Need help and advice on Quality of sleep and AHI

[trish6hundred]

Hi ravik,
WELCOME! to the forum.!
Good luck to you as you continue your CPAP therapy and also with getting it dialed in to better meet your needs.

[ravik]

Hi QAL,

Please find 15 minutes snapshot from last few days. Here are the links, please bear with me I am new to all this, if this does not work, will try to fix.

http://imgur.com/a/MNomD

http://imgur.com/a/Uduex

http://imgur.com/a/WLqsr

http://imgur.com/a/93xlo

[ravik]

Thanks Sleeprider,

I encounter many central apnea(CA) events when I increase pressure to 5.5 or up from 5. I have noticed none or very low CA events at min pressure of 5. If I go to min pressure of 6.5 the CA will definitely go up. I am willing to try your suggestion but based on long term overview below do you think it is still a good option?

http://imgur.com/a/93xlo

[Marillion]

Sleeprider was asking you to try putting your minimum AND maximum pressure at 6.0 or 6.5. Eliminating the pressure swings which may reduce your CA events. By leaving one pressure it may help with the CA events. Worth a try.

[ravik]

Thank you Marillion and Sleeprider.

I am going to give it a try and will update. Appreciate your help.

[Sleeprider]

Keep in mind your Philips APAP increases pressure by 2 cm every 20 minutes for 1.5 minutes. My advise would eliminate that.

[ravik]

Thanks, here is the setting I am going to use for tonight.

http://imgur.com/a/nrFNn

[Marillion]

Good stuff. Let's see what happens. FYI, it might take more than one night to settle in. Usually does.

[quiescence at last]

IMHO by reviewing just these short clips:

1 - your CAs are often short and just after a slight over-respiration, some in transition to sleep, and some during solid sleep followed by a slight arousal you probably were not even aware of.  They do not look like central nervous system flaws or lack of signal.  On the contrary, they show your feedback response is operative.  i.e. CAs because you are normal.

2 - your H events are so borderline, they probably barely hit the margin for counting.  Interest ones are at 3:41 and 3:43 where I see a breathing pattern I would normally expect in REM.  None of the events in the 45 minutes of clips looked harmful, disruptive, or even detectable by human onlookers, but have been recorded by our mechanical friend.

DOUBLE A+

Soak it up.

QAL

[ravik]

Hello quiescence at last,

That seems like my therapy is going fine and nothing needs to change, is that correct? But then I wonder why do I feel not getting good sleep during night and feel tired during the day for last 5-6 weeks?