Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Positional Apnea.
#1
Positional Apnea.
Since starting Apap 6 weeks ago and using Sleepyhead i noticed that my events came in clusters. I suspected that this was due to me turning over and sleeping on my back. Needed to prove this and found an app for my Ipad that records me when i move and also shows the time. When compared sleepyhead data this morning it correlated exactly with the video evidence. So sleeping on my back really stimulates my apnea events. Here's hoping i can find a good way to prevent back sleeping. Anyone for tennis?
Post Reply Post Reply
#2
RE: Positional Apnea.
A wedge or body pillow might help keep you propped tilted to a side, preferably the left if you have GERD (reflux) as it will help reduce that, too.
                                                                                                                          
Note: I'm an epidemiologist, not a medical provider. 
Post Reply Post Reply
#3
RE: Positional Apnea.
(01-28-2017, 12:18 PM)Beej Wrote: A wedge or body pillow might help keep you propped tilted to a side, preferably the left if you have GERD (reflux) as it will help reduce that, too.

Thanks. Don't have gerd in fact Apap has stopped overnight indigestion totally.
Post Reply Post Reply
#4
RE: Positional Apnea.
Amazon shows a number of body pillows that might work as does Google Shopping

Some baby crib wedges might work too, plus having washable covers.
                                                                                                                          
Note: I'm an epidemiologist, not a medical provider. 
Post Reply Post Reply
#5
RE: Positional Apnea.
Pregnancy pillows are actually really good for stopping you from sleeping on your back. You can find ones that are a little more ergonomic than a traditional body pillow.
Post Reply Post Reply
#6
RE: Positional Apnea.
(01-28-2017, 11:52 AM)Johnboy Wrote: Since starting Apap 6 weeks ago and using Sleepyhead i noticed that my events came in clusters. I suspected that this was due to me turning over and sleeping on my back. Needed to prove this and found an app for my Ipad that records me when i move and also shows the time. When compared sleepyhead data this morning it correlated exactly with the video evidence. So sleeping on my back really stimulates my apnea events. Here's hoping i can find a good way to prevent back sleeping. Anyone for tennis?

JB, take a look at your pressure stats on the machine.  According to your profile it is set to a default 4-20.  I think you should set the minimum pressure to either your current average pressure, or to within 2 cm of your 90% pressure.   Simply put, the Philips Dreamstation is not capable of increasing pressure fast enough when you roll over onto your back to prevent these apnea clusters.   You may find that if you give it this head-start, you can freely turn onto your back without experiencing the clusters of events.  I would forego trying to change your sleep position until you have tried some additional minimum pressure.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
Post Reply Post Reply
#7
RE: Positional Apnea.
(01-28-2017, 02:13 PM)Sleeprider Wrote:
(01-28-2017, 11:52 AM)Johnboy Wrote: Since starting Apap 6 weeks ago and using Sleepyhead i noticed that my events came in clusters. I suspected that this was due to me turning over and sleeping on my back. Needed to prove this and found an app for my Ipad that records me when i move and also shows the time. When compared sleepyhead data this morning it correlated exactly with the video evidence. So sleeping on my back really stimulates my apnea events. Here's hoping i can find a good way to prevent back sleeping. Anyone for tennis?

JB, take a look at your pressure stats on the machine.  According to your profile it is set to a default 4-20.  I think you should set the minimum pressure to either your current average pressure, or to within 2 cm of your 90% pressure.   Simply put, the Philips Dreamstation is not capable of increasing pressure fast enough when you roll over onto your back to prevent these apnea clusters.   You may find that if you give it this head-start, you can freely turn onto your back without experiencing the clusters of events.  I would forego trying to change your sleep position until you have tried some additional minimum pressure.
Thanks sleeprider. Actually i need to update the settings info. My settings are actually now 13-20. I have never been able to work out what 90% pressure means.
Post Reply Post Reply
#8
RE: Positional Apnea.
What is your average pressure? On #Sleepyhead and on your machine you can find your 90th percentile pressure. For Sleepyhead, go to the menu under File/Preferences/CPAP and change the Preferred Averaging Calculations to Normal Average instead of median, and 90% instead of 95%. I also like to show the 99% for maximum. I just find these statistics more useful.

This will result in the statistics on the left margin on your daily detail charts to reflect averages and 90%.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
Post Reply Post Reply
#9
RE: Positional Apnea.
Sleeprider I have done as you suggested. I have attached the screenshot to let you see the result of making the changes. From your previous post does this mean I should bump up minimum to 15?
ALso what do you think of leak rate?
Thanks for your help - much appreciated.


[Image: TfgUY]

http://imgur.com/a/TfgUY
Post Reply Post Reply
#10
RE: Positional Apnea.
The AHI is nice - 2.8.

Are there any particular areas of concern? You can highlight that section and do a screenshot of that in specific detail.

Note - if the event colors nearly overlap, the colors may bleed together for example red + blue shows purple.
                                                                                                                          
Note: I'm an epidemiologist, not a medical provider. 
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Collars for positional sleep apnea Jimasripper 17 347 03-25-2024, 10:05 PM
Last Post: Deborah K.
  Invisalign to help sleep apnea and dental extractions as a cause of sleep apnea SingleH 10 608 03-24-2024, 07:00 PM
Last Post: stevew168
  [Symptoms] Could These OSA Clusters Be Positional? Kaluni 0 82 03-18-2024, 03:42 PM
Last Post: Kaluni
  What can I do to stay on my front (positional apnea due to large tongue)? aplacelikethis 1 496 03-18-2024, 10:39 AM
Last Post: G. Szabo
Thumbsup Side sleep enforcer for positional apnea G. Szabo 0 257 02-26-2024, 05:01 PM
Last Post: G. Szabo
  REM or Positional? prp1714 11 553 01-24-2024, 11:12 AM
Last Post: prp1714
  [Treatment] Chaos58503 Therapy Thread Fighting Positional OA chaos58503 17 1,334 01-16-2024, 02:36 PM
Last Post: chaos58503


New Posts   Today's Posts


About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.