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[Treatment] Huge jump in AHI
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ppowers Offline

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Posts: 29
Joined: Oct 2013

Machine: ResMed S10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: p10
Humidifier: H5
CPAP Pressure: 6-12
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location:

Post: #1
Huge jump in AHI
I was scared and appalled this morning when I saw my AHI of 15.9.
I started using a new FFM(the F10 airfit) a few days ago and my AHI has steadily creeped from below 1, up to 1-3, and this morning, the nightmare number. The leak was only 9L, acceptable.
I am in a quandary. I have lost 50 pounds over the last year and started to exercise several months ago. I guess I hoped to improve.
What could have happened last night to cause this huge jump? Same pressure of 7-12cm used, leak under control, makes no sense. I was thinking if it was possible for the mask to have failed in terms of the venting, I just don't know. In the meantime, I will go back to my old FFM Quatro FX, and I pray that my AHI will return to normal.
I am so scared and upset. Just when I thought my treatment was good something like this happens.
Sorry, I haven't figured out how to use sleepyhead yet, but this sounds serious.
Any feedback will be appreciated. Thanks
10-24-2014 10:22 AM
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justMongo Offline

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Posts: 3,843
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: Huge jump in AHI
How do you know your leaks are under control? Without software (as per your profile) you cannot really be certain.
I would start by using software and understand leak rate, pressure, type of apnea scored...

You are looking at a single number that attempts to report efficacy in one convoluted number.

Don't be scared... you can master the software.

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.
10-24-2014 11:04 AM
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retired_guy Offline

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Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #3
RE: Huge jump in AHI
Ditto Mongo...

You cannot make any conclusions unless you have all the data. So download, install, and learn to use the Sleepyhead software.

Beyond that, you really don't need to be scared. This will get resolved.

It's important to know what type of events you had as well as what pressures were being dialed up to treat them....

Well, every road seems to lead back to Sleepyhead, doesn't it?
10-24-2014 11:33 AM
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PaytonA Offline
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Posts: 3,005
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
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

Other Comments:

Sex: Male
Location: Orange County,California

Post: #4
RE: Huge jump in AHI
What Mongo and retired_guy said.

I have been using a Mirage Quattro Medium size FFM with good results. Recently I got my hands on a small size of the same mask because I thought that it would fit better. Since I have been using the small for the last 4 days, my AHI is jumping all over the place and my leaks are higher than they were with the medium size. I do like the way the small fits better but so far it is not providing comparable results.

My message to you, ppowers, is that when you make changes things can go a little wacko for a while. Work with it for a while. If you can not make it better after working on it for a reasonable time then go back to where you started from.

Do not panic. you are getting good results too.

Do get Sleepyhead and start using it so that you can make decisions based on facts rather than perception.

Best Regards,

PaytonA
10-24-2014 11:47 AM
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Ghost1958 Offline

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Posts: 957
Joined: Aug 2014

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.

Sex: Male
Location: KY

Post: #5
RE: Huge jump in AHI
Yep you need the software to know what is really going on. I run both Encore and Sleepy Head everyday on myself and my wife.

Mask changes can make a difference, total face to nasal does for me but not that huge. And honestly one night isnt going to tell you much. Im not old hat this stuff like most here but Ive even found occasionally you will just have a bad night.

I wouldnt get scared or panic over a night or so of odd ball readings, especially after a mask switch or other change.

Just get software check the leaks cus the machine will read all kinds of nutty stuff if your leaks are way to high. See what is actually going on. But dont be scared or panic over a night or two of weird numbers
10-24-2014 01:25 PM
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Shastzi Offline

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Posts: 1,174
Joined: Dec 2012

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: FitLife Total face mask
Humidifier: F&P HC150 with Hybernite heated hose.
CPAP Pressure: 15cm-20cm H2O (auto)
CPAP Software: SleepyHead Other Software

Other Comments: CMS50-F wearable Oximeter; Software: SPO2 Assistant

Sex: Undisclosed
Location: Florida, USA.

Post: #6
RE: Huge jump in AHI
*Use the software Luke*

Wink

"With ordinary talent and extraordinary perseverance, all things are attainable." - Thomas Foxwell Buxton

Cool
10-24-2014 01:48 PM
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ppowers Offline

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Posts: 29
Joined: Oct 2013

Machine: ResMed S10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: p10
Humidifier: H5
CPAP Pressure: 6-12
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location:

Post: #7
RE: Huge jump in AHI
Thanks everyone for the advice. I will have to get some guts and try the sleepyhead download again. Corrupted my SD card before, I will lock it this time!
10-24-2014 02:37 PM
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justMongo Offline

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Posts: 3,843
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #8
RE: Huge jump in AHI
(10-24-2014 02:37 PM)ppowers Wrote:  Thanks everyone for the advice. I will have to get some guts and try the sleepyhead download again. Corrupted my SD card before, I will lock it this time!

That's the key.

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.
10-24-2014 02:50 PM
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becker44a Offline

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Posts: 181
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus Lg
Humidifier: ResMed H5i
CPAP Pressure: Rx 10 - 20cm, Usually 10-14cm
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: NE Ohio, USA

Post: #9
RE: Huge jump in AHI
(10-24-2014 02:37 PM)ppowers Wrote:  Thanks everyone for the advice. I will have to get some guts and try the sleepyhead download again. Corrupted my SD card before, I will lock it this time!

Hi ppowers,
Sleepyhead only READS the SD card, never writes to it. If you didn't lock it before inserting it into your computer, some Operating Systems (Windows 8.0, 8.1 and some Mac OSs) can write hidden material to any card or drive, without any prompt. In Windows case, it is trying to enable "indexing" on the drive, to make searching faster. Not sure what the Mac OSs are doing. But locking the card will prevent the issue from occurring.

Somewhere here there are instructions for undoing the Windows mod, but some have indicated that the fix may fail. So simplest is to use the lock.

I have cultivated the habit of locking the card immediately upon removing it from the S9, and unlocking it immediately before reinserting into the S9. So it is always locked unless it is in the S9. This is ingrained now, and I don't have to think about it anymore - haven't made any mistakes about that for a long time.

Good luck on your journey.

A.Becker
PAPing in NE Ohio, with a pack of Cairn terriers
10-25-2014 08:32 PM
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Whitewabit Offline

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Posts: 158
Joined: Sep 2014

Machine: ResMed V9 VPAP Adapt S9 (36067), ASV mode
Mask Type: Nasal pillows
Mask Make & Model: ResMed Swift FX, AirFit P10, AirFit F10
Humidifier: ResMed H5i
CPAP Pressure: 5/4/9
CPAP Software: ResScan SleepyHead

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Sex: Undisclosed
Location: Somewhere in the midwest

Post: #10
RE: Huge jump in AHI
did you change your machine to FF Mask from whatever mask setting it had been on before ?? That might make a difference !
10-25-2014 08:54 PM
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