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What to make of these results
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jjason18 Offline

Members

Posts: 6
Joined: Sep 2016

Machine: Dreamstation Auto CPAP
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Dreamwear Nasal System
Humidifier: Philips Respironics
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #1
Sad What to make of these results
Hi guys, I've been on reading a lot of what you guys discuss on this board and decided to join. I've been using my auto CPAP machine a total of 1 night and I found it worrisome that my auto CPAP went all the way up to the pressure of 20...

I took a screenshot of my results.
   


What do you guys make of this? I woke up in the middle of the night and my gf said that I was breathing from my mouth.

I use the Philips Respironics Dreamwear Nasal System and have a DreamStation Auto CPAP DSX500T11 w/HT humidifier and heated tube.

The pressure settings are set from 4-20.
Mask type is set to X1 according to the bad the mask came in.
FLEX is on 3

I appreciate your help or any advice you can give me about this screenshot.
09-04-2016 10:08 AM
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justMongo Offline

Monitors

Posts: 3,857
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: What to make of these results
If possible, you should be re-evaluated in a sleep lab.
Running an APAP with such wide limits is lazy therapy. The min pressure is too low.
The troublesome part is: even at near max pressure, obstructive apnea and hypopneas are not being taken care of.
You may need a different machine; perhaps a BiPAP.

You also have some periodic breathing. May I ask you approximate age? And do you have a cardiologist? How's your weight?

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.
09-04-2016 10:31 AM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

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: #3
RE: What to make of these results
You are having a lot of mask leaks, or you are mouth breathing, which is what your gf said.

You also show mostly obstructed apneas, which warrants a higher minimum pressure setting.
I would start out by moving that minimum pressure to 7cm, and see if there is a difference.
You may need to inch it up by .5cm every week until you see improvement.

If you don't see the max pressure coming down because it is topping off at 20, you may need a different machine, like a bipap or bilevel.

The major issue is to get your mouth breathing under control. There is no guarantee that your AHI numbers are accurate when you have this problem.

Try using a chin strap, also don't lay on your back, try side sleeping as much as you can.

OpalRose
(This post was last modified: 09-04-2016 10:40 AM by OpalRose.)
09-04-2016 10:36 AM
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jjason18 Offline

Members

Posts: 6
Joined: Sep 2016

Machine: Dreamstation Auto CPAP
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Dreamwear Nasal System
Humidifier: Philips Respironics
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #4
RE: What to make of these results
I am 30 years old and don't really have a cardiologist since I never had an issue with my heart.

I am 260lbs and I'm 6ft tall. I have gained a significant amount of weight these last few months though...

What does periodic breathing mean? Should I be worried?
09-04-2016 10:37 AM
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jjason18 Offline

Members

Posts: 6
Joined: Sep 2016

Machine: Dreamstation Auto CPAP
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Dreamwear Nasal System
Humidifier: Philips Respironics
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #5
RE: What to make of these results
Thank you OpalRose, I will attempt that tonight... Maybe my mouth breathing is causing the machine to detect apneas and is ramping up the pressure? Is this possible?
09-04-2016 10:52 AM
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OpalRose Offline

Monitors

Posts: 3,181
Joined: Nov 2014

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: What to make of these results
What usually happens the machine initially ramps up pressure, but then drops it back down because it can't keep up the airflow with continued mouth breathing.

Other things that raise pressure is snores, and flow limitations.

What was your AHI during your sleep test?

OpalRose
(This post was last modified: 09-04-2016 11:01 AM by OpalRose.)
09-04-2016 10:59 AM
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justMongo Offline

Monitors

Posts: 3,857
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: #7
RE: What to make of these results
(09-04-2016 10:37 AM)jjason18 Wrote:  I am 30 years old and don't really have a cardiologist since I never had an issue with my heart.

I am 260lbs and I'm 6ft tall. I have gained a significant amount of weight these last few months though...

What does periodic breathing mean? Should I be worried?

I wouldn't worry at age 30. But, I would urge you to lose weight.
Yeah, I know it's not easy. Your pressure requirements might be lower if you lost weight.

At age 30 with a BMI of >35, you are setting yourself up for a lifetime of health problems.

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.
09-04-2016 11:27 AM
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jjason18 Offline

Members

Posts: 6
Joined: Sep 2016

Machine: Dreamstation Auto CPAP
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Dreamwear Nasal System
Humidifier: Philips Respironics
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #8
RE: What to make of these results
Definitely planning on losing weight... I've been gaining weight due to the lack of time to work out and inactivity.... I sit in front of my computer and answer questions all day... and these aren't excuses... I am just that busy...

I took OpalRose's advice and took another nap... since I was extremely tired and had a huge headache after that first night.

I took a 3 hour nap and i got more periodic breathing instances 18.10%.

I slept on my side and I feel better than when i did this morning.

I cannot upload another attachement due to the fact that I reached the limit...
(This post was last modified: 09-04-2016 03:16 PM by jjason18.)
09-04-2016 03:15 PM
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car54 Offline

Advisory Members

Posts: 110
Joined: Apr 2014

Machine: PRS1 Model 560P
Mask Type: Full face mask
Mask Make & Model: Airfit F10
Humidifier: PR system one
CPAP Pressure: 9-11
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Milwaukee, WI

Post: #9
RE: What to make of these results
With the leaks and mouth breathing, the results are probably not very accurate. You might have to switch to a full mask if you continue to mouth breathe. 4 seem way to low. Do you know how to adjust your pressures? Remember you are just beginning and there is a lot of tweaking to do. You are at the right site for info and support. You are blessed that you found this site, it took me 3 months after my cpap adventure started.

CAR54
09-04-2016 03:43 PM
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jjason18 Offline

Members

Posts: 6
Joined: Sep 2016

Machine: Dreamstation Auto CPAP
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Dreamwear Nasal System
Humidifier: Philips Respironics
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Canada

Post: #10
RE: What to make of these results
Thank you guys so much for the help!

I truly did needed this website.
09-04-2016 06:36 PM
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