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Next step(s) after getting AHI <5
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Lupinus Offline

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Posts: 1
Joined: Apr 2016

Machine: Resmed S8 Spirit II Autoset
Mask Type: Full face mask
Mask Make & Model: Quattro Air
Humidifier: None
CPAP Pressure: 14-20 cmH2O
CPAP Software: Not using software

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Sex: Male
Location:

Post: #11
RE: Next step(s) after getting AHI <5
Quote:Still struggling with mask leakage and fitting (sore on bridge of nose) but think this is typical in adjusting to CPAP.

I thought so too when I first started until I got a huge blister on the bridge of my nose that was so painful that I couldn't wear my mask. After it healed I started using a Quattro Air mask and haven't had any problems with the bridge of my nose since then. I do sometimes have leaks (but not always) that I'm still trying to figure out but at least I can wear my mask. I've only been using an APAP since about October so still trying to figure it all out.
04-29-2016 12:05 AM
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palerider Offline

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Posts: 440
Joined: Nov 2014

Machine: s9 vpap auto
Mask Type: Nasal pillows
Mask Make & Model: p10
Humidifier: none
CPAP Pressure: 18/13+
CPAP Software: SleepyHead

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Sex: Male
Location: Dallas(ish)

Post: #12
RE: Next step(s) after getting AHI <5
I never had any soreness on my nose with my FFM (mirage quattro)
04-29-2016 12:23 AM
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srlevine1 Offline

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Posts: 229
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

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Sex: Male
Location: Westlake Village, California USA

Post: #13
RE: Next step(s) after getting AHI <5
(04-28-2016 12:50 PM)Roy289 Wrote:  New APAP user (in third week)

Noticed that many CA'S clustered when transitioning out of and into sleep. My habit was to stay in bed snoozing after waking but now get out of bed when awake. This change alone seems to bring the AHI below 5.

I noticed something when I looked closely at my own sleep patterns. I appear to have a nasty habit of holding my breath when I turn over and that appears to generate a CA.

The other thing I used to do was stay in bed snoozing for another ten minutes. I also found that I could bring the numbers down if I turned off the machine and took off the mask when I awoke to the alarm. I never go back to sleep so I figure no harm, no foul -- and it reduces my total AHI.

Best of luck on your quest.

"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
04-29-2016 01:22 AM
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Roy289 Offline

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Posts: 77
Joined: Apr 2016

Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

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Sex: Male
Location: Canada

Post: #14
RE: Next step(s) after getting AHI <5
Changed the pillow insert on the F&P 405 nasal mask from Med to Large and no longer have the mask pressing on bridge of my nose. The Large has slightly larger nose opening so mask isn't resting on bridge of nose as when using the Med pillow.

Last night had AHI 5.5 but this was due to last half hour. I woke at 5:59am and began CSR periodic breathing which lasted for 35 min (until I took mask off) with 31 CA. Cycle was large breath then waning breaths followed by a CA, then repeating, each cycle about 8 breaths. Not sure what to make of this but perhaps it was hyperventilation?
04-29-2016 07:40 AM
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OpalRose Offline

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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: #15
RE: Next step(s) after getting AHI <5
(04-29-2016 07:40 AM)Roy289 Wrote:  Changed the pillow insert on the F&P 405 nasal mask from Med to Large and no longer have the mask pressing on bridge of my nose. The Large has slightly larger nose opening so mask isn't resting on bridge of nose as when using the Med pillow.

Last night had AHI 5.5 but this was due to last half hour. I woke at 5:59am and began CSR periodic breathing which lasted for 35 min (until I took mask off) with 31 CA. Cycle was large breath then waning breaths followed by a CA, then repeating, each cycle about 8 breaths. Not sure what to make of this but perhaps it was hyperventilation?

Roy289,
Post a screenshot of the following graphs: events, flow rate, pressure, leak.
Include the detailed stats to the left of graphs. Eliminate calendar if necessary to fit everything in.

OpalRose
04-29-2016 09:27 AM
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Roy289 Offline

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Posts: 77
Joined: Apr 2016

Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

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Sex: Male
Location: Canada

Post: #16
RE: Next step(s) after getting AHI <5
here is snapshot of CSR with CA

[Image: screenshot-20160429-103816.png]
(This post was last modified: 04-29-2016 10:19 AM by Roy289.)
04-29-2016 09:53 AM
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PaytonA Online
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Posts: 3,020
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Orange County,California

Post: #17
RE: Next step(s) after getting AHI <5
(04-29-2016 01:22 AM)srlevine1 Wrote:  I noticed something when I looked closely at my own sleep patterns. I appear to have a nasty habit of holding my breath when I turn over and that appears to generate a CA.

Best of luck on your quest.

Do you really hold your breath for over 10 seconds when you roll over? If not then you are not scoring CAs when you roll over. I initially thought the same thing but did some testing and decided that was not a problem for me.

Best Regards,

PaytonA
04-29-2016 10:09 AM
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FrankNichols Offline

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Joined: Mar 2016

Machine: AirSense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed F10 and/or P10
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CPAP Pressure: 17-19
CPAP Software: ResScan SleepyHead Other Software

Other Comments: I've figured out how to get my AHI down to 5, I quit sleeping!

Sex: Male
Location: Live Oak, Florida

Post: #18
RE: Next step(s) after getting AHI <5
(04-29-2016 10:09 AM)PaytonA Wrote:  
(04-29-2016 01:22 AM)srlevine1 Wrote:  I noticed something when I looked closely at my own sleep patterns. I appear to have a nasty habit of holding my breath when I turn over and that appears to generate a CA.

Best of luck on your quest.

Do you really hold your breath for over 10 seconds when you roll over? If not then you are not scoring CAs when you roll over. I initially thought the same thing but did some testing and decided that was not a problem for me.

Best Regards,

PaytonA

On a totally unrelated question - if you held your breath while awake would it show up as a CA? On a ResMed machine and/or on SH?

I am not a Medical professional and I don't play one on the internet.
Started CPAP Therapy April 5, 2016
I'd Rather Be Sleeping
04-29-2016 10:22 AM
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PaytonA Online
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Posts: 3,020
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Orange County,California

Post: #19
RE: Next step(s) after getting AHI <5
If you held your breath fro over 10 seconds while awake and masked up, it will show up as an apnea. Whether it shows up as a CA or an OA depends on how you held your breath. The machine does not know whether you are asleep or awke and merrily records whether you are breathing or not regardless. This commentary presumes that you are not in the middle of ramp.

Best Regards,

PaytonA
04-29-2016 12:01 PM
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Roy289 Offline

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Posts: 77
Joined: Apr 2016

Machine: ResMed AirSense™ 10 AutoSet™ for Her CPAP w/ HumidAir™ Humidifier
Mask Type: Nasal mask
Mask Make & Model: P&S 405
Humidifier: Climateline
CPAP Pressure: 7-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #20
RE: Next step(s) after getting AHI <5
(04-29-2016 09:53 AM)Roy289 Wrote:  here is snapshot of CSR with CA

[attachment=2422]
(This post was last modified: 05-07-2016 07:15 PM by Roy289.)
05-07-2016 06:59 PM
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