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My AHI keeps going back up :/
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michaelba72 Offline

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Posts: 20
Joined: Aug 2016

Machine: Respironics dreamstation
Mask Type: Full face mask
Mask Make & Model: respironics amara view
Humidifier: respironics dreamstation
CPAP Pressure: 12.5 - 16
CPAP Software: SleepyHead

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Sex: Male
Location: los angeles

Post: #1
My AHI keeps going back up :/
I've been at this for about a month now and I'm sort of starting to feel a little better I think. First night my AHI was at 13, then slowly I got it to around 3, now for the last week it's climbed back up to an 8.79 last night. Pressure at 11. Should I raise it? My leaks are controlled.

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09-27-2016 11:01 AM
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OpalRose Offline

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Posts: 3,161
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #2
RE: My AHI keeps going back up :/
I would suggest turning off the ramp feature. If you feel you can't do without the ramp, then move it to start closer to your minimum pressure number. It is set too far away from the minimum pressure of 11. If you are going to use ramp, start it at
8cm for a short period of time.

OpalRose
09-28-2016 11:23 AM
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michaelba72 Offline

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Posts: 20
Joined: Aug 2016

Machine: Respironics dreamstation
Mask Type: Full face mask
Mask Make & Model: respironics amara view
Humidifier: respironics dreamstation
CPAP Pressure: 12.5 - 16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: los angeles

Post: #3
RE: My AHI keeps going back up :/
Interesting, thanks I will try that. The high pressure doesn't really bother me so it shouldn't be a problem.

Last night I raised my minimum pressure to 12 and my AHI dropped to 2.5! That's about my lowest ever. Maybe my body was getting used to the pressure and apneas were busting through? Will keep it at 12 and see what happens.
09-28-2016 06:39 PM
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richb Online

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Posts: 523
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #4
RE: My AHI keeps going back up :/
(09-28-2016 11:23 AM)OpalRose Wrote:  I would suggest turning off the ramp feature. If you feel you can't do without the ramp, then move it to start closer to your minimum pressure number. It is set too far away from the minimum pressure of 11. If you are going to use ramp, start it at
8cm for a short period of time.

I agree that it would be a good idea to turn off or severely limit the ramp feature. You have a lot of events during ramp when you are falling asleep. Your body is transitioning between conscious breathing to autonomic breathing. Once you are asleep you seem to be doing better.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
09-28-2016 08:01 PM
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Sleeprider Online
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Posts: 3,315
Joined: Dec 2014

Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #5
RE: My AHI keeps going back up :/
You are having events, but there are not apparent flow limitations or snores acting to increase auto pressure. In addition current events are predominately CA and H. Based on keeping setting minimum pressure about 2-cm less than the maximum or 95%, a minimum pressure of 12 makes some sense, especially since you don't seem to have the precursors that would cause the auto to increase pressure on its own.

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09-28-2016 09:16 PM
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michaelba72 Offline

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Posts: 20
Joined: Aug 2016

Machine: Respironics dreamstation
Mask Type: Full face mask
Mask Make & Model: respironics amara view
Humidifier: respironics dreamstation
CPAP Pressure: 12.5 - 16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: los angeles

Post: #6
RE: My AHI keeps going back up :/
Great observations, thanks. I tightened and raised my ramp minimum and kept my pressure at 12 and had a 2.1 AHI last night! So I'm very optimistic right now.
09-29-2016 03:07 PM
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richb Online

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Posts: 523
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #7
RE: My AHI keeps going back up :/
Good to hear about the improvement.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
09-29-2016 03:28 PM
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natyprueba Offline

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Posts: 96
Joined: Jun 2016

Machine: airsense10
Mask Type: Full face mask
Mask Make & Model: resmed mirage 4
Humidifier: integrated in machine
CPAP Pressure: 12
CPAP Software: SleepyHead

Other Comments: Learning

Sex: Male
Location: USA-13501

Post: #8
RE: My AHI keeps going back up :/
Hello.

I will speak about a new approach:
Nobody have spoken about the relation between AHI and your mood and worries.
I have seen that if I got a problem that is worrying me or I am in bad mood for something that happened to me (ex,: an argument with my wify), my AHI goes up.
I suggest that you check this statement and try always to go to sleep complete relax, before begin to play with the machine settings.
10-02-2016 11:55 AM
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michaelba72 Offline

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Posts: 20
Joined: Aug 2016

Machine: Respironics dreamstation
Mask Type: Full face mask
Mask Make & Model: respironics amara view
Humidifier: respironics dreamstation
CPAP Pressure: 12.5 - 16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: los angeles

Post: #9
RE: My AHI keeps going back up :/
Yeah that is good advice but lately my only stress has been worrying about my apnea numbers and the obvious fact that I feel like crap all day. Granted this has been stressful.

I have had 6 straight days with AHI in the 2s. 5 weeks into therapy that started with my AHI at 13. But I don't really feel any better. Exhaustion and chest tightness that ramps up all day until I go to sleep and then it resets a bit, and I feel a little better in the morning. I'm still unable to work out or play basketball which I did almost every day before this hit. If I can get a couple of weeks more of AHI in the 2s, and I don't feel any improvement, I'll have to look at other possibilities, although my sleep doc and regular doc haven't really offered any alternative possible causes.
10-03-2016 06:43 PM
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richb Online

Advisory Members

Posts: 523
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #10
RE: My AHI keeps going back up :/
I would like to see a 5 to 8 minute slice of your flow rate graph highlighting a group of Centrals and a group of Hypopneas. Another piece of information that would be helpful is the findings and diagnosis from your sleep study and any information you have regarding titration of your machine. What I am wondering is if you had any Centrals or Central Hypopneas noted during the Sleep Study. Most of our suggestions regarding your AHI involve reducing Centrals and Hypopneas that were most likely caused by the machine. Reducing ramp time and bringing EPAP and IPAP pressures closer together can help resolve the machine induced Central events. The trick is to keep obstructive events under control at the same time. I have one other question: Have you consulted a cardiologist? Heart and circulatory issues can interact with sleep apnea and need to be taken into account.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
10-03-2016 08:43 PM
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