Post Reply 
Lessons Learned - 6 Months on CPAP
Author Message
Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #21
RE: Lessons Learned - 6 Months on CPAP
(06-06-2012 02:28 AM)Trickyman Wrote:  I was really impressed with your detailed assessment I would have liked to have read this before i did my test.... Like you i was awake from 10.00pm till 2.30. Laying there!!! finally fell asleep only to be woken by the nurse stating i had tossed some of my wires off at 3.10 took me another hour to drop off again. only to be woken at 5.45 with a bright light... Not a pleasant start to a new day.

We don't get a good night's sleep during those sleep studies. But maybe we sleep more than we think we do. We often drift off, generate some data, then think we were awake the entire time.

I also think they wake us up early to get us the heck out of there, so they can go home and get their sleep. But, I think that's a good sign. Maybe it means they got all the data they needed.

If I were planning another sleep study I'd plan to take the next day off so I could get some sleep after I got home from the sleep study.

I'm hoping that the prevalence of home sleep studies, and self-titrating APAP's, will reduce costs enough so that insurance companies will get on board with them.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
06-08-2012 11:29 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Bobmac27 Offline

Members

Posts: 18
Joined: Jun 2012

Machine: REMstar Pro C-Flex +
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX
Humidifier: System One
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New Jersey

Post: #22
RE: Lessons Learned - 6 Months on CPAP
Thanks for the great post B36.
06-09-2012 09:11 AM
Find all posts by this user Post Reply Quote this message in a reply
Marnid2014 Offline

Preferred Members-2

Posts: 187
Joined: Mar 2014

Machine: ResMed S9 Elite
Mask Type: Nasal pillows
Mask Make & Model: P10 & Circadience Advance Cloth Mask
Humidifier: H5i
CPAP Pressure: 4
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: Florida

Post: #23
RE: Lessons Learned - 6 Months on CPAP
Excellent, thanks for sharing all this.
04-10-2014 03:31 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
WakeUpTime Offline

Advisory Members

Posts: 156
Joined: Jan 2014

Machine: PR System One BiPAP S60 Auto 760
Mask Type: Nasal pillows
Mask Make & Model: P10 pillows
Humidifier: PR S1 w Heated Tube+Hose
CPAP Pressure: Auto / Inhale 11-12.5 / Exh 9
CPAP Software: SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location:

Post: #24
RE: Lessons Learned - 6 Months on CPAP
Excellent summary. Everyone that's relatively new at it is going to pick up at least one tip in reading it.

I really regret not taking a sleeping pill during the titration study. Why don't they just automatically just offer them? Don't they get it that we are people with sleeping issues? I'd want to sedate everyone so we can get at the core biological functions instead of dealing with issues of comfort related to having a ton of wires on you and a camera staring you in the face recording every blink. I suspect the data will be less than accurate as a result -- at least for me anyway. I was awake for at least 2.5 hours during both studies and they counted that as sleep which falsely lowered all the index averages.

Sleepster is clinically correct that we sleep a little more than we think we do during the sleep studies, but it's a continually interrupted surface-level sleep (rather than a continuous deep sleep) which will falsely skew the index averages and show a non-typical home sleep.

Sleep Apnea has given me a terrible memory. Please forgive me if I've repeated myself.
(This post was last modified: 04-10-2014 04:30 PM by WakeUpTime.)
04-10-2014 04:25 PM
Find all posts by this user Post Reply Quote this message in a reply
RonWessels Offline

Preferred Members-2

Posts: 465
Joined: Jun 2013

Machine: REMstar Auto AFlex DS560TS
Mask Type: Nasal mask
Mask Make & Model: ComfortGel Blue
Humidifier: REMstar Heated Tube DS6T
CPAP Pressure: 11 - 20
CPAP Software: SleepyHead

Other Comments: CMS50F Pulse Oximeter

Sex: Male
Location: Ontario, Canada

Post: #25
RE: Lessons Learned - 6 Months on CPAP
(04-10-2014 04:25 PM)WakeUpTime Wrote:  I was awake for at least 2.5 hours during both studies and they counted that as sleep which falsely lowered all the index averages.

