Still getting OAs...do my settings need tweaking?

[scruffies]

I am 113 days into cpap. I am usually seeing AHI in the 1-2 range, mostly CAs and Hs; however, I am also still seeing some OAs which makes me wonder if I need to tweak the machine's settings a bit. I would appreciate some of the forum vets taking a look at last night's data to see if they would recommend any changes:




I am a side sleeper and use the Swift FX mask. Not sure what might cause the OAs given the 11-15 pressure setting or perhaps I should just be grateful for these results. Dunno.


Thanks for taking a look. If I need to enlarge something and post it just let me know.

[LSAT]

Stay with what your doing...You're fine...Quit worrying and get some sleep. You will NEVER completely get rid of apnea events.

[jnk...]

During a PSG, an apnea is labeled obstructive when someone is trying to take a breath but can't. On the other hand, our home-treatment machines do not monitor effort to breathe, but, instead, label our apneas according to whether or not our airway appears to the machine to be mostly closed. That is useful for estimating the nature of the event, but it is not definitive. Therefore it is possible that harmless pauses in breathing are allowing your airway mostly to close so that the event is getting labeled by your machine as obstructive, according to its definition. Furthermore, if you are turning over in your sleep, it is possible you are closing your airway on purpose, similar to a grunt. Some of us do that.

These are only a few of the reasons that a sudden apnea in isolation that is labeled obstructive may not be something to be overly concerned about to the extent of attempting to over-stent or over-stabilize the airway with higher pressure(s), especially if the number of events is not trending upward over the long-term.

This is my overly-wordy way of giving a plus one to LSAT's post.

[D.H.]

This is actually pretty good.

However, if you want to try it, why not raise the max to 20. If you experience more clear airway events, or experience arousal, pain/discomfort, or leaks, then just put it back to where it was (or somewhere in between).

[Jas_williams]

This is actually pretty good.

However, if you want to try it, why not raise the max to 20. If you experience more clear airway events, or experience arousal, pain/discomfort, or leaks, then just put it back to where it was (or somewhere in between).

And that is going to do what exactly, the machine is on Auto max 15 and the maximum pressure reached during treatment is less than 13....

[OkyDoky]

This is actually pretty good.

However, if you want to try it, why not raise the max to 20. If you experience more clear airway events, or experience arousal, pain/discomfort, or leaks, then just put it back to where it was (or somewhere in between).

What is your rationale for this D.H.? If he was hitting the max with events at the same time would be one thing, but he's not hitting his max. There are some changes that might help but I would just watch how the AHI and pressures trend for now, especially if you (Scruffies) are sleeping well.

[TedVPAP]

Your data looks great.

[palerider]

This is actually pretty good.

However, if you want to try it, why not raise the max to 20. If you experience more clear airway events, or experience arousal, pain/discomfort, or leaks, then just put it back to where it was (or somewhere in between).

And that is going to do what exactly, the machine is on Auto max 15 and the maximum pressure reached during treatment is less than 13....

Really, Jas, what do you expect from one of the local D-K poster children?

Stupid, ignorant, misleading 'suggestions' is their specialty!

[palerider]

I am 113 days into cpap. I am usually seeing AHI in the 1-2 range, mostly CAs and Hs; however, I am also still seeing some OAs which makes me wonder if I need to tweak the machine's settings a bit. I would appreciate some of the forum vets taking a look at last night's data to see if they would recommend any changes:

If you were going to do anything, you could bump up the minimum pressure a little, to smooth out the pressure line a bit.

However, under 1.5 is what I normally call "good enough"... Don't get caught up in the hunt for the elusive zero...

[scruffies]

I am 113 days into cpap. I am usually seeing AHI in the 1-2 range, mostly CAs and Hs; however, I am also still seeing some OAs which makes me wonder if I need to tweak the machine's settings a bit. I would appreciate some of the forum vets taking a look at last night's data to see if they would recommend any changes:

If you were going to do anything, you could bump up the minimum pressure a little, to smooth out the pressure line a bit.

However, under 1.5 is what I normally call "good enough"... Don't get caught up in the hunt for the elusive zero...

Still getting some “obstructives” is what I was mostly concerned about, not the AHI number itself. I am not striving for a zero although it would be fun to get one sometime. Thanks for the suggestions.

[palerider]

I am 113 days into cpap. I am usually seeing AHI in the 1-2 range, mostly CAs and Hs; however, I am also still seeing some OAs which makes me wonder if I need to tweak the machine's settings a bit. I would appreciate some of the forum vets taking a look at last night's data to see if they would recommend any changes:

If you were going to do anything, you could bump up the minimum pressure a little, to smooth out the pressure line a bit.

However, under 1.5 is what I normally call "good enough"... Don't get caught up in the hunt for the elusive zero...

Still getting some “obstructives” is what I was mostly concerned about, not the AHI number itself. I am not striving for a zero although it would be fun to get one sometime. Thanks for the suggestions.

Well, enough pressure will prevent obstructives, but it may be less comfortable and more troublesome, .... like most things, it's a balancing act.

[Jas_williams]

This is actually pretty good.

However, if you want to try it, why not raise the max to 20. If you experience more clear airway events, or experience arousal, pain/discomfort, or leaks, then just put it back to where it was (or somewhere in between).

And that is going to do what exactly, the machine is on Auto max 15 and the maximum pressure reached during treatment is less than 13....

Really, Jas, what do you expect from one of the local D-K poster children?

Stupid, ignorant, misleading 'suggestions' is their specialty!

I had to reply for the benefit of the original poster stupid suggestions by D.H. Get to me at times I often just ignore

[palerider]

This is actually pretty good.

However, if you want to try it, why not raise the max to 20. If you experience more clear airway events, or experience arousal, pain/discomfort, or leaks, then just put it back to where it was (or somewhere in between).

And that is going to do what exactly, the machine is on Auto max 15 and the maximum pressure reached during treatment is less than 13....

Really, Jas, what do you expect from one of the local D-K poster children?

Stupid, ignorant, misleading 'suggestions' is their specialty!

I had to reply for the benefit of the original poster stupid suggestions by . Get to me at times I often just ignore

Correcting D-K poster children's drivel is a full time job, unfortunately.

[jnk...]

I believe that most algorithms ignore a single apnea on its own (especially one happening when pressure is above 10 cm, even when labeled "obstructive") and so should we.