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First night of CPAP data. Was mild apena now...
#11
RE: First night of CPAP data. Was mild apena now...
Leaks and AHI are improved. I would like to slowly increase EPR to reduce flow limits. If you are currently comfortable with pressure, increase minimum and maximum pressure by 1 (7 to 11) and turn EPR on full time at 1.
Sleeprider
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#12
RE: First night of CPAP data. Was mild apena now...
Have you obtained a copy of your sleep study. If not, you should and post it here (remove personal info).

A full face mask is probably more prone to leaks than a nasal mask.

I don't know why your DME didn't offer you one of the newer masks. The Resmed n30i is interchangeable with pillows, and is nice. There are others I would have recommended before the Dreamwear.

However use what you got. What about your set up. Sometimes it is the hose that causes leaks. As you move about during sleep the hose can get twisted. If you have a highish headboard, flip the hose over the top of the headboard . Otherwise, a large hook or hose buddy can put the hose up high and helps with movement.

Also mask liners can help with leaks. Supplier #31 sell liners. More immediately you can take an old smooth jersey t-shirt cut a piece about 2 inches bigger than your mask and a small hole for your nasal area.

Hope something here will help you.
Sleep-well
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#13
RE: First night of CPAP data. Was mild apena now...
I had the dreamwear mask that is a Nasal cushion and it was leaking a lot and my nose gets clogged very easily so we decided a full mask would be better. 

I'm leaking quite a bit less with the Airfit 20 and I think it's working better than the dreamwear. 

I forgot to put my SD card in my machine last night and I don't have the results, but it seems turning on EPR at all increases my central apneas. Kind of annoying because it's much more comfortable with than without. Apparently this is pretty rare?

Attached is my Sleep study report. I got diagnoed with Mild Sleep apnea, and decided to give the CPAP ago because of fatigue and not feeling rested at night. I still feel unrested and not great. Though I'm struggling with keeping the mask on throughout the night.


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#14
RE: First night of CPAP data. Was mild apena now...
I owned the dreamwear with the cradle nose piece. Mine leaked a high amount. I then ONLY changed the nose to a pillows. Cut the leaks way down. You use the same frame and headgear. I purchased on amazon for less than 20$. You might take a look at it.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#15
RE: First night of CPAP data. Was mild apena now...
Hey guys, 

So I have successfully gotten my AHI down quite a bit and have been managing to sleep with the mask on the entire night the last two nights so that's great news! 

I had an AHI of .8 something saturday and .4 last night but I forgot to put my sd card in my air sense like a dummy. I'm still feeling tired through the day and i'm getting very vivid dreams at night. 

I noticed i'm still getting some large flow limitations. The max says something lower, but if you look at the chart it looks like I hit .50 on flow limits twice or more. I realize turning up the EPR can solve these, but the problem is whenever I turn on EPR my centrals start going up. Do you think these flow limits look controlled in this chart from saturday and if not, how can I get them under control if turning my EPR causes CAs? 



Thank you for all your help!  Thanks


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#16
RE: First night of CPAP data. Was mild apena now...
First of all, your 95% flow limitation (the flow limit exceeded just 5% of the time) is 0.07, which is very good. Using EPR full time at 1 is not going to cause you to go into fits of CA events. It is a comfort feature at that level and will probably reduce flow limits to between 0.03 and 0.05. You have a few isolated CA events, and I would not expect a significant increase with some EPR. In any event, it is worth trying to see if you find therapy more comfortable, however you have achieved very good results without EPR at a pressure change of 7.0 to 11.0 and for that, congratulations!
Sleeprider
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____________________________________________
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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.
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#17
RE: First night of CPAP data. Was mild apena now...
Hey guys, 

Been doing good for awhile but recently I've been feeling very fatigued the last couple days. My AHI used to be pretty consistently under 1 but it's been harder to get that the last few days. I'm going to try increasing everything up from 7 to 11, to 8 to 12. See if that helps. 

I also haven't been on my EPR yet because I am afraid of centrals. I know 1 isn't going to cause a lot of them... but I'm still freaked out from when I had the EPR at the beginning and my body like freaked out and caused a ton of Central Apneas. 

Here are my most recent charts. I have been getting a bit of leak lately too... Also does my breathing pattern seem okay? It looks a bit chaotic to me and maybe that's contributing to the fatigue. 

Thank you again for all the help.


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#18
RE: First night of CPAP data. Was mild apena now...
Looks good, however you have a pattern for a cluster of positional obstructive apnea at the beginning of the night. I don't think you have anything to fear from trying some EPR. Your flow limitation has not changed much, and I think adding some EPR might improve that and comfort. Given your median pressure, I would not hesitate to move minimum pressure to 8.0.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
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Organize your OSCAR Charts
Attaching Files
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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.
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#19
RE: First night of CPAP data. Was mild apena now...
Thanks for all the help guys, 

I'm back! Got the flow limitations down with an EPR of 2 so that's cool. 

Still don't feel great! Don't know if it's anxiety contributing to the poor sleep or it's poor sleep contributing to the anxiety. lol

Got some pics of my sleep last night and would love to hear your thoughts (Ignore the disk not ejected properly at the top, sometimes my computer won't let me close those unless I restart and i'm impatient lol).

The first pic is an overview of the night, had some positional apneas near the end? Ended up taking it off and slept another hour without it. 

The second pic is an up close picture of some weird breathing that wasn't marked on Oscar? Any thoughts on this? Looks obstructive but I can't tell. I took a massive breath in it seems and then things started getting back to normal. 

The third pic is of some weird breathing I had in the middle of the night, I've seen this a lot. It looks like my breathing does some kind of weird wave pattern and gets chaotic. I woke up about a half hour after this started. and I wonder if it's just REM? Or is there some arousal from my breathing that's causing this.


Really appreciate all the help with this guys. You make struggling with this stuff so much easier. I appreciate yeah.  Sleep-well


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#20
RE: First night of CPAP data. Was mild apena now...
That close up looks like rapidly increasing flow limitation leading to arousal (RERA) and recovery breathing. That could be positional. I don't see that pattern repeated elsewhere. This looks better than the larger clusters of OA you previously had, and flow limits are reduced at EPR 2. Trials of EPR 3 and even minimum pressure of 9.0 are worth trying to see if they help. It's pretty easy to move back to this setting if it is not better.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
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