Sleepster is clinically correct that we sleep a little more than we think we do during the sleep studies, but it's a continually interrupted surface-level sleep (rather than a continuous deep sleep) which will falsely skew the index averages and show a non-typical home sleep.

If you were truly awake for 2.5 hours that were counted as sleep, then your sleep study results were analyzed incompetently.

The reason for the electrodes to the head are to take brain-wave readings to determine not only if you are asleep, but what phase of sleep you are in. And when in N1 sleep (the "lightest" sleep), patients often report not being asleep at all.

Analysis of apnea events should only include periods of actual sleep.
04-10-2014 05:09 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
b360155 Offline

Preferred Members-2

Posts: 265
Joined: Feb 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: ResMed Quattro FX & Quattro Air
Humidifier: ResMed H5i
CPAP Pressure: 11.4
CPAP Software: ResScan SleepyHead

Other Comments: CMS50-D Plus Pulse Oximeter!

Sex: Male
Location: North Richland Hills, TX

Post: #26
RE: Lessons Learned - 6 Months on CPAP
Wow, my post of 2+ years ago has come back to life! If it has helped anyone, then it was well worth the time I took to write it.

Some things that have changed since my original post:
1) I now am using a Resmed Quattro Air full face mask. Both the Quattro FX and the Quattro Air have worked very well for me, producing on average AHI readings less than 1.0 and unintended leak rates between 0.0 and 2.4 and most importantly allow me to sleep through the night and wake in the morning without any pressure sores or indentations on my face. I like the Quattro Air because it's very lightweight and comfortable to wear and has a bit more support than the Quattro FX since it has a forehead support. It's also very easy to clean. As always though, I have to add the disclaimer that your results may differ.
2) I now leave my Resmed Autoset S9 machine on a CPAP setting of 11.4. Thanks to the Sleepyhead software, I determined that on average, this setting produced the best results for me. I'm very happy with the Resmed Autoset S9. It has been reliable and quiet and the data recording capability helped me determine what pressure was more effective for me.
3) I'm no longer using any mask liners with the Quattro Air. The silicone cushion has a slightly different texture than the older Resmed masks that doesn't stick to your skin quite as much, but still provides a good seal.
4) Cleanliness is a good habit to get into and I think it helps to promote good therapy results as well as maximize the life of your equipment. I wash my face every night just before bedtime which I think is important for getting a good seal with full face masks. I wash my mask every morning and have been able to use the same mask for many months at a time before replacing it. I also wash my water tank, hoses and machine and replace the air filter as recommended by the manufacturer.

We're all family here...you can call me B36 if you'd like!Cool
04-10-2014 05:57 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  6 months in: From 109AHI to under 4AHI average toinewi 6 181 12-02-2016 11:17 PM
Last Post: OldVet
  Insomnia getting worse 3 months into therapy baconjurer 3 517 10-05-2016 11:50 PM
Last Post: PoolQ
Angry [Equipment] 4 Months in and frustrated mattmill 5 358 09-15-2016 10:42 PM
Last Post: mattmill
  Just learned I have sleep apnea, waiting to hear full results of sleep study SleeplessInOklahoma 18 947 09-06-2016 04:41 PM
Last Post: livingwithapnea
  Help! How long (days/months) are sleep study results valid for? ApneaNewbie 5 1,094 08-01-2016 01:24 AM
Last Post: JPDTrek
  Still struggling with Resmed Aircurve 10 vpap auto after 7 months ckingzzzs 2 391 07-18-2016 09:40 PM
Last Post: Sleepster
  What I learned today about mini-apneas and fatigue or why SH is the bomb Mark Douglas 44 6,449 07-02-2016 07:28 AM
Last Post: silverny1

Forum Jump:

Who's Online (Complete List)