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I Think I'm Gonna Die
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Nirvana Offline

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Posts: 21
Joined: Dec 2013

Machine: RESMED
Mask Type: Full face mask
Mask Make & Model: Quattro Air
Humidifier: RESMED
CPAP Pressure: 7-12
CPAP Software: ResScan

Other Comments: Started CPAP 12/3/2013

Sex: Male
Location: United States

Post: #1
Sad I Think I'm Gonna Die
I have sleep apnea, and have been being treated for 10 months, now. I sleep with my full face mask on, every night. My SD card reading are pretty good, but I get occasional central apnea episodes. I woke up this morning, after 3 hours sleep, so low on oxygen. I was high and felt psychotic. I think this is going to give me brain damage or kill me...

Does the mask even help with central apnea episodes? Could I die from this? I'm 35 years old...
10-20-2014 06:24 PM
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justMongo Offline

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Posts: 3,840
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: I Think I'm Gonna Die
How are you measuring your blood oxygen?
How low is it going?
How long in seconds are your central apneas?

When centrals are significant, there are other types of CPAP machines that better treat centrals.
The Adaptive Servo Ventilation (ASV) machines are used when centrals are primary concern.

Please be more specific as to the ResMed machine you have...
On the S9 series, it says right by the start button.

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.
10-20-2014 06:37 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #3
RE: I Think I'm Gonna Die
No, you're not going to die. You're not allowed to do that around here, so get over it. Now then, tell us as much as you can about your experiences.

First of all, what software are you using to read your sdcard? Sleepyhead? What is your pressure setting(s)? Your min, max pressures for last night for instance. What are your leak numbers? As to the AHI, how many OP's vs CA's vs Hypops?

Anything you can share with us will give us an opportunity to help you.

But the number one thing for you to do is relax. Come back to us as soon as you can.
10-20-2014 06:46 PM
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Nirvana Offline

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Posts: 21
Joined: Dec 2013

Machine: RESMED
Mask Type: Full face mask
Mask Make & Model: Quattro Air
Humidifier: RESMED
CPAP Pressure: 7-12
CPAP Software: ResScan

Other Comments: Started CPAP 12/3/2013

Sex: Male
Location: United States

Post: #4
RE: I Think I'm Gonna Die
Here's a screenshot of my readings from last night, which don't look bad, but I sure woke up like I was dying.

*Edit... it's says I need 8 posts to post an image. I have 7 posts, so I'll post this, and the screenshot in the next post. *Edit again, it says I cannot post photos here. I'll type it out in my next post.

My pressure is 7-12, ramped.

When I was tested at the sleep center, they said my oxygen would fall into the 80's, the first night, so they adjusted my pressure to keep it up.

When I woke up this morning, after 3 hours sleep, my mouth was so dry I couldn't even swallow; it took 20 minutes to feel like my mouth was normal again. And I see fractal patterns and feel high and can barely walk or talk coherently.

I'm not exactly sure what my oxygen levels were, but I don't imagine they were great. I'm going to by an oxygen checker here soon, and I can let you all know what it is during these episodes.

My fear is that I'll die or get brain damage from these strange episodes...
(This post was last modified: 10-20-2014 07:02 PM by Nirvana.)
10-20-2014 07:01 PM
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Nirvana Offline

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Posts: 21
Joined: Dec 2013

Machine: RESMED
Mask Type: Full face mask
Mask Make & Model: Quattro Air
Humidifier: RESMED
CPAP Pressure: 7-12
CPAP Software: ResScan

Other Comments: Started CPAP 12/3/2013

Sex: Male
Location: United States

Post: #5
RE: I Think I'm Gonna Die
From last night.

Machine

ResMed IPX1

Product:

S9 Autoset

Total Usage:

Hours used: 7:09

AHI & AI (events/hour)

Apnea Index: 0.5
Obstructive: 0.0
Central: 0.2
Unknown: 0.2

Hypopnea Index: 0.8

AHI: 1.3

Leak (L/min):

Median: 15.6
95th Percentile: 54.0
Maximum: 180.0

Pressure (cmH20):

Median: 9.1
95th Percentile: 11.0
Maximum: 11.6
10-20-2014 07:09 PM
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Paralel Offline

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Posts: 68
Joined: Aug 2014

Machine: Respironics PR System One 60 Series REMstar Auto with A-flex
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: Respironics PR System One 60 Series Humidifier with Heated Tube
CPAP Pressure: 10-13
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Mitten State, USA

Post: #6
RE: I Think I'm Gonna Die
With an AHI, and a breakdown like that, you sleep apnea is well under control. Whatever is going on it has nothing to do with your apnea treatment.
10-20-2014 07:22 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #7
RE: I Think I'm Gonna Die
But it does have everything to do with your leaks. That is why you have such a dry mouth. Get your leaks under control and do everything you can to not breath through your mouth. That Sahara desert thing isn't fun, but it's fixable and not fatal. So revisit all the ideas about how to get a good mask seal. Additional options are to use a chinstrap over the mask, or better yet consider a different form of mask, such as a pillows mask.

In any case, your ahi looks good, so nothing to do there --- get the mouth breathing and leaks under control and you'll be good to go!
10-20-2014 07:45 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: #8
RE: I Think I'm Gonna Die
(10-20-2014 07:09 PM)Nirvana Wrote:  Leak (L/min):

Median: 15.6
95th Percentile: 54.0
Maximum: 180.0
95th percentile is too high, also the median and the maximum
AHI numbers are meaningless with such high leak numbers, you're not getting an adequate therapy, fix the leaks
Try pad-a-cheek mask liner or different mask, Quattro Air Support:
http://www.resmed.com/au/en/consumer/sup...rtDownload

We like to see leak below the magic number 24 but not the end of the world if goes over 24 for a brief period
10-20-2014 07:48 PM
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Eleong2 Offline

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Posts: 60
Joined: Dec 2013

Machine: Respironics System One DS460 and Transcend EZEX CPAP
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage Activa LT
Humidifier: Respironics System One DS6
CPAP Pressure: 12
CPAP Software: SleepyHead Other Software

Other Comments: Moderate to severe Sleep Apnea, started treatment Nov 13, 2013

Sex: Male
Location: Alhambra, CA

Post: #9
RE: I Think I'm Gonna Die
(10-20-2014 07:09 PM)Nirvana Wrote:  From last night.

Machine

ResMed IPX1

Product:

S9 Autoset

Total Usage:

Hours used: 7:09

AHI & AI (events/hour)

Apnea Index: 0.5
Obstructive: 0.0
Central: 0.2
Unknown: 0.2

Hypopnea Index: 0.8

AHI: 1.3

Leak (L/min):

Median: 15.6
95th Percentile: 54.0
Maximum: 180.0

Pressure (cmH20):

Median: 9.1
95th Percentile: 11.0
Maximum: 11.6

Correct me if I am wrong I am a newbie, but your leak rate is quite high. With 95th percentile at 54, wouldn't the calculated AHI value be off?
10-20-2014 07:49 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #10
RE: I Think I'm Gonna Die
Your right. If the leak numbers are too high, then the results "MAY" not be reported accurately. However that doesn't necessarily mean the system has missed any important events. It just means that the leaks need to come under control to find out exactly what is going on.
10-20-2014 07:53 PM
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