Post Reply 
My results so far
Author Message
Veilsd Offline

Preferred Members

Posts: 23
Joined: Mar 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10
Humidifier: Resmed
CPAP Pressure: 6-13mm H2O
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Australia

Post: #1
My results so far
So I have been on CPAP since early January including my trial. My sleep study showed and AHI of 22 or thereabouts which I think was actually one of my good nights! I was recommended a pressure of 13.3 and I chose to get a Resmed Airsense Autoset 10 and Resmed Airfit P10.

I started off with a minimum pressure of 6, and maximum of 13. My AHI was down to an average of 9-10 but didn't improve after 4 weeks at those settings.

I have since adjusted my settings after every 2 weeks or so and I am now getting mostly AHI of 4.5-5.5 with the odd 9-10 thrown in! My pressure settings are minimum of 9, maximum of 15. No ramp and an EPR of 1.

I found changing to constant pressure made no improvement it only made me dry mouthed in the morning so I changed it back to Auto.

I have since day one had high leak levels of between 25-45 and my average over 5 months is 35l/min. I can not improve this with my current nasal pillows. Do you think the leak level would affect my AHI's?

On my trial I tested a nasal mask and it gave me bad sores so I cannot use a mask that touches my face.

I have found the Airfit P10 to be great. I get a full night sleep every night, I never wake up gasping for air or any other issues. I have even slept for over 12 hours after a big night on the turps Cool

Oh and my sleep doctor is less knowledgeable than me so there is no guidance to be had from her Rolleyes

Any hints, thoughts, or suggestions are welcome.

Thanks,
Shaun
06-04-2015 07:51 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,395
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: #2
RE: My results so far
What is the approximate distribution of OA, CA, H? Are they random, or clustered?

If you want to post data, this tutorial explains how. https://sleep.tnet.com/reference/tips/imgur

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
06-04-2015 08:47 AM
Find all posts by this user Post Reply Quote this message in a reply
tedburnsIII Offline

Members

Posts: 196
Joined: Mar 2015

Machine: 3B RESmart APAP
Mask Type: Nasal mask
Mask Make & Model: Wisp nasal; ResMed FX nasal
Humidifier: came with unit-I vary it, currently set at '3', '5' is max
CPAP Pressure: 10 cm CPAP
CPAP Software: Other Software

Other Comments: Dx moderately severe OSA. Overnight pulse oximeter-CMS50D Plus

Sex: Male
Location: San Diego

Post: #3
RE: My results so far
(06-04-2015 07:51 AM)Veilsd Wrote:  So I have been on CPAP since early January including my trial. My sleep study showed and AHI of 22 or thereabouts which I think was actually one of my good nights! I was recommended a pressure of 13.3 and I chose to get a Resmed Airsense Autoset 10 and Resmed Airfit P10.

I started off with a minimum pressure of 6, and maximum of 13. My AHI was down to an average of 9-10 but didn't improve after 4 weeks at those settings.

I have since adjusted my settings after every 2 weeks or so and I am now getting mostly AHI of 4.5-5.5 with the odd 9-10 thrown in! My pressure settings are minimum of 9, maximum of 15. No ramp and an EPR of 1.

I found changing to constant pressure made no improvement it only made me dry mouthed in the morning so I changed it back to Auto.

I have since day one had high leak levels of between 25-45 and my average over 5 months is 35l/min. I can not improve this with my current nasal pillows. Do you think the leak level would affect my AHI's?

On my trial I tested a nasal mask and it gave me bad sores so I cannot use a mask that touches my face.

I have found the Airfit P10 to be great. I get a full night sleep every night, I never wake up gasping for air or any other issues. I have even slept for over 12 hours after a big night on the turps Cool

Oh and my sleep doctor is less knowledgeable than me so there is no guidance to be had from her Rolleyes

Any hints, thoughts, or suggestions are welcome.

Thanks,
Shaun

I have seen many anecdotally report that unless their AHI for a given night is <1.0, they don't feel particularly great. I'd say there's some truth to that in my case. One wants consistent 5.0 or less, in any event.
06-04-2015 05:14 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Veilsd Offline

Preferred Members

Posts: 23
Joined: Mar 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10
Humidifier: Resmed
CPAP Pressure: 6-13mm H2O
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Australia

Post: #4
RE: My results so far
I usually have events in clusters yes but its not always the case. Some nights I have a consistent amount of events throughout the night and not just in one or two clusters.
I find for the first few hours of use there are no events but then hells gates open.

The distribution between OA,CA, and H for the last 30 days are as follows;

Obstructive- 5.7
Central- 1.4
Unknown- 0.4
Hypopnea- 0.3

I might try to upload some data
06-06-2015 11:11 PM
Find all posts by this user Post Reply Quote this message in a reply
Veilsd Offline

Preferred Members

Posts: 23
Joined: Mar 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10
Humidifier: Resmed
CPAP Pressure: 6-13mm H2O
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Australia

Post: #5
RE: My results so far
Two nights data, last night and one of my better nights of 4.8 AHI (2nd June). Let me know if you wanted to see some of the data that I haven't shown in the screen grabs.

