Abdulfakih - Therapy Thread

[Abdulfakih]

The Resmed Aircurve and Airsense devices all work on spontaneous breathing to trigger IPAP or cycle to EPAP. They are controlled by and follow your own breathing initiatives. What you describe is impossible and the answer to what actually happened can likely be visualized by looking closely at the flow rate (respiration) and mask pressure (device pressure) charts and seeing what happened. Most cases of what you describe have resulted from anxiety resulting from a positional apnea, and can be resolved by calmly realizing you can breathe and reset  yourself and the device with a purposeful breath.  This will result in an arousal, but the feeling of being choked is due to an adrenaline rush or a panic reaction.  Keep in mind that 10 cm-H2O is only 0.14 psi. That cannot stop your breathing or choke you.  For perspective, the atmospheric pressure at sea level is  14.696 psi (760 mm Hg).

Ok then just keep the trigger at the same setting (you can experiment up or down if you want just to see if it helps or makes things worse). 

Big picture:  

• 5.3Positional Apnea
  

Okay, I think I can buy one of those collars. Do I need to use it with cpap?

[Jay51]

Yes.  It should keep your airway more straight so it does not get twisted and kinked like a garden hose.  It prevents the chin from tucking into the chest as well and cutting off your airway completely (most likely the feeling you were describing that Sleeprider commented on earlier).   

You can even use it when not using your cpap.  

Measure the distance between your chin and chest in inches.  Some collars go by small medium, large and extra large though.

[Abdulfakih]

The Resmed Aircurve and Airsense devices all work on spontaneous breathing to trigger IPAP or cycle to EPAP. They are controlled by and follow your own breathing initiatives. What you describe is impossible and the answer to what actually happened can likely be visualized by looking closely at the flow rate (respiration) and mask pressure (device pressure) charts and seeing what happened. Most cases of what you describe have resulted from anxiety resulting from a positional apnea, and can be resolved by calmly realizing you can breathe and reset  yourself and the device with a purposeful breath.  This will result in an arousal, but the feeling of being choked is due to an adrenaline rush or a panic reaction.  Keep in mind that 10 cm-H2O is only 0.14 psi. That cannot stop your breathing or choke you.  For perspective, the atmospheric pressure at sea level is  14.696 psi (760 mm Hg).

Okay, I think I can buy one of those collars. Do I need to use it with cpap?

Today results: https://imgur.com/a/WEPd3oS

Even with a lower pressure my deep sleep today was 20minutes. I wokeup with a headache and feeling "angry".

I dont know whats going on anymore, I just think my body got tired of using the cpap i guess...

[Jay51]

You have a few CA's.  The way to best treat this would be to increase the "trigger" setting to very high. 

There is a hypopnea (H) clusters (grouped together) as well.  The collar should have helped a little bit to prevent this.  The way to treat this is to raise your PS max.  It is set at only 2.0 so it can easily be raised.  You can jump to 3.0 or go slower by 0.2 increment.  Then keep increasing PS until the H's are gone.

[Sleeprider]

Your chart shows you have set the antibacterial filter to on. Unless you are using an AB filter in the air supply hose you need to turn that off. It sends a different pressure signal to the blower controller assuming more resistance in the air circuit and may result in improper trigger and cycle.

[Abdulfakih]

The Resmed Aircurve and Airsense devices all work on spontaneous breathing to trigger IPAP or cycle to EPAP. They are controlled by and follow your own breathing initiatives. What you describe is impossible and the answer to what actually happened can likely be visualized by looking closely at the flow rate (respiration) and mask pressure (device pressure) charts and seeing what happened. Most cases of what you describe have resulted from anxiety resulting from a positional apnea, and can be resolved by calmly realizing you can breathe and reset  yourself and the device with a purposeful breath.  This will result in an arousal, but the feeling of being choked is due to an adrenaline rush or a panic reaction.  Keep in mind that 10 cm-H2O is only 0.14 psi. That cannot stop your breathing or choke you.  For perspective, the atmospheric pressure at sea level is  14.696 psi (760 mm Hg).

You have a few CA's.  The way to best treat this would be to increase the "trigger" setting to very high. 

There is a hypopnea (H) clusters (grouped together) as well.  The collar should have helped a little bit to prevent this.  The way to treat this is to raise your PS max.  It is set at only 2.0 so it can easily be raised.  You can jump to 3.0 or go slower by 0.2 increment.  Then keep increasing PS until the H's are gone.

Perfect will set trigger again to very high. I reduced it a bit based on our conversation from yesterday.

In terms of soft collar, i found a place to buy it today. Will see if they have stock. And the PS that is very weird, i dont know how or why was it decreased, i remember it being higher, but i did not change that myself

[Abdulfakih]

The Resmed Aircurve and Airsense devices all work on spontaneous breathing to trigger IPAP or cycle to EPAP. They are controlled by and follow your own breathing initiatives. What you describe is impossible and the answer to what actually happened can likely be visualized by looking closely at the flow rate (respiration) and mask pressure (device pressure) charts and seeing what happened. Most cases of what you describe have resulted from anxiety resulting from a positional apnea, and can be resolved by calmly realizing you can breathe and reset  yourself and the device with a purposeful breath.  This will result in an arousal, but the feeling of being choked is due to an adrenaline rush or a panic reaction.  Keep in mind that 10 cm-H2O is only 0.14 psi. That cannot stop your breathing or choke you.  For perspective, the atmospheric pressure at sea level is  14.696 psi (760 mm Hg).

Your chart shows you have set the antibacterial filter to on. Unless you are using an AB filter in the air supply hose you need to turn that off. It sends a different pressure signal to the blower controller assuming more resistance in the air circuit and may result in improper trigger and cycle.

Hi sleep rider. I have a filter that was included with the cpap which is some sort of dust filter or something like that.

[Sleeprider]

The normal filter that fits into the air intake on the left side of the machine is not an antibacterial filter. Turn off the antibacterial filter setting.

Please stop quoting all our posts. It's not needed. https://www.apneaboard.com/forums/Thread...-t-have-to

[Abdulfakih]

The Resmed Aircurve and Airsense devices all work on spontaneous breathing to trigger IPAP or cycle to EPAP. They are controlled by and follow your own breathing initiatives. What you describe is impossible and the answer to what actually happened can likely be visualized by looking closely at the flow rate (respiration) and mask pressure (device pressure) charts and seeing what happened. Most cases of what you describe have resulted from anxiety resulting from a positional apnea, and can be resolved by calmly realizing you can breathe and reset  yourself and the device with a purposeful breath.  This will result in an arousal, but the feeling of being choked is due to an adrenaline rush or a panic reaction.  Keep in mind that 10 cm-H2O is only 0.14 psi. That cannot stop your breathing or choke you.  For perspective, the atmospheric pressure at sea level is  14.696 psi (760 mm Hg).

Hi sleep rider

Thanks for the information, will turn it off. I am not replying with a quote, honestly I dont know what is going on but its quoting your old message automatically. I dont know how to make it stop

[Sleeprider]

Do not use the Reply with Quote button, use the Reply button or quick reply. This does not happen by default.