[Treatment] Need some help to start treating me apnea with S10 AirCurve VAuto

[SleepingForest]

I see the leaks appear when im stating to snore, or is it the other way around and im starting to snore because the mask begins to leak ?

[SarcasticDave94]

My version of logic¹ indicates that leaks are possibly first to arrive, with snoring occurring because the pressure is leaking out.

¹(which may be stuck in some bizarre Dave's world double reverse, triple somersault, pineapple upside-down cake, coffee with way too much cream and sugar, logic thing)

[Gideon]

The high leaks are likely a combination of mouth breathing (spikes) and mask leaking (plateaus). Your flow Limits are higher than we like. And it looks like a night of disturbed sleep, but your numbers are good so I'm sure your doc would be pleased. Other than being stiff how do you feel?

[SleepingForest]

I feel like i am still getting used to all this. thinking of getting a tube support to help with me rolling around more , maybe even a better pillow / the neck thing also ... but mostly trying to break through the 4-5 hour mark and reach a more realistic 6-8 hours of sleep with the device. I also feel a bit more bloated around my chest area.

[MoreBeers]

For what it's worth, I was pretty critical when first using CPAP, and nothing seemed to work to stop me from going into very deep Apnoeas.

The turning point was when we bought both a sloping foam wedge pillow unit and, probably the most important piece, a Neck Brace!

The latter was just a basic Sleep Neck Brace, for people on Trains and Planes etc, but I just wear it back to front, with the padded bit under my chin.

I found this out by deduction, because I was not on any Forum then, but wish I had been and seen the comments about Chin Tucking.

But I can say that changed everything, and things improved the same night, and really did get me back from the edge.

I have the added complication of lower limb Osteoarthritis and old injuries, so I struggle to stay in one position because of that pain. Thus, I have no option to stay in one position, or to avoid a certain position, because the pain will just wake me up and rat up getting any decent sleep irrespective of Sleep Apnoea.

The Neck Brace effectively moves with me, so is always there no matter what position I get myself into!

I agree that almost no amount of pressure will help if your head droops onto your chest, especially if your Airway happens to be one that will close up in that position.

I tried many settings, but the Neck Brace was the key to unlocking CPAP/APAP efficacy.

Once I used that, it removed a major hurdle and allowed the CPAP/APAP to keep my Airway open thereafter (I only have a ResMed AirSense 10 AUTOSET).

Neck Braces can be very inexpensive. In the UK, for example, decent ones are around GBP 20.00 Delivered, and you don't really need anything fancy, just something that is well padded and that can be adjusted to fit your neck.

Well worth getting one ASAP to at least check this, or to rule Chin Tucking out.

MoreBeers

[SleepingForest]

@ Morebeers. Thanks for sharing your experience, i saw some really inexpensive neck braces (tried with a travel version but its too bulky and my neck hurts after using it in bed) also and im sure to get one soon. My AHI when i got tested was like 59 events per hour when i did the test with the device and i think like 98 when i just used the overnight wire testing device , my Sp02 dropping to 81 % ( even worst to like 65 % during the overnight wire test device ). The very low AHI i'm seeing right now almost seem impossible, the Aircurve Vauto is working its magic for sure.

Day 3 of VAuto.

Changed my tube heating down to 26 *C for tonight and it did not feel bad. Still have not broke over the 5 hour mark yet and only slept on one side so my back is stiff :S but the AHI and graph doesnt look so bad ( i think xD )

[SleepingForest]

Day 4 of Vauto.

I used the machine during my day time sleep and at night . Got some weird results from Oscar .... does it not track AHI for multiple sessions in a day ? im sure my machine said something like 5.x when i closed it.

[SarcasticDave94]

If I can remember correct, on OSCAR, look for the session boxes near the bottom of the left panel data area. It'll have yellow and other colored boxes. Check to see if all are on.

[SleepingForest]

You mean those 2 yellow ones and the 2h27 ?

[SarcasticDave94]

Yep, do all look to be on to you, like they're all active?