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Predictable panic attacks
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Sleepster Offline
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Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #11
RE: Predictable panic attacks
These are the three biggies:

1. Number of hours used (Are you using the machine every time you sleep, all the time you're sleeping?).

2. Leaks (Look at the leak graph and note any spikes that indicate unusually large leaks for large amounts of time).

3. AHI (Keep it under 5. Also zoom in on the flow rate graph and see how long each apnea or hypopnea lasts).

Once you've mastered that you can move on to other stuff. But as long as you do those three things and you feel like you're getting a good night's sleep, there's nothing to worry about. Just enjoy life.

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
07-03-2014 08:29 PM
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vsheline Online

Advisory Members

Posts: 1,916
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #12
RE: Predictable panic attacks
(07-03-2014 02:24 AM)chd3143 Wrote:  Seems like I average 15 to 20 vibratory snoring events (which is surprising) ... 1 - 3respiratory effort related arousals, a hypopnea from time to time, a clear airway apnea every couple of days, one obstructive apnea here and there (not always when the session ends which surprised me ... figured that was what was waking me up), and a pressure pulse from time to time.

Hi chd3143,

You might benefit from an APAP machine which would perhaps avoid some of the hypopneas or apneas which may at least sometimes be waking you up.

But first (as you apparently may already have done) zoom in closely on the Flow plot showing the time right before you awaken, and on the Flow Limitation plot. Flow Limitation indicates an obstructive condition, which usually is avoided by higher pressure, or staying off our back while sleeping.

If some of your awakenings are immediately preceded by obstructive events, raising the pressure, or staying off your back while asleep, or getting an APAP machine which allows the machine to adjust its pressure higher during FL, may help.

Take care,
--- Vaughn

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
07-06-2014 07:19 PM
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Sleepster Offline
Wiki Editor
Moderators

Posts: 4,995
Joined: Feb 2012

Machine: ResMed AirCurve10 VAuto
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: HumidAir and SlimLine Hose
CPAP Pressure: MaxI 13.6 | MinE 5.2 | PS 4.4
CPAP Software: ResScan SleepyHead

Other Comments: Diagnosed Nov 2011. Conquered aerophagia.

Sex: Male
Location: Houston, Texas

Post: #13
RE: Predictable panic attacks
I agree with Vaughn. The snoring and flow limitation could be an indication that your airway is partially closing, Not enough to completely stop the air flow (an apnea) or even enough to be scored as a hypopnea.

You could try raising your pressure from 11.5 to 12.

Have you got your leaks under control?

Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
07-06-2014 07:30 PM
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