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New patient, AHI still high and I'm still snoring
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Daisylouu Offline

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Posts: 69
Joined: Jun 2015

Machine: Philips Respironics Rem star Auto
Mask Type: Hybrid
Mask Make & Model: Mirage Liberty
Humidifier: unsure
CPAP Pressure: 8-16
CPAP Software: Other Software

Other Comments:

Sex: Female
Location:

Post: #1
New patient, AHI still high and I'm still snoring
Pressure was fixed at 8 and my ahi was averaging 23. They programmed it to vary between 8-12 and I'm still showing ahi of between 9-18 and I'm still snoring. My original sleep study before treatment was averaging 19 (but 31 during REM sleep).....so it seems nothing is helping me. I'm a 50-yr old female weighing 120 lbs. I wear the mirage liberty mask because I can not have anything on he bridge of my nose due to prior broken (crushed) nose, and I am a mouth breather. Can not sleep on my side due to shoulder and back pain. Do I give up on cpap?
(This post was last modified: 06-30-2015 05:14 PM by Daisylouu.)
06-30-2015 05:13 PM
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DariaVader Offline
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Monitors

Posts: 1,820
Joined: Nov 2014

Machine: Resmed S9 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: Airfit P10 for Her
Humidifier: H5i humidifier with ClimateLine heated hose
CPAP Pressure: 8-15
CPAP Software: SleepyHead

Other Comments: diabetes II, Thyroidectomized, Primary Immune Deficiency, and the list goes on :P

Sex: Female
Location: Oregon

Post: #2
RE: New patient, AHI still high and I'm still snoring
maybe you still need a higher dose of air to keep that airway open! don't give up yet, try everything!!! Smile

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
  • Place your tongue behind your front teeth on the roof of your mouth
  • let your tongue fill the space between the upper molars
  • gently suck to form a light vacuum
Practising during the day can help you to keep it at night

هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
06-30-2015 05:16 PM
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parkerdt Offline

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Posts: 256
Joined: May 2015

Machine: ResMed A10 AutoSet
Mask Type: Other
Mask Make & Model: WISP, Nuance
Humidifier: Climate Hose and included humidifier
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: I alternate between WISP and fabric Nuance - like both!

Sex: Male
Location: Mebane, NC

Post: #3
RE: New patient, AHI still high and I'm still snoring
My AHI was still high the first two weeks. It takes a while to get used to the therapy. You may want to try a different mask; AirFit P10 is popular here as well as the Fisher and Paykel Pilairo Q, and Respironics Nuance.

With that level of AHI during your sleep study, you need this to work for you; find a comfortable mask and it is much easier!
06-30-2015 05:36 PM
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TyroneShoes Offline

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Posts: 505
Joined: Oct 2014

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: Resmed H5i
CPAP Pressure: 10-14
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location:

Post: #4
RE: New patient, AHI still high and I'm still snoring
Oh, its helping.

Just not enough yet because you are not fully dialed in and you are new and have not adjusted physically yet to the therapy.

I had a home test at 57.7 AHI, and under therapy my AHI was ~20 for the first few days. Now it is well under 2.

It might be worth while to get SleepyHead software and figure out from that where your events are happening, pressure-wise. This can inform the therapy and let you make strategic changes to the pressure based on that.

Folks here are most-familiar with that software, so if you post your overnights here, there are a lot of smart folks that can advise you.

Going from a straight 8 to 8-13 seems to show a reduction in AHI, so that is a possible indicator that your minimum pressure should be raised a little bit. But we need the big picture to really know.
06-30-2015 05:47 PM
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AlanE Online

Advisory Members

Posts: 1,491
Joined: Mar 2015

Machine: ResMed AirSense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: P10 & Mirage Liberty backup
Humidifier: Built-in
CPAP Pressure: 10-14
CPAP Software: ResScan SleepyHead

Other Comments: ʕ•ᴥ•ʔ So Long, and Thanks for All the Fish

Sex: Male
Location: Southwest Florida

Post: #5
RE: New patient, AHI still high and I'm still snoring
Give up on cpap? no, you know better than that. Wink

You have a good mask for the pressure you are currently on. How long on therapy? Are you experiencing leaks? How do you feel in the morning? Are you pulling the mask too tight? If your machine has it, are you using ramp? EPR? There are a lot of variables. The Liberty does loosen up a little more when you lay on your back. This will increase leaks. You'll need to tighten the mask a little more than normal but not so tight you feel your pulse under your nose. I recently changed my pillow and now I'm able to sleep on either side and back with minimal impact on the mask. I know you said you can't lay on your side but could you if you had the proper support?

