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Sleepyhead showing obstructions
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DumfriesDik Offline

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Posts: 71
Joined: Nov 2015

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Philips Respironics Nuance
Humidifier: none
CPAP Pressure: auto 4 - 20
CPAP Software: SleepyHead

Other Comments: 2010 - 2015 S8 Escape; 2015 - Date S9 Autoset

Sex: Male
Location: SW Scotland

Post: #1
Sleepyhead showing obstructions
I am getting between 15 and 20 obstructions every night. I think it is my soft pallet closing that's the cause.

My first thought is that the lower pressure on the S9 autoset is too low at 4.

I have a review in a few weeks, probably new year now, at the sleep clinic. But I am just wondering if raising the pressure would assist?
11-26-2015 02:29 AM
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kaiasgram Offline

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Posts: 242
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: #2
RE: Sleepyhead showing obstructions
Is that 15-20 AHI or 15-20 total for the night? Any central (clear airway) events?
11-26-2015 02:57 AM
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DumfriesDik Offline

Preferred Members

Posts: 71
Joined: Nov 2015

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Philips Respironics Nuance
Humidifier: none
CPAP Pressure: auto 4 - 20
CPAP Software: SleepyHead

Other Comments: 2010 - 2015 S8 Escape; 2015 - Date S9 Autoset

Sex: Male
Location: SW Scotland

Post: #3
RE: Sleepyhead showing obstructions
No, its the number of obstructions.

Please see screen dump.


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11-26-2015 05:13 AM
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zonk Offline

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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: Sleepyhead showing obstructions
(11-26-2015 02:29 AM)DumfriesDik Wrote:  My first thought is that the lower pressure on the S9 autoset is too low at 4.
I think so, given the 95th percentile is over 12
11-26-2015 05:24 AM
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DeepBreathing Offline
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Posts: 2,296
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #5
RE: Sleepyhead showing obstructions
It can be confusing to talk about events per night, as not all nights are the same length. That's why they developed the indices ie apnea index (AI), hypopnea index (HI), apnea hypopnea index (AHI) and so on. Each relates to the number of those events per hour (coz all hours are the same length). The idea is to get the AHI as low as possible, but below 5 is considered clinically treated. In your case at 2.14 you are clinically treated. There's no reason you can't try to drive this number down (and good reasons why you should), though getting obsessed with the numbers can spoil a good night's sleep.

Having said all that, I'd suggest bumping your minimum up to around the median level 8.5 and see how you go. Don't do it in one go - raise it a cm or so, give a week then raise it some more if it's showing a benefit.

DeepBreathing
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www.ApneaBoard.com


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11-26-2015 05:43 AM
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DumfriesDik Offline

Preferred Members

Posts: 71
Joined: Nov 2015

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Philips Respironics Nuance
Humidifier: none
CPAP Pressure: auto 4 - 20
CPAP Software: SleepyHead

Other Comments: 2010 - 2015 S8 Escape; 2015 - Date S9 Autoset

Sex: Male
Location: SW Scotland

Post: #6
RE: Sleepyhead showing obstructions
Thanks for that guys. I am really happy with my numbers, but its always nice to keep them under review. My appointment ticket has arrived for the 18 December, so I shall see what they say.

I feel so much more in control of my treatment. I am aware I am still learning though.

Thanks for the input, thats what makes this forum so good.
11-26-2015 11:24 AM
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Terry Offline

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Posts: 553
Joined: May 2014

Machine: Philips Respironics RemStar Auto with A-Flex (560P)
Mask Type: Nasal pillows
Mask Make & Model: P/R Nuance & Pap Cap
Humidifier: Integrated
CPAP Pressure: Auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #7
RE: Sleepyhead showing obstructions
(11-26-2015 05:24 AM)zonk Wrote:  
(11-26-2015 02:29 AM)DumfriesDik Wrote:  My first thought is that the lower pressure on the S9 autoset is too low at 4.
I think so, given the 95th percentile is over 12

There's no reason to leave the minimum that low. Those giant pressure changes (4-> 12 ) wake a lot of people up.

If it was me, I'd bump the lower limit up to 11.5 and see how I felt. I sleep much better with a narrower range.
(This post was last modified: 11-26-2015 12:26 PM by Terry.)
11-26-2015 12:14 PM
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kaiasgram Offline

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Posts: 242
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: #8
RE: Sleepyhead showing obstructions
(11-26-2015 12:14 PM)Terry Wrote:  If it was me, I'd bump the lower limit up to 11.5 and see how I felt. I sleep much better with a narrower range.

I definitely would not bump the minimum up that high. I wouldn't go higher than the median pressure which was 8.5. Even then -- the median pressure means that half the time the pressure was above 8.5 and half the time it was below 8.5.

If this was my SleepyHead report I'd increase the minimum pressure to 6 and see if that helps reduce the apneas. If it doesn't, I'd increase the minimum pressure again but only by 1 cm at a time. DumfriesDik already has a pretty good AHI and is just trying to improve that, so going slow and gentle makes the most sense to me.

Assuming DumfriesDik is new to PAP therapy we also want to advise gradual and small adjustments and watch to make sure centrals don't start popping up with the pressure increases.
(This post was last modified: 11-26-2015 01:23 PM by kaiasgram.)
11-26-2015 01:21 PM
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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: #9
RE: Sleepyhead showing obstructions
Bump up to medium pressure, which is 8.5, but do if slowly. Keep max pressure as is.

OpalRose
11-26-2015 01:24 PM
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DumfriesDik Offline

Preferred Members

Posts: 71
Joined: Nov 2015

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Philips Respironics Nuance
Humidifier: none
CPAP Pressure: auto 4 - 20
CPAP Software: SleepyHead

Other Comments: 2010 - 2015 S8 Escape; 2015 - Date S9 Autoset

Sex: Male
Location: SW Scotland

Post: #10
RE: Sleepyhead showing obstructions
(11-26-2015 01:21 PM)kaiasgram Wrote:  Assuming DumfriesDik is new to PAP therapy

I have been using an S8 Escape for five years, so not new to therapy, but new to an auto machine. Only had it a couple of weeks.
11-27-2015 01:22 AM
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