First night very high numbers

[fihappy]

Fihappy, post a couple more times, and the images won't be a problem, or just add some spaces to the links.  Did you have a titration study where you were evaluated on a CPAP to determine your pressures?  I'm guessing not.

Updated the post with the images.

[tuckman]

Looks like you have rem related osa. The pressure is increased suddenly and the leak soars.

How dry is you mouth through the night or right when you wake up?

[trish6hundred]

Hi fihappy,
WELCOME! to the forum.!!
Good luck to you with your CPAP therapy, hang in there for answers about your graphs.

[fihappy]

Looks like you have rem related osa. The pressure is increased suddenly and the leak soars.

How dry is you mouth through the night or right when you wake up?

Mouth does feel pretty dry when I wake throughout the night as well as in the morning. Never had dry mouth problem without the cpap.

[tuckman]

Looks like you have rem related osa. The pressure is increased suddenly and the leak soars.

How dry is you mouth through the night or right when you wake up?

Mouth does feel pretty dry when I wake throughout the night as well as in the morning. Never had dry mouth problem without the cpap.

That is the main problem I see according to those charts you posted. 

You need a chinstrap or a full face mask to properly address the issue. Once that is fixed then the pressure settings can be fine tuned.

[fihappy]

Looks like you have rem related osa. The pressure is increased suddenly and the leak soars.

How dry is you mouth through the night or right when you wake up?

Mouth does feel pretty dry when I wake throughout the night as well as in the morning. Never had dry mouth problem without the cpap.

That is the main problem I see according to those charts you posted. 

You need a chinstrap or a full face mask to properly address the issue. Once that is fixed then the pressure settings can be fine tuned.

So this high of leaks can cause the system to report high ahi and osa events? I woke up a few times with the mask leaking out the side and shooting in my eyes. I did also open my mouth a handful of times intentionally to relieve some mouth pressure. My leak data look bad? 
If so, I may just need to tighten the mask. I'm hoping that's what caused this high ahi.

[chill]

No, the leaks are not causing the high AHI.  There are plenty of events when the leak rate is under control.  They will cause a dry mouth if you are mouth breathing and will affect your therapy once you get things ironed out more.  

What I see is that your minimum pressure of four is far too low to allow the machine to ramp up to the pressure that you need in time. I think you will want this closer to 9.  You can try bumping it up to six or seven to start with and then gradually moving it up by 0.5 every few nights, depending on how you tolerate the increased pressure.

You can select that session where you were playing around in Sleepyhead and turn it "off" / disable it. That will make the graphs easier to interpret.

[fihappy]

Looks like you have rem related osa. The pressure is increased suddenly and the leak soars.

How dry is you mouth through the night or right when you wake up?

Mouth does feel pretty dry when I wake throughout the night as well as in the morning. Never had dry mouth problem without the cpap.

That is the main problem I see according to those charts you posted. 

You need a chinstrap or a full face mask to properly address the issue. Once that is fixed then the pressure settings can be fine tuned.

So this high of leaks can cause the system to report high ahi and osa events? I woke up a few times with the mask leaking out the side and shooting in my eyes. I did also open my mouth a handful of times intentionally to relieve some mouth pressure. My leak data look bad? 
If so, I may just need to tighten the mask. I'm hoping that's what caused this high ahi.

[tuckman]

Mouth does feel pretty dry when I wake throughout the night as well as in the morning. Never had dry mouth problem without the cpap.

That is the main problem I see according to those charts you posted. 

You need a chinstrap or a full face mask to properly address the issue. Once that is fixed then the pressure settings can be fine tuned.

So this high of leaks can cause the system to report high ahi and osa events? I woke up a few times with the mask leaking out the side and shooting in my eyes. I did also open my mouth a handful of times intentionally to relieve some mouth pressure. My leak data look bad? 
If so, I may just need to tighten the mask. I'm hoping that's what caused this high ahi.

Imagine 70 lpm of air rushing out of your mouth. That's air that is not being delivered to assist in keeping your airway open. Yes high oral leaking or mask leaks can cause osa.

Your leak values are too high for a nasal mask at those pressures. Either your mask needs to be tightened or you have oral leaking. Or both. Address the leak first.

[chill]

I am pretty sure that high oral leaking does not cause OSA.     It can prevent the machine from effectively treating it, depending on how large the leak is.