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

Will APAP Fix This
#1
Good morning and happy Wednesday!

I'm doing well with AHI's consistently below 1.0.  I was wondering if switching to APAP will help decrease OA's in my case? Here are last night's numbers:

http://imgur.com/a/696mZ

Thanks!
--Leslie

"It will all be fine in the end. If it isn't fine, it isn't the end."
Post Reply Post Reply
#2
If it ain't broke... if last night was typical and if you feel rested then don't change anything.
DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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 agree with DeepBreathing.  I would love to have AHIs consistantly below 1.0.   Shy 

That said, it's still best to continue monitoring your AHI every so often.  Just because you're below 1.0 this week, does not necessarily mean you'll remain there in the future.  To many variables can change - your activity level, your weight, your food intake, the amount of sleep you get, your sleep environment, stress levels, medication changes, etc.

I would leave it as-is, but check it every so often.  If it starts creeping up, then you may wish to consider changing something or switching to auto-mode. But if you do switch to auto, make sure you start off with the upper and lower limits set pretty close together (definitely not "wide-open" from 4-20 cmH2O), but perhaps set to a range around 10-14 (assuming your current pressure is 12). Then adjust as need be from there.
SuperSleeper
Apnea Board Administrator
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


#4
I agree with the two above answeres. But it's easy enough to try - set your machine in APAP mode, with pressures say from 10 to 14. See what happens. I am a bit more of an experimenter than some I guess. My results are always worse with either the APAP mode or the EPR, I seem to do the best with just straight CPAP.
Post Reply Post Reply
#5
These numbers are as good as it gets. IF and WHEN your AHI runs consistently higher and only then, I'd consider APAP with a range of 10-14 to start. Expect that to change. It's purpose is to titrate to a new value.

Some people do better with straight CPAP, your numbers say you may be one of them.

On second thought I'll suggest going to APAP now, set the range to 12-12. From a therapy point of view it makes no change, you are doing extremely well. it is to add a "Flow Limit" Stat, which is a precursor to OA events. Again this does not change your excellent therapy.
Post Reply Post Reply
#6
(05-17-2017, 10:12 AM)SuperSleeper Wrote: I agree with DeepBreathing.  I would love to have AHIs consistantly below 1.0.   Shy 

That said, it's still best to continue monitoring your AHI every so often.  Just because you're below 1.0 this week, does not necessarily mean you'll remain there in the future.  To many variables can change - your activity level, your weight, your food intake, the amount of sleep you get, your sleep environment, stress levels, medication changes, etc.

I would leave it as-is, but check it every so often.  If it starts creeping up, then you may wish to consider changing something or switching to auto-mode.  But if you do switch to auto, make sure you start off with the upper and lower limits set pretty close together (definitely not "wide-open" from 4-20 cmH2O), but perhaps set to a range around 10-14 (assuming your current pressure is 12).  Then adjust as need be from there.

Thank you for your input. I look at my numbers first thing every morning and will continue to do so. Sleepyhead and coffee: best way to start the day. And, boy, you're not kidding about variables.  I figured out just two nights ago that if i put my hair in two braids, my mask fits better and thus fewer leaks. It seems to be an adventure in constantly solving for variables  Bigwink
--Leslie

"It will all be fine in the end. If it isn't fine, it isn't the end."
Post Reply Post Reply


#7
(05-17-2017, 11:33 AM)bonjour Wrote: These numbers are as good as it gets.  IF and WHEN your AHI runs consistently higher and only then, I'd consider APAP with a range of 10-14 to start.  Expect that to change.  It's purpose is to titrate to a new value.

Some people do better with straight CPAP, your numbers say you may be one of them.

On second thought I'll suggest going to APAP now, set the range to 12-12.  From a therapy point of view it makes no change, you are doing extremely well. it is to add a "Flow Limit" Stat, which is a precursor to OA events.  Again this does not change your excellent therapy.

I'm extremely pleased with how well my therapy is working. I'm only 16 days in, but I think I'm trying to (unrealistically) achieve zero events (the perfectionist in me), and I thought maybe having APAP would accomplish this. For now, I will be grateful for how easily I've adapted to CPAP and how well the therapy is working. Thank you for your always edifying advice.
--Leslie

"It will all be fine in the end. If it isn't fine, it isn't the end."
Post Reply Post Reply
#8
(05-17-2017, 11:10 AM)TASmart Wrote: I agree with the two above answers. But it's easy enough to try - set your machine in APAP mode, with pressures say from 10 to 14. See what happens. I am a bit more of an experimenter than some I guess. My results are always worse with either the APAP mode or the EPR, I seem to do the best with just straight CPAP.

After reading a little more about how PAP works, I realized that my previous thinking was seemingly wrong about therapy.  I mistakenly thought that my machine (in APAP mode) would detect reduced air flow and prevent OA's with increased pressure. Once the airway closes completely, any PAP doesn't "blow" it open, right?  The point is to keep it open?
--Leslie

"It will all be fine in the end. If it isn't fine, it isn't the end."
Post Reply Post Reply
#9
(05-17-2017, 06:30 AM)DeepBreathing Wrote: If it ain't broke...  if last night was typical and if you feel rested then don't change anything.

Thank you, and point well-taken.
--Leslie

"It will all be fine in the end. If it isn't fine, it isn't the end."
Post Reply Post Reply


#10
(05-18-2017, 04:50 AM)rooy1960 Wrote: After reading a little more about how PAP works, I realized that my previous thinking was seemingly wrong about therapy.  I mistakenly thought that my machine (in APAP mode) would detect reduced air flow and prevent OA's with increased pressure. Once the airway closes completely, any PAP doesn't "blow" it open, right?  The point is to keep it open?

Exactly so.
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


Possibly Related Threads...
Thread Author Replies Views Last Post
  CPAP vs APAP Phatkid77 6 264 08-15-2017, 10:45 PM
Last Post: DeepBreathing
  Weinmann / Löwenstein Prisma 20A Auto CPAP: APAP settings: standard vs. dynamic Costas P 1 273 08-14-2017, 02:02 PM
Last Post: yrnkrn
  Questions to Resmed Airstart APAP discontinued production. sharp56 9 347 08-12-2017, 12:55 PM
Last Post: tedgreen
  Guide to choosing APAP machine slarai 4 217 08-12-2017, 11:01 AM
Last Post: tedgreen
  Question about APAP machines and sensitivity to hypopneas slarai 4 245 08-10-2017, 10:07 PM
Last Post: Walla Walla
  Visited my Dr today for 1st visit since starting APAP speed3914 5 283 07-27-2017, 07:39 PM
Last Post: PaulaO2
  Follow up- APAP noise Tahera11979 0 158 07-22-2017, 07:39 AM
Last Post: Tahera11979

Forum Jump:

New Posts   Today's Posts




About Apnea Board

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

For any more information, please use our contact form.