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[Pressure] 'AHI numbers too high
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lbroelofs Offline

New Members

Posts: 2
Joined: Jun 2014

Machine: Resmed S9 AUTOSET
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage Softgel
Humidifier: H5i attached to S9
CPAP Pressure: 11/16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Florida, USA

Post: #1
'AHI numbers too high
Hi Forum members,
I am looking for advice regarding my high AHI numbers. I average AHI numbers from 12 to 30 over the past year. I have tried several types of masks to decide if it was the masks. I talked to my CPAP doctor after he reviewed my SD card and suggested I raise my min/max numbers from 6/10 to 6/14. After a month on these new pressures, it did nothing to lower my AHI. I contacted my doctor again and he raised them to 10/14. This also did nothing to lower my AHI. I then changed them myself to 11/16 and noticed a slight improvement in
AHI. I also tried a new mask from my nasal mask to the RESMED AirFit F10 and it was a failure. I could not get the F10 adjusted properly for a good nights Sleep. If anyone out there has any suggestions, please help. I am very frustrated and envy those of you who are able to enjoy AHI numbers below 5. I might keep raising my min/max numbers, but want to be careful not to go overboard.
09-05-2016 10:00 AM
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PaulaO2 Offline
Wiki Editor
Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #2
RE: 'AHI numbers too high
Okay. What kind of events are you having? Post the image from a typical night. We need to see the graphs for flow rate, leak rate, and pressure. Include in the screenshot the data on the left.

http://www.apneaboard.com/forums/Thread-How-to-Attachments

You can also use Imgr or some other image site such as photobucket. You won't be able to enter then link though. Put it in and remove the http:// part. Myself or another Moderator can fix it for you. Others can just copy/paste the link into another window to see it in the meantime.

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


Breathe deeply and count to zen.

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.
09-05-2016 10:11 AM
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OpalRose Offline

Monitors

Posts: 3,176
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: #3
RE: 'AHI numbers too high
Yes, your AHI is too high. Do you look at your data on SleepyHead? Can you tell us what your 90% pressure readings are, and the breakdown of your AHI readings, like Obstructive, hypopneas, clear airways? What is your leak rate?

If you have a lot of clear airway events and raise pressure too much, you may cause that number to increase.

OpalRose
09-05-2016 10:15 AM
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lbroelofs Offline

New Members

Posts: 2
Joined: Jun 2014

Machine: Resmed S9 AUTOSET
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage Softgel
Humidifier: H5i attached to S9
CPAP Pressure: 11/16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Florida, USA

Post: #4
RE: 'AHI numbers too high
I copied my Sleepyhead stats below. I am just starting to use Sleepyhead and apologize if this copy is hard to read.
Average Hours per Night 07:46 06:24 06:47 06:56 07:09
Compliance 100% 100% 100% 98% 99%
Therapy Efficacy
AHI 10.43 17.32 8.80 5.32 3.82
Obstructive Index 0.00 0.09 2.49 2.32 1.72
Hypopnea Index 0.90 1.02 0.38 0.21 0.20
Clear Airway Index 9.53 14.87 5.62 2.73 1.87
Leak Statistics
Average Leak Rate 5.30 8.91 8.91 8.91 8.91
90% Leak Rate 10.80 19.20 0.00 0.00 0.00
% of time above Leak Rate threshold 1.63% 5.86% 1.29% 0.21% 0.10%
Pressure Statistics
Average Pressure 11.23 10.67 10.67 10.67 10.67
Min Pressure 5.98 5.74 5.74 5.74 5.74
Max Pressure 12.20 12.20 12.20 12.20 12.20
90% Pressure 11.68 12.02 0.00 0.00 0.00
Average EPAP 8.25 7.69 7.69 7.69 7.69
Min EPAP 4.02 4.02 4.02 4.02 4.02
Max EPAP 9.20 9.20 9.20 9.20 9.20
If you can't provide advice with the above readings, let me know and I will try to clean it up.
09-05-2016 11:16 AM
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OpalRose Offline

Monitors

Posts: 3,176
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: 'AHI numbers too high
You should be able to send us a screenshot of your latest stats. From the daily page, not summary.

Include Event graph, flow rate graph, pressure graph, leak rate graph.

Include stats to left of graph: Total AHI, and all info below that. You can get rid of calendar and pie chart to get it all in.

Elimate right side bar.

Paula, post #2, gave you a link to show you how.

You are limited as a new user, so just send the latest day.

OpalRose
09-05-2016 12:19 PM
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