The 1hr+ break in last night was me getting up to watch F1 Qualifying..

[Image: fIPq6dcl.png?1]

[Image: dMsQ2pEl.png?1]
(This post was last modified: 06-06-2015 11:51 PM by Veilsd.)
06-06-2015 11:49 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #6
RE: My results so far
Hi Shaun. Yeah, big leak trouble there. As you are using a pillows mask, the leaks may be coming from the mask itself or from your mouth. The mask might not be sealing properly against your nostrils or might be getting dislodged when you move around. Alternatively it might be leaking from your mouth, in which case you need to train yourself to seal off your mouth using your tongue and/or use a chin strap to help keep the mouth closed. Your bed partner might be able to advise on the nature of the leaks.

Any AHI measurement during periods of large leaks is suspect. The main priority is to get the leaks under control. If you can't do this with the P10, you might need to try a full face mask and use a liner to prevent direct contact between the mask and your skin.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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.
06-07-2015 05:07 AM
Find all posts by this user Post Reply Quote this message in a reply
Veilsd Offline

Preferred Members

Posts: 23
Joined: Mar 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10
Humidifier: Resmed
CPAP Pressure: 6-13mm H2O
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Australia

Post: #7
RE: My results so far
Yeah bugger, I did suspect the high leaks could be an issue. I have always had them but at first I knew it was bad fitment because I would wake up, now I don't wake up. My Wife left me so I have no bed partner so I'm on my own there lol. I will try a chin strap but a larger mask is pretty much out of the question as I sleep with my face in the pillow, and there is huge pressure even on a nasal mask against my face, causing bruising and sores.
06-07-2015 06:14 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
OpalRose Offline

Monitors

Posts: 3,181
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: #8
RE: My results so far
Veilsd,
Look at the high leaks above the red line and compare to the events chart, and you can see most of those events occur during that time of high leaks. This is the number one thing you must work on to fix.

Now if you like the P10 mask, be sure you are using the correct pillow size. Try one size larger or one size smaller. Experiment. Use a nasal gel or a lanolin cream. It helps seal the pillows.
You can also use a Hose Buddy and route the hose up over your head so you don't bump it in the middle of the night. Other than that, try a chin strap.

OpalRose
06-07-2015 06:23 AM
Find all posts by this user Post Reply Quote this message in a reply
MobileBasset Offline

Advisory Members

Posts: 198
Joined: May 2015

Machine: ResMed AIRCURVE 10 V Auto
Mask Type: Nasal mask
Mask Make & Model: Fisher Paykel Zest
Humidifier: Integrated
CPAP Pressure: 10 (minE 6,maxI 12, PS 3)
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Female
Location: Florida

Post: #9
RE: My results so far
The structure and timing of my leaks/AHI graph was similar to yours (different numbers) and an effective chin strap totally solved the problem.

if you can't decide then you don't have enough data.
06-07-2015 07:15 AM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Veilsd Offline

Preferred Members

Posts: 23
Joined: Mar 2015

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10
Humidifier: Resmed
CPAP Pressure: 6-13mm H2O
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: Australia

Post: #10
RE: My results so far
(06-07-2015 06:23 AM)OpalRose Wrote:  Veilsd,
Look at the high leaks above the red line and compare to the events chart, and you can see most of those events occur during that time of high leaks. This is the number one thing you must work on to fix.

Now if you like the P10 mask, be sure you are using the correct pillow size. Try one size larger or one size smaller. Experiment. Use a nasal gel or a lanolin cream. It helps seal the pillows.
You can also use a Hose Buddy and route the hose up over your head so you don't bump it in the middle of the night. Other than that, try a chin strap.

The small pillow doesn't allow enough air through and I struggle to breathe, and the large leaks very easily as it is just too big. I use the medium and it seems very good. I have my hose wrapped around my metal bed head and it can slide back and forth as I move. I will definitely try a chin strap.

(06-07-2015 07:15 AM)MobileBasset Wrote:  The structure and timing of my leaks/AHI graph was similar to yours (different numbers) and an effective chin strap totally solved the problem.

Thanks, I will try a chin strap first and if it doesn't help I will try a nasal mask.
06-07-2015 07:30 AM
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
  Got my diagnostic, MSLT, and CPAP titration results Beej 6 94 Yesterday 11:41 PM
Last Post: Beej
  Sleep latency -study results Dagmar 1 99 12-06-2016 10:04 PM
Last Post: chill
  [Diagnosis] Waiting for sleep study results...got Pulse Ox in the meanwhile jds2001 10 330 12-01-2016 03:13 AM
Last Post: kwhenrykerr
Question First Machine, First Night, First results..Help please? SJGino 9 414 11-18-2016 11:55 PM
Last Post: SJGino
  Results Intrepretation GrahamSA 5 352 10-26-2016 08:52 AM
Last Post: Beej
  newbie questions re sleep test results Frances 4 341 10-20-2016 08:21 AM
Last Post: cate1898
  Relative Newby. Need Help w/ Sleepyhead Results Violetskyye 11 625 10-02-2016 10:44 PM
Last Post: Violetskyye

Forum Jump:

Who's Online (Complete List)