interesting enough to report my experience. Others, trying to bring their AHI down, might want to look at their Climateline settings along with their mask leak numbers.
05-31-2012 12:21 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #4
RE: Climate Line worsens my AHI
I use the climate control auto mode and have not experienced any AHI difference using the climate line. Humidity is a personal preference some like it higher and some lower but everyone is different. Whats the leak?
05-31-2012 06:25 PM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #5
RE: Climate Line worsens my AHI
Ah. I forget others have that modern thing called "air conditioning".

Too-funnyLaugh-a-lot

Someday I hope to upgrade the house to have more than 10 outlets.

If you are stuffy from it, you can still try turning the temp down slightly. Too much humidity can cause stuffiness just as too dry will. You can try turning the water down but leaving the hose where it is. Or visa versa.

It'll be interesting to hear (read) how it works for you.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
05-31-2012 06:55 PM
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Bompa Offline

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Posts: 854
Joined: Mar 2012

Machine: DreamStation Pro
Mask Type: Nasal pillows
Mask Make & Model: Nuance Pro
Humidifier: DreamStation Heated Humidifer
CPAP Pressure: 12.0
CPAP Software: SleepyHead Other Software

Other Comments:

Sex: Male
Location: Falkenburg,

Post: #6
RE: Climate Line worsens my AHI
I have my temperature at 68F and my humidity level at 3.0. Have never had any problems. I did find that the higher temperature I tried, the more my nose stuffed up.
06-01-2012 04:06 AM
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