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New user with issues
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cmichalek Offline

New Members

Posts: 1
Joined: Sep 2016

Machine: Resmed Air 10
Mask Type: Full face mask
Mask Make & Model: Amara view
Humidifier: Resmed Air 10
CPAP Pressure: 4-20
CPAP Software: Not using software

Other Comments:

Sex: Male
Location: usa

Post: #1
New user with issues
Hello All,

2 weeks into CPAP therapy. Still tired and waking up 5-7 times a night.

I have the Resmed Airsense 10 which says I went from 588 apneas during my sleep test (488 Obstructive 54 Central 46 mixed) to AHI under 5. So the therapy is working, but I'm still waking up alot during the night and still tired.

I contacted the seller of the resmed and he said my pressure may be too high (when I wake up its very hard to go back to sleep because of the air pressure) and he told me to reduce it (My machine was supposed to Auto and ramp up but it does not seem to ramp down when I wake).

Any help appreciated.

Charles
09-20-2016 05:26 PM
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srlevine1 Offline

Advisory Members

Posts: 226
Joined: Sep 2015

Machine: ResMed Airsense Autoset (S10)
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage Activa LT
Humidifier: Internal to S10
CPAP Pressure: 12-15.6
CPAP Software: ResScan SleepyHead Other Software

Other Comments:

Sex: Male
Location: Westlake Village, California USA

Post: #2
RE: New user with issues
(09-20-2016 05:26 PM)cmichalek Wrote:  Hello All,

2 weeks into CPAP therapy. Still tired and waking up 5-7 times a night.

I have the Resmed Airsense 10 which says I went from 588 apneas during my sleep test (488 Obstructive 54 Central 46 mixed) to AHI under 5. So the therapy is working, but I'm still waking up alot during the night and still tired.

I contacted the seller of the resmed and he said my pressure may be too high (when I wake up its very hard to go back to sleep because of the air pressure) and he told me to reduce it (My machine was supposed to Auto and ramp up but it does not seem to ramp down when I wake).

Any help appreciated.

Charles

The ramp up in the beginning of the session is a comfort issue and is a fixed event. The machine does not know when you are awake or asleep and the pressure after the ramp period is controlled by the algorithmic sensing of your breathing and is trying to minimize your adverse events.

About waking up tired, have you checked your oxygen levels with a pulse-oximeter as you may not be getting enough oxygen -- which may leave you tired.

Have you downloaded either ResScan or Sleepyhead (see the links on the forum title bar) to view your data in detail since your machine appears to be "data capable?" Are there any other co-morbidities such as restless legs syndrome, kidney issues, or aches and pains, that could account for your awakenings? Are there any environmental issues such as blue leds, noise, temperature, that could also account for awakenings?

Best of luck. Perhaps some of the other forum members will have additional ideas.

"The object in life is not to be on the side of the majority, but to escape finding oneself in the ranks of the insane." -- Marcus Aurelius
09-20-2016 07:29 PM
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trish6hundred Offline

Advisory Members

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: #3
RE: New user with issues
Hi cmichalek,
WELCOME! to the forum.!
I wish you much luck with your CPAP therapy, hang in there for more responses to your post.

trish6hundred
09-20-2016 08:31 PM
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chill Offline

Advisory Members

Posts: 852
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #4
RE: New user with issues
Welcome!

First off, give it time. Two weeks is nothing. Waking up often is not unusual. Don't forget: you are strapped into this system, it is not all digital. Some is squidgy meat bag (aka you). Make allowances for the squidgy meat bag factor.

Second, your machine is set to wide open (4-20). In most cases, that sucks. Badly. Did you not have a titration test? Starting at 4 means that (a) you might feel air starved and (b) when things start going badly, it likely has a long, long way to go to get up to an effective treatment pressure. So either you are having events while it increases to where it needs to be, or it never gets there, or you get awoken by the pressure increases. APAP is very useful, wide open is not unless your pressure needs are relatively low.

When you wake up, turn the machine off and on again to reset the pressure. At least then you can go back to sleep.

Beyond this, it is all guessing. Get SleepyHead (top of page) and start looking at your data and post the graphs here to ask for advice. FWIW, I am six months into this, finally waking up only once a night, and still sleepy most days. It is a work in progress. But I'd rather have all my teeth pulled out than lose this machine. I am still sleepy, but much better than I was.
09-21-2016 12:39 AM
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livingwithapnea Offline

Members

Posts: 15
Joined: Sep 2016

Machine: ResMed Airsense 10
Mask Type: Nasal mask
Mask Make & Model: ResMed FX Quarto
Humidifier: Airsense 10
CPAP Pressure: 10-16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Salt Lake City, Utah

Post: #5
RE: New user with issues
It was said above, but yes when you wake you will want to hit stop and start in top of your machine. That will reset your ramp. I would say auto with a range would be good. Use the software to see where your challenges are and consider an auto set. More pressure is not better, and it is possible that your pressure is too high. It may be that your autoset feature is not turned on
09-21-2016 01:08 AM
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Tez62 Offline

Monitors

Posts: 837
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Melbourne, Australia

Post: #6
RE: New user with issues
Welcome cmichalek, all the others have mentioned it but download the software and post it on here, you maybe getting mask leaks which maybe waking you up, when you get to it you want your 95% Leaks to be below 24L, unfortunately for some people it takes time and patients, good luck with it.
09-21-2016 07:43 PM
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