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.
Login or Create an Account
I have been trying different settings to try to lower my AHI but no solution seems to be helping me at all. Here I will be leaving pictures of 3 days where I have used different settings. It is worth noting that on March 11 it appears that the pressure is at 15.0 (cmH2O) but I set this pressure from 7 am until 9 am, before 7 am I had used a pressure of 13.0 (cmH2O).
You are having positional apnea. You can see positional apnea where either H or Oa events are clustered together. Getting rid of as many as you can will lower your AHI. Positional apnea can NOT be controlled by pressure changes. You have to find out what position you are getting into and cutting off your own airway. Have you changed your sleep position? Sleeping on your back? Using more (or new) pillows? These things can cause positional apnea by chin dropping to your sternum and cutting your airway. Think of it of a kinked hose – nothing can get through – you have to unkink the hose…
IF you can’t make a simple change like changing to a flatter pillow helps then you will need a collar. I have a link to collars in my signature at the bottom of the page. It shows people who are not wearing a collar and the SAME person wearing a collar. There is a huge difference between the two.
Hi, thanks for your recommendations. answering some of your questions about “Have you changed your sleep position?” I usually sleep on my back or on my side and change positions while sleeping. On the other hand answering to the question “Using more (or new) pillows?” I always use only one pillow.
important:
Before starting the treatment I was diagnosed with “mandibular retrognathia” and then I had a sleep study to see if I had apneas which was evidenced.
I think my problem is due to “mandibular retrognathia” but I don't know how to solve the problem because I am using an airsense 11. I don't know if I should increase the pressure or set up something extra, I really don't know what else to do. :c
You will notice that "Soft Cervical Collar" (SCC) is the next paragraph for discussion, read it also. Stacy is directing you towards trying a Soft Cervical Collar. I agree it would be a cost effective means to possible eliminate a lot of your sleep disturbances. Then we can assist in optimizing your PAP therapy.
It is possible that your Mandibular Retrognathia does contribute to your AHI, but you can optimize the effectiveness of your PAP therapy to see if there is any results to be obtained through more drastic measures, as treatment for receding jaw usually incorporates different orthodontic devices, then surgery if dental devices do not work.
UnicornRider and staceyburke, thank you for your recommendations I will purchase the Soft Cervical Collar and will be notifying you again how everything is going. TY
03-14-2025, 07:38 PM (This post was last modified: 03-14-2025, 07:43 PM by Granddude Ron.
Edit Reason: Add a bit and edit spelling
)
RE: Settings recomendations
I think I experience chin tucking sometime. I use a wedge incline pillow, which I think helps me a lot. Finding a sufficiently flat pillow to go with the incline pillow is difficult. I just found a new pillow at Target that is very flat, but very soft, and it could even be too flat in its base condition. The advantage is that it's a pillow system that accepts inserts to thicken the base pillow. I don't know if it's ok to post a photo or link to it, but I think it's ok to name it. Customizable Bed Pillow (Buildable Outer Comfort Cover and Supportive Inserts Sold Separately) – Casaluna™.
(03-14-2025, 07:38 PM)Granddude Ron Wrote: I think I experience chin tucking sometime. I use a wedge incline pillow, which I think helps me a lot. Finding a sufficiently flat pillow to go with the incline pillow is difficult. I just found a new pillow at Target that is very flat, but very soft, and it could even be too flat in its base condition. The advantage is that it's a pillow system that accepts inserts to thicken the base pillow. I don't know if it's ok to post a photo or link to it, but I think it's ok to name it. Customizable Bed Pillow (Buildable Outer Comfort Cover and Supportive Inserts Sold Separately) – Casaluna™.
Thank you Granddude Ron, thank you for your recommendation, I will see if I order this pillow or one like it. I will be taking this option into consideration.
You will notice that "Soft Cervical Collar" (SCC) is the next paragraph for discussion, read it also. Stacy is directing you towards trying a Soft Cervical Collar. I agree it would be a cost effective means to possible eliminate a lot of your sleep disturbances. Then we can assist in optimizing your PAP therapy.
It is possible that your Mandibular Retrognathia does contribute to your AHI, but you can optimize the effectiveness of your PAP therapy to see if there is any results to be obtained through more drastic measures, as treatment for receding jaw usually incorporates different orthodontic devices, then surgery if dental devices do not work.
Post back with more OSCAR Reports.
Greetings UnicornRider, yesterday I bought a cervical collar and I was trying it during the night I could only sleep from 22:00 pm until 3:47 am with it because I felt very uncomfortable.
I think the discomfort was due to the fact that I tightened it too much to my neck so that my chin would always be on top of the collar and there would not be any holes on the inside that would ruin the process, i.e. my chin would end up falling down.
at 3:50 was when I decided to sleep without the collar so here I will be leaving you the pictures during the use of the collar and another one without the collar.
I look forward to your feedback!
(03-13-2025, 01:23 PM)staceyburke Wrote: You are having positional apnea. You can see positional apnea where either H or Oa events are clustered together. Getting rid of as many as you can will lower your AHI. Positional apnea can NOT be controlled by pressure changes. You have to find out what position you are getting into and cutting off your own airway. Have you changed your sleep position? Sleeping on your back? Using more (or new) pillows? These things can cause positional apnea by chin dropping to your sternum and cutting your airway. Think of it of a kinked hose – nothing can get through – you have to unkink the hose…
IF you can’t make a simple change like changing to a flatter pillow helps then you will need a collar. I have a link to collars in my signature at the bottom of the page. It shows people who are not wearing a collar and the SAME person wearing a collar. There is a huge difference between the two.
Greetings staceyburke, you can also see my results above.
