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High AHI still when on CPAP
#11
RE: High AHI still when on CPAP
I want to point you to our positional apnea wiki http://www.apneaboard.com/wiki/index.php...onal_Apnea
and the soft cervical collar http://www.apneaboard.com/wiki/index.php...cal_Collar

I'm certain those will help you. Note that positional apnea does not mean sleeping on your back, it is the curve and obstruction that results from tucking your chin, and many people experience it on their side as well as on their back. A tall firm pillow really works against you, but a soft collar can overcome these issues, and we have even seen people that sleep in reclining chairs resolve these problems with a collar.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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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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#12
RE: High AHI still when on CPAP
Thanks for the advice everyone! Last night I used a thin pillow and my AHI was 19 which is the best I've gotten yet. I can post a screenshot tonight if it matters. I will definitely try a collar, just hoping someone might have something that will work in my town. I only have a week trial left with the cpap so it would be nice to find one right away.
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#13
RE: High AHI still when on CPAP
GREAT!! 
now please post Oscar from last night and get a more appropriate pressure.
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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#14
RE: High AHI still when on CPAP
Here's a link to one that is available in my town.  Hard to tell by looking at the pic if it's any good but it's cheap enough to try.
[Commercial Link Removed] Search for, Life Brand/Soft cervical collar

 

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To maintain our status as an educational organization, the only commercial links allowed in this forum are to CPAP-related manufacturer websites. This is stated in the Apnea Board Rules with details given in the Commercial Links Policy section.
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#15
RE: High AHI still when on CPAP
This collar looks like it will support your chin but looks a bit fat and the price suggests it may not be high quality.  It will help, but be prepared to try others.  If your health system is considering bilevel, and you can talk them into a Resmed Aircurve 10 Vauto, Get the machine!  The Philips is not as good, but the Vauto is going to be a great machine, even if we resolve your positional apnea with a collar.

[Image: white.jpg]
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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#16
RE: High AHI still when on CPAP
Here is the screenshot from last night.


Attached Files Thumbnail(s)
   
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#17
RE: High AHI still when on CPAP
You still have so much positional apnea that we need to clear it up more before we can do much. But your low is really high. I would try min 12. That (I think) is still to high but give it a try. 

But try again with the collar. Good luck tonight!

So max at 20
Min at 12
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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