I will agree with the consensus and check out Sleepyhead and try other masks. See if your DME has the Amara View in yet. It's close to the Liberty but doesn't have pillows and doesn't come up as high as other full face masks.



Using FlashAir W-03 SD card in machine. Access through wifi with FlashPAP or Sleep Master utilities.

I wanted to learn Binary so I enrolled in Binary 101. I seemed to have missed the first four courses. Big Grinnie
06-30-2015 06:06 PM
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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: #6
RE: New patient, AHI still high and I'm still snoring
But what was her lab-titrated recommended optimal pressure?
But what was her lab-titrated recommended optimal pressure?
But what was her lab-titrated recommended optimal pressure?
But what was her lab-titrated recommended optimal pressure?
But what was her lab-titrated recommended optimal pressure?

Thinking-about
06-30-2015 06:12 PM
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zonk Offline

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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: #7
RE: New patient, AHI still high and I'm still snoring
(06-30-2015 05:13 PM)Daisylouu Wrote:  Do I give up on cpap?
As John McEnroe would say .... you cannot be serious Smile
Seriously, giving up is not the answer, only compound the problem

Your pressure might be some adjustment buy you'll need the software to see whats exactly going on

You'll find out whether having large leaks and if pressure maxing out
Also, the breakdown of AHI events, obstructive, clear airways, hypopneas
If clear airways predominates, pressure adjustment is not going helps
Best, get on the phone and schedule an appointment with your sleep doc, asap
06-30-2015 06:29 PM
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trish6hundred Offline

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Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #8
RE: New patient, AHI still high and I'm still snoring
Hi Daisylouu,
WELCOME! to the forum.!
I know CPAP therapy can take some getting used to but don't give up on it. The mask is the most difficult part of this whole thing so don't be shy about asking
to try different masks 'till you find what works for you.
Hang in there for more suggestions and much success to you with your CPAP therapy and getting it fine tuned.

trish6hundred
06-30-2015 06:34 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: #9
RE: New patient, AHI still high and I'm still snoring
BTW, PR System One Auto have something called ... auto-trial and CPAP check modes
Read about here: http://www.medical.philips.com/pwc_hc/us...ndAuto.pdf

If you have done so already, the clinical manual available via email, provide information about your machine, msissing from the user guide
http://www.apneaboard.com/adjust-cpap-pr...tup-manual

PRS1 setup http://www.apneaboard.com/pr-system-one-...structions
06-30-2015 06:41 PM
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Daisylouu Offline

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Posts: 69
Joined: Jun 2015

Machine: Philips Respironics Rem star Auto
Mask Type: Hybrid
Mask Make & Model: Mirage Liberty
Humidifier: unsure
CPAP Pressure: 8-16
CPAP Software: Other Software

Other Comments:

Sex: Female
Location:

Post: #10
RE: New patient, AHI still high and I'm still snoring
I feel so clueless and virginal in this world of cpap confusion!! I like my liberty mask and adjusted pretty well to it (it was my 4th option on my titration study night). It took me 3 days until I could sleep all night and I have zero leaks.

My machine sends reports to my doctor, and I can check my ahi. But forgive me, but what is SleepyTime? How do I synch it with my machine and will it screw up the current wireless that monitors my machine??

Also, what is "periodic breathing"? Mine says 3%

I have an ap on my iphone "Sleep Talk" and it records my sounds sleeping....I snore pretty consistently from 11:00 PM until 1:00 PM. Then quiet down and have about 10 few-second snores/gasps the rest of the night until 5:30am.

My ahi is less earlier in the night when I'm snoring....and increases later in the night when I am quieter and not snoring as much.

Doctor wants me to try this for 6 weeks. Is that too long to wait until they adjust again?

Sorry for sounding so uneducated

Also, is there a way to see how much pressure was used during the night? When I turn it on, it just says 8.
(This post was last modified: 06-30-2015 07:30 PM by Daisylouu.)
06-30-2015 07:27 PM
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