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Sunrise08 Offline

Members

Posts: 6
Joined: Jul 2015

Machine: ResMed AirSense10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: Unsure
CPAP Pressure: 6
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Michigan

Post: #1
Newbie
Hi, all!

I'm new to the CPAP - been using about 3 1/2 weeks. I'm using a ResMed AirSense 10 and SwiftFX nose pillows, with a ramp up from 4 to 6. The SleepyHead software indicates that my AHI averages less than 5 a night. I'm still extremely tired, though.

I notice that last night, even though my AHI is 4.52, it spikes up as close to 18 in the wee hours of the night.

I went to bed about 10:50 PM, and from about 3:25 AM to about 4:45 AM, my AHI is consistently over 5 and going as high as 18. My total time in apnea was 00:08:17 last night.

Is this to be expected and considered good results? Or does it indicate that pressure of 6 is not enough for me?

I used the machine for a total of about 8 1/2 hours - one break of about 10 minutes near 1 AM.

I'll welcome any thoughts from this wonderful group!
07-24-2015 03:38 PM
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trish6hundred Offline

Advisory Members

Posts: 6,436
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: #2
RE: Newbie
Hi Sunrise08,
WELCOME! to the forum.!
Hang in there for suggestions and answers to your questions and much success to you.

trish6hundred
07-24-2015 09:19 PM
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kaiasgram Offline

Advisory Members

Posts: 241
Joined: Aug 2013

Machine: S9 VPAP Auto
Mask Type: Nasal pillows
Mask Make & Model: Aloha
Humidifier: H5i
CPAP Pressure: 8-10
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Northern California

Post: #3
RE: Newbie
Hi Sunrise: Could you clarify -- Is your machine the Airsense 10 Elite or Autoset?

And what is the breakdown of your AHI events (obstructive apnea, hypopnea, central apnea)? When the AHI is too high it is important to know what types of events are occurring before figuring out what to do about it.

The effectiveness of CPAP is generally based on the AHI for the night as a whole. It's not unusual to see events clustered in smaller chunks of time because apnea events often occur most frequently when sleeping supine and in REM stage sleep. So just looking at a one hour period isn't necessarily a good way to evaluate.

When you're able to post some screenshots of your SleepyHead reports we might be able to see some issues that aren't reflected in the AHI like snores and flow limitations. AHI is not the whole story of optimal CPAP therapy.
(This post was last modified: 07-24-2015 09:47 PM by kaiasgram.)
07-24-2015 09:37 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: #4
RE: Newbie
(07-24-2015 03:38 PM)Sunrise08 Wrote:  Is this to be expected and considered good results? Or does it indicate that pressure of 6 is not enough for me?

I used the machine for a total of about 8 1/2 hours - one break of about 10 minutes near 1 AM.

I'll welcome any thoughts from this wonderful group!
Sleeping 8 1/2 hours is good results in such short time ... congrats
Its not usual to have AHI on high side when starting out, will come down in due course

[Image: ResMed-AirSense-10.png]
[should say "AutoSet, AutoSet for Her, Elite or CPAP"]

Which one is your machine?
07-24-2015 10:23 PM
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OpalRose Offline

Monitors

Posts: 3,168
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: #5
RE: Newbie
Sunrise08,
Welcome to Apnea Board,
Until you are able to post screenshots, which is after about 8 posts, look on Sleepyhead, and give us a breakdown of your apnea events:
Hypopneas, Obstructives, clear airways, flow limitations, snores, RERAs.
Also, can you tell us your 90% and average pressure numbers?
It's possible that a starting pressure of 6 is just too low for you, but changes should only be made based on above information.

OpalRose
07-25-2015 06:37 AM
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Sunrise08 Offline

Members

Posts: 6
Joined: Jul 2015

Machine: ResMed AirSense10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: Unsure
CPAP Pressure: 6
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Michigan

Post: #6
RE: Newbie
Hi, all!

Thank you so much for your responses (including the reassurance from trish6hundred that I would get responses Smile)

I'm using the Airsense 10 Autoset - thanks for pointing out that there's a difference between Autoset, Elite, etc. - I didn't know that, and have updated my profile.

Breakdown of apnea events for 7/23/15 -
Large Leak 0.00%
Clear Airway 1.79
Obstructive 2.02
Unclassified Apnea 0.00
Hypopnea 0.71
RERA 0.00

Last night (7/24/15) the AHI was 5.82 with a breakdown of -
Large Leak 0.00%
Clear Airway 1.40
Obstructive 4.31
Unclassified Apnea 0.00
Hypopnea 0.12
RERA 0.00

Pressure -
Average Pressure 5.79
Min Pressure 4.00
Max Pressure 6.00
90% Pressure 6.00

Duration of use - I was able to use the CPAP again for 8 1/2 hours last night, but last night and the night before were the first nights I've used it for over 8 hours. For any other newbies that might read this, I don't want to give the impression that it's been easy. I've really struggled with the CPAP machine - especially with anxiety, but I'm very motivated to improve my sleep.

Thanks, again! I'll greatly welcome any input.
07-25-2015 09:27 AM
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OpalRose Offline

Monitors

Posts: 3,168
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: #7
RE: Newbie
Your clear airway events are low, so wouldn't worry about that. It could be from sleeping on your back, so try to sleep on side as much as possible.

Your Obstructives can come down with pressure adjustments. If the pressure doesn't bother you, you could turn off the ramp. A lot of folk don't like it, and it makes it harder to inhale at a low pressure.

If I were you, I would change the machine to Auto mode instead of straight CPAP, with a range of minimum 7 and maximum 10, then watch your number for a week to 10 days.

Get the Clinicial Manual for your machine (top of page) for directions on changing pressure.

OpalRose
07-25-2015 09:52 AM
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Sunrise08 Offline

Members

Posts: 6
Joined: Jul 2015

Machine: ResMed AirSense10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: Unsure
CPAP Pressure: 6
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Michigan

Post: #8
RE: Newbie
Thanks, OpalRose! I went to the link you directed me to, at the top of the page, and have requested a copy of the manual for my CPAP machine. Thanks for the information!
07-25-2015 01:15 PM
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AlanE Offline

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: #9
RE: Newbie
Welcome

Looks like you are in APAP if you have a range instead of a set pressure. I've only been in APAP since I started so not sure if CPAP mode gives the same range. I would agree with OpalRose on the pressure. 10% of the time you are at your max pressure of 6. Are you using EPR, Ramp?

Having increased pressure helps with the feeling of being smothered. It took me awhile to get used to wearing the mask. Sleep Study guy told me to force myself to use it for 8 weeks. That's pretty close to how long it took me. Now I won't go to sleep without it. It's sort of comforting now. weird, but I'm that way.

Also, good job on keeping the leaks down.



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
07-25-2015 01:26 PM
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Sunrise08 Offline

Members

Posts: 6
Joined: Jul 2015

Machine: ResMed AirSense10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: Unsure
CPAP Pressure: 6
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Michigan

Post: #10
RE: Newbie
Thanks for your reply! I'm not sure if I'm in APAP, or if it's CPAP but the Ramp feature makes it look like there's a range. I'll have to play around with the settings and read the clinician manual to start to understand the finer points. I appreciate your feedback!
07-25-2015 06:41 PM
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