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[Treatment] AHI about 10
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mapetty Offline

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Machine: Philips Respironics System One (60 Series)
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Philips Respironics System One (60 Series
CPAP Pressure: 7-14
CPAP Software: SleepyHead

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Sex: Male
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Post: #1
AHI about 10
I had a sleep test in August with an AHI of 23 with REM AHI at 34.

I've been using my Phillips Respironics RemStar APAP for 11 weeks. My AHI has been about 10 from the beginning, even after my Dr. changed the pressure range to 7-14.

After my second Dr. visit, he didn't want to change any settings even with my AHI around 10. Should I be doing anything else?

Thanks for any advice.
11-07-2015 06:08 PM
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cate1898 Offline

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Joined: Aug 2015

Machine: PR System One 560BT Auto
Mask Type: Nasal pillows
Mask Make & Model: P10's/backup-DreamWear
Humidifier: PR attached
CPAP Pressure: 8.5 - 13. A-Flex 3
CPAP Software: SleepyHead

Other Comments: Began CPAP Therapy Sept. 11, 2015. Hx Hypertension, Post Graves Disease, chronic migraines.

Sex: Female
Location: Southern Ontario//SW Florida

Post: #2
RE: AHI about 10
Maybe try a different mask?

Oh and welcome to the forum mapetty!!

APNEABOARD - A great place to be if you're a hosehead!! Rolleyes

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EVERY ACCOMPLISHMENT BEGINS WITH THE DECISION TO TRY!
11-07-2015 06:36 PM
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trish6hundred Online

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Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #3
RE: AHI about 10
Hi mapetty,
WELCOME! to the forum.!
Do you know if you are having trouble with large mask leaks?
Hang in there for more answers to your questions and much success to you with your CPAP therapy and getting it fine tuned to meet your needs.

trish6hundred
11-07-2015 08:24 PM
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OpalRose Offline

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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: #4
RE: AHI about 10
(11-07-2015 06:08 PM)mapetty Wrote:  I had a sleep test in August with an AHI of 23 with REM AHI at 34.

I've been using my Phillips Respironics RemStar APAP for 11 weeks. My AHI has been about 10 from the beginning, even after my Dr. changed the pressure range to 7-14.

After my second Dr. visit, he didn't want to change any settings even with my AHI around 10. Should I be doing anything else?

Thanks for any advice.


Hi mapetty,
An AHI of 10 is too high. Can you look at your SleepyHead data and give us your 90% pressure number, and look at the pressure graph to determine how low your pressure dips during the night.

Also give us the breakdown of your AHI number: clear airways, Obstructives, hypopneas.

How is your leak rate? Let us know what that is also. It may be a matter of raising the minimum pressure up a bit, but can't make recommendations without more info.

OpalRose
11-07-2015 08:59 PM
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mapetty Offline

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Posts: 3
Joined: Nov 2015

Machine: Philips Respironics System One (60 Series)
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Philips Respironics System One (60 Series
CPAP Pressure: 7-14
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #5
RE: AHI about 10
Here is some SleepyHead data

Last 30 Days Details
CPAP Usage
7:57 Average Hours per Night
100% Compliance

Therapy Efficiacy
10.29 AHI
3.32 Obstructive Index
5.12 Hypopnea Index
1.84 Clear Airway Index
0.22 Flow Limitation Index
1.82 RERA Index
0.84% % of time in Cheyne Stokes Respiration

Leak Statistics
2.3 Average Leak Rate
3 90% Leak Rate
1.36% % of time above Leak Rate threshold

Pressure Statistics
9.66 Average Pressure
4 Min Pressure
14 Max Pressure
13.4 90% Pressure
11-07-2015 09:36 PM
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OpalRose Offline

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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: #6
RE: AHI about 10
Leak rate isn't bad, but you need to be mindful of it. Do you notice a problem at night, are you possibly mouth breathing at all?

I believe if your starting pressure were raised to 8cm, you may see a reduction in the Hypopneas and Obstructives.

You may also want to try turning the ramp off.

It's hard to understand why your doctor wouldn't want to help you get your AHI down.
An AHI <5 is considered treated.

OpalRose
11-07-2015 09:49 PM
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mapetty Offline

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Posts: 3
Joined: Nov 2015

Machine: Philips Respironics System One (60 Series)
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Philips Respironics System One (60 Series
CPAP Pressure: 7-14
CPAP Software: SleepyHead

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Sex: Male
Location:

Post: #7
RE: AHI about 10
I'll try it. Thanks.
11-07-2015 10:12 PM
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player Offline

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Machine: Resmed A10 Autoset For Her
Mask Type: Nasal pillows
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CPAP Pressure: 11-16
CPAP Software: SleepyHead

Other Comments: It's a... mad world...

Sex: Male
Location: Canada

Post: #8
RE: AHI about 10
Maybe bump up the top pressure a bit... If you don't need it you likely won't use it.
11-07-2015 10:56 PM
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Ghost1958 Offline

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Machine: PRS1 Series Sixty Auto Aflex
Mask Type: Nasal mask
Mask Make & Model: F&P Eson
Humidifier: PRS1 with Heated Hose
CPAP Pressure: 10.5 min 16 max
CPAP Software: SleepyHead EncoreBasic

Other Comments: Moderate to Severe SA Obstructive. Rapid O2 desat off the machine.

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Post: #9
RE: AHI about 10
you will likely wind up around a 9.5 min pressure but go up 1 cm at a time . or -even .5 at a time
11-07-2015 11:10 PM
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PaytonA Online
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Machine: ResMed S9 VPAP Auto
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Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Orange County,California

Post: #10
RE: AHI about 10
I agree with bumping your pressure up a little at a time. I would bump both EPAP and IPAP the same amount. Stick with each small change for a while before making the next adjustment. If centrals go up and stay up, make no more adjustments. Ditto if you start having aerophagia. Let it run for a while longer and if either goes away give it the next bump. If your AHI does not improve by the time you get to 9-16, let it run for a while and take stock of where you are. Let us know how you are doing.

Best Regards,

PaytonA
11-08-2015 01:35 AM
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