I noticed that the new setting required quite a bit more exhalation. Is this normal?
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Terrible Results
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02-15-2016, 09:09 PM
RE: Terrible Results
Had to stop last night as my nose was blocked. Felt like I was suffocating. Will get some nasal spray and carry on tonight.
I noticed that the new setting required quite a bit more exhalation. Is this normal?
02-16-2016, 12:22 AM
RE: Terrible Results
Quote:I noticed that the new setting required quite a bit more exhalation. Is this normal? I suspect it was going to a higher pressure than you're used to, which will make exhaling a bit harder. Does your machine have some sort of pressure relief (eg Resmed have EPR and Philips have Flex)?
02-17-2016, 03:43 AM
RE: Terrible Results
(02-16-2016, 12:22 AM)DeepBreathing Wrote:Quote:I noticed that the new setting required quite a bit more exhalation. Is this normal? It doesn't have either but last night was much easier. I suspect that I might have had a blocked nose on one side, easily fixed last night with a basic nasal spray. Last night I slept for 7+ hours, woke once to go to the bathroom and straight back to sleep. I think maybe things are improving. My AHI was not good at 15.4 which consisted of 5.0 OA and 10.4 Hypopnea but I've had much worse. Major mask leakage was small but acceptable. There was one large leak. Does this mean that the chinstrap is controlling my mouth breathing? I was under 18cm for 95% of the night The largest %age of the OAs occurred, once again, when I went back to sleep after a bathroom break. Let's see what happens tonight.
02-17-2016, 06:49 AM
RE: Terrible Results
(02-17-2016, 03:43 AM)holden4th Wrote: Major mask leakage was small but acceptable. There was one large leak. Does this mean that the chinstrap is controlling my mouth breathing? Certainly that statistic is an indicator that it might be, but that alone is not enough to be sure that it is. You have to look at the leak rate graph and see if it rises for extended periods of time. If it does that could indicate mouth-leaking. While it interferes with therapy effectiveness, it can also wake you up and interfere with sleep quality. The only solution for me was to go to a full face mask. It made a big improvement in the way I feel during the day.
Sleepster
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.
02-19-2016, 04:24 AM
RE: Terrible Results
Sorry if this is looking a bit like a blog - not my intention.
The main reason for the post is to thank those who gave me advice to change to APAP and the 10-18 pressure setting. On Wednesday night I slept all the way through to 3:05 am and recorded an AHI of 6.67. I didn't feel too bad through the day either. Last night it went up to 9.82 but I'm hoping that this is a sign of progress and that things will slowly improve though I personally see this as a dramatic improvement. Most important is that my leak rate is quite good and the last two nights there was no dry mouth which I hope means minimal mouth breathing. If so then I can keep the Dreamware nasal mask which I really like. I think that putting the chinstrap over the top of the mask has helped to keep it stable. At last I'm starting to feel some confidence with using CPAP. Now, when will that really refreshing full night's sleep finally happen. It will be a Hallelujah day! Once again, thank you to all who have provided advice.
03-06-2016, 04:10 AM
RE: Terrible Results
OK, it's been a while and time to report back on progress. Recommendation was to set pressure APAP 10-14 cms. I've been doing this for 9 days
My AHIs have gone up into the low teens and one or two at 20. I have woken up feeling starved for air some nights and this is getting more frequent. It s a horrible feeling and I now realise that I had similar experiences before CPAP but didn't realise what they were. My OAs are in clusters and my hypopneas a bit more spread out. Mask leak does not appear to be an issue. I have hit and maintained the top pressure of 14 on quite a few occasions. As I fall asleep I notice the pressure slowly rises from 10. Conversely I also have times where the pressure sits comfortably at 10 Time for some changes I am almost positive that my head falls forward when I relax, even on my side and that this might be causing flow limitations, hypopneas etc. so I'm going to try a cervical collar. I bought one today and will use it tonight. I will not use my chinstrap. A couple of thoughts have arisen as I read other posts. I notice that some machines have some sort of auto trial setting to help determine the optimum APAP setting based on 30 days readings. I don't think the F&P Icon has this feature. So if I now reset my machine to APAP 8-20 and leave it like this will I achieve the same result after I look at all the data or is this a bad idea? I am going to ask the hire company to change my machine. The best they can do is a Resmed S9. They are reluctant to give me this because I don't have a prescription for auto. Can I get my GP ( he's very obliging) to write a prescription or does it have to be a sleep specialist? I feel I need the relief that EPR provides. Thanks in advance for your advice.
03-06-2016, 05:32 AM
RE: Terrible Results
any doc or dentist can write a prescription. your insurance may tie your hands. your current prescription covers apap if the dme wanted to issue one - some dmes only issue auto. if they won't issue apap call around to whoever is in network for you and find one who will and give them their rental back sometimes the threat of that will cause them to change their minds about their policies.
هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
Tongue Suck Technique for prevention of mouth breathing:
Practising during the day can help you to keep it at night هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه هههههه
03-06-2016, 05:49 AM
RE: Terrible Results
You don't need a prescription in Australia (unless they do things differently in Qld). Insurance will pay out a small lump sum ($300 - $700 roughly) once every 3 to 5 years depending on which fund you're with and whether you have ancillary cover. They will need a letter from a doctor stating that it's medically necessary. As you are just hiring a machine at the moment, you're a paying customer and as Daria said if they won't oblige you can try elsewhere. I'm sure there are plenty of providers in Brisbane if not in Gold Coast.
The S9 Autoset is a very good machine, but the Airsense 10 is even better as it also registers RERAs which the S9 doesn't. These are like mini-hypopneas which will also disturb your sleep. The S9 and A10 will also give you up to 3cm exhale pressure relief which might make the higher pressures easier to bear. If that fails, then you might need to consider a bilevel machine, but let's take one step at a time.
03-06-2016, 09:33 AM
RE: Terrible Results
I hope the use of a soft cervical collar helps. We have had other members that reported similar clustering of apnea, and their solutions varied from body position to using aids like the cervical collar, and almost all of them allowed their machines to go to maximum pressure as needed. The fact you are hitting your maximum pressure pretty fast is a sign, and it appears you read it and are taking appropriate action.
I have a lot more respect for the Resmed than Icon, but that may just be familiarity. Both are capable of producing up to 20 cm pressure, but the Resmed comfort feature of EPR is going to be useful as your pressure rises. I'd go with DeepBreathing's answer with regard to the AU medical system. I use my GP for prescription and care management here in the U.S.
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.
03-07-2016, 03:44 AM
RE: Terrible Results
OK, as I mentioned previously, I bought a soft cervical collar and used it for the first time last night. The results are very promising. For a good part of the night I was below 5.0 but somehow, once again the OAs and Hs kicked in right at the end. But an overall AHI of 8.12 for a full nights sleep is a new benchmark. Great not to have to use the chinstrap and the bulk of the collar helped with leaks while side sleeping.
The most encouraging thing is the significant decrease in hypopneas. They are actually outnumbered by the OAs for the first time ever.....and I didn't have a dry mouth which suggests minimal mouth breathing. The pressure range was 8-15 and the 95% pressure was 12 with a max of 13. Am I finally coming to terms with this condition or will another barrier be thrown into my path? I am going to increase the minimum pressure to 9.0 for tonight. Good idea? I still feel I need EPR and will address this very soon. Seeing my GP and will ask him to prescribe APAP set for 8-14. This will get me around the loaner comapny issues. I don't blame them as they are legally liable for any unprescribed changes but I can do what I like. Anyway, here is the data. http://i1108.photobucket.com/albums/h419...vzz6t9.png |
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