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Machine: Resmed Aircurve 10 ASV Mask Type: Full face mask Mask Make & Model: Resmed F20 - it rocks ! Humidifier: with machine CPAP Pressure: Min EPAP 10.6, IPAP 29, PS4-14 CPAP Software: SleepyHead
myAir
I echo Matt's sentiment about the collar - it felt like a step too far and couldn't be comfortable but it really is !
Initially for me I had quite a stiff one as the Releaf (most common one suggested here) was too soft and didn't prevent me chin tucking but over time I must have retrained my sleeping position and as a result can use the softer Releaf one with great success and comfort - do it if thinking about it as it may really help your sleep quality
I force myself to avoid back sleeping so I'm mostly a side sleeper using a nasal pillow mask. I have to wear a collar partly for clusters of oa and mostly to reduce lip leaks.
Many people tuck their chins and obstruct their airway on their side. We have seen a number of diagnostic sleep reports where supine is approximately equal to other sleeping positions for obstruction. When sleeping on your back, the biggest culprit seems to be a pillow that is too firm or tall that causes the head to rock forward. Side-sleepers tend to let their jar drop the shoulder which is no different in terms of obstructive alignment. If you use a fairly thin flexible pillow, try pulling a corner of it between your jaw and shoulder. You will immediately feel the difference a collar provides and ensures regardless of movement.
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.
02-17-2020, 04:32 PM (This post was last modified: 02-17-2020, 04:51 PM by mattw2019.)
RE: CPAP Battle - Chart Attached
I have been using the same setting for nearly a month now. A few observations
-I have had 2 nights with AHI below 5, which is a win.
-Average AHI has been 6.45
-5 hours is about the longest I have been able to tolerate the mask
-Therapy is helping. I feel much better after a night with at least 4 hours on the mask.
-Collar doesn't seem to make much of difference on my numbers
Attached are charts from the past three nights...any advice is appreciated.
Ok!, I'll give it a go. A lot of these events look positional. With that said, you are starting off at 6 cm on the EPAP but your needs indicate you need a starting pressure of 12.0 cm. You also are hitting your IPAP limit of 17 cm. My idea is to have an upper limit that is just above what you normally need, for those special moments. I would try setting the IPAP to 18. This is just a 6% increase in pressure and shouldn't be a shock to you if it is reached. I am looking for peaks and not plateaus on the upper limit.
Please don't take my recommendations as the gospel. I urge you to study your graphs and make your own decision.
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.
Thanks for the help. I set the IPAP to 18 as suggested. I only bumped up the EPAP to 8 because the high EPAP has tended to give me problems but I am open to increasing it if needed.
Last night I had the best AHI ever at 1.96. Will give it a few nights at these pressures unless chart suggests changes.
