Cervical Collar - amazing!

[zzzZorro]

SR; As soon as I have hands-on the BiPAP I'll post results for you.

[zzzZorro]

This will either help or really confuse the issue. I believe the majority of the apneas occur other than during sleep.  

https://imgur.com/a/q8xS8

Last nights chart is in two parts.  Same settings on APAP as before, using a Cervical Collar.  The collar was kept on all night.  From 20:39-02:51 the AHI was 10.80.  From 02:52-04:04 the AHI was 41.37.
 
Here is how I recollect the time frame: 
*My wife, who usually reads for about an hour after I mask-up and start to sleep turned the light out to go to sleep at the same time.  The Apneas were significantly less than they usually are at the beginning. 
*At 00:38 I believe I woke and just waited to go back to sleep, about 15 minutes.  There is a blevy of apneas shown there. 
*At 02:05 I woke and considered a P-break for a few minutes but dozed back off. .. Another cluster of apneas.  At about 02:52 the urge to P came back and I got up for a couple minutes. 
*The second 02:52 chart is decorated with mixed apneas, but during that hour I did not go back to sleep.  Finally I took the mask off and shut the APAP down.

I think this must clearly indicate the lion’s share of both Centrals and Obstructives are during drifting off to sleep or while awake.  I wonder if the usual hour my wife reads with her night light on actually locks me into the sleep holding-pattern of a psudo-sleep.

Any clues here for 'those who know'?

[ajack]

I don't count anything while I'm awake, drifting off to sleep or waking up. It's ugly for most people. When is the bpap coming?

[Sleeprider]

Just a thought...13 minimum, 20 maximum EPR 3. Let's see what more pressure support / EPR does for you.

[zzzZorro]

I don't count anything while I'm awake, drifting off to sleep or waking up. It's ugly for most people. When is the bpap coming?

Interesting.. thought 'ugly' was reserved for me       Having Apneas while awake may indicate a screw loose somewhere?

Aircurve 10 VATO is scheduled to be picked up Monday afternoon unless someone drops the ball..

[zzzZorro]

Just a thought...13 minimum, 20 maximum EPR 3.  Let's see what more pressure support / EPR does for you.

   I'll dial that in for tonight.  

The 12/19 2-EPR sorta fell off the wagon last night. https://imgur.com/a/Ikrhb
Full moon on snow woke me at midnight so I shut it down.  Seemed to have the sensation the cervical collar may have been a bit snug?

[Sleeprider]

Once you have the bilevel, you will be using more pressure support. No reason not to get a jump on that trend.

[Kryogen]

what is PS?

[zzzZorro]

what is PS?

You address a curious novice here Sir.  Did not know an APAP has a (PS) Pressure support setting per-se unless is is the resultant Median Pressure average shown on the above noted chart at 16.68cmH20.

[Walla Walla]

Pressure Support is the difference between EPAP and IPAP. With the APAP when you use EPR your creating a Pressure Support. The exhale pressure is EPAP and the inhale pressure is IPAP.