Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Up starting Pressure?
#1
I feel great! BUt AHI is still too high and I am getting post lunch crashes. I have attached my sleepyhead data, is it time to up starting pressure? I have kept it at 5.


Attached Files Thumbnail(s)
   
Post Reply Post Reply



Donate to Apnea Board  
#2
I suggest a minimum pressure of 9. You are having lots of hypopneas when the pressure is low.
Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
Post Reply Post Reply
#3
I think I will try to incrementally up the starting pressure to 9 starting with 6, maybe by week. Thanks!!
Post Reply Post Reply
#4
The problem is the too low minimum pressure of 5.0. Your average pressure is over 11.0 and your 95% pressure is 17.6. I think a minimum pressure of 9.0 is fairly conservative, and your proposal to use 6.0 will not have the desired effect. From this graph, I would have suggested a minimum pressure of 11.0 since you have many hypopnea and snores below that pressure.

Your initial round of hypopnea occurred at low pressure, and by the time your machine caught up you had already had many events. Later in the night you had a cluster of OA that arose out of a pressure of 15.0. This could be a matter of sleep position or REM. On the positive side, you had really good results between 0:00 and 01:00 where your pressure leveled out at 14-15 cm.

You are one of the minority of people with an inverse I:E ratio where inspiration is about half of your exhale time. We don't know if that is a problem, however, the stubborn high rate of hypopnea and clusters of OA seem to go hand in hand with that pattern.
Post Reply Post Reply
#5
I agree. As long as you are not experiencing any discomfort or other issues associated with the higher pressures, 9 is a conservative lower end. It would probably need to be higher than that, and anything lower won't help much.
Sleepster
Apnea Board Moderator
www.ApneaBoard.com


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.
Post Reply Post Reply



Donate to Apnea Board  
#6
I will start with 9 and see how it goes. My average AHI isn't represented by this one night, and from looking at the data since Halloween, when I started, average AHI is way down. I didn't realize this but on my second night (back in November) my AHI was over 30!
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Starting my ASV journey gwc2795 32 1,124 05-30-2018, 06:57 PM
Last Post: Sleeprider
  Starting to see results below the magic 5 with my Bilevel alps 10 444 05-05-2018, 03:55 PM
Last Post: SarcasticDave94
  AHI increased since starting Auto CPAP ccmac 7 461 03-12-2018, 04:48 PM
Last Post: Sleeprider
  Help please!! S9 starting out on MAX pressure?!? Hellosleep34 7 278 02-12-2018, 11:52 PM
Last Post: kiwii
  Pressure vs Mask Pressure paulag1955 6 581 01-18-2018, 12:30 PM
Last Post: paulag1955
  Isn't Resmed's Expiratory Pressure Relief really Inspiratory Pressure Support?? Reznik 116 4,253 11-27-2017, 07:28 PM
Last Post: Reznik
  With a face mask pressure is about 8.5. With a nasal pillow pressure was 20 at one po brojohn1611 10 1,066 11-04-2017, 03:05 AM
Last Post: James2017

Forum Jump:

New Posts   Today's Posts




About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.