New Member - help please with my APAP Settings

[lysander08]

Hello guys!

I snore a lot and feel very sleepy even though I had slept for good amount of hours.  I am on a wait list for sleep study, it had been almost two years and I'm still waiting to be called up for an appointment.  So my mom gave me her Resmed Airsense 10 Autoset, with a Quattro FX mask because I am a mouth breather.  I have followed the initial settings from what I have read from the posts and I have also read on how to change the clinical settings.

Mode - APAP
Min. Pressure - 7
Max. Pressure - 15
EPR -3
Ramp - Off
Humidity Level - 4

Here is my first night, kindly help me if I need to change the settings.  Thank you so much!

[DeepBreathing]

G'day Kiwi cousin!

Before we go any further, your charts included your real name and date of birth. Many people would be concerned about having that information displayed in a public forum, so I have turned the attachments off for now. If you're happy to have those details public, let me know and I'll turn them back on. Otherwise I suggest you upload new copies with your identifying information removed.

Could I also suggest you post a "daily" page from Oscar rather than the long-form report. Instructions are here: http://www.apneaboard.com/wiki/index.php...ganization Generally we want to see Event flags, Flow rate, Pressure, Leaks, Flow limitations and Snore.

Two years wait list for a sleep study sounds outrageous. Is that normal for NZ? We're always told how socially progressive you are over there but I doubt if anybody has to wait that long here in Oz.

[lysander08]

Thank you for doing that DB.  Sorry it was my first post. I will send it again tomorrow. Thanks a lot!  Yes, apparently there is currently a long long wait for semi-urgent ones..

[AFM1]

Hello guys!

I snore a lot and feel very sleepy even though I had slept for good amount of hours.  I am on a wait list for sleep study, it had been almost two years and I'm still waiting to be called up for an appointment.  So my mom gave me her Resmed Airsense 10 Autoset, with a Quattro FX mask because I am a mouth breather.  I have followed the initial settings from what I have read from the posts and I have also read on how to change the clinical settings.

Mode - APAP
Min. Pressure - 7
Max. Pressure - 15
EPR -3
Ramp - Off
Humidity Level - 4

Here is my first night, kindly help me if I need to change the settings.  Thank you so much!

Here in Australia I had a home test within weeks of it being arranged, and a couple of months later an in hospital sleep test, I would have thought New Zealand was on par with us in Australia

[lysander08]

Attached is my first night from OSCAR, all suggestions would be well appreciated so I can somehow change my settings.  Thank you!

[lysander08]

Hi guys, I had a terrible night last night.  Feels like I'm too drowsy when I woke up.  Can you please check this one as well?  It's still the same settings, I don't know what happened. This is the 2nd night.

[OpalRose]

Looks like you have some positional apnea.  The clumps of Obstructives indicate that you are more than likely sleeping on your back and/or tucking your chin to you chest.  This will cut off your airway.  It’s possible to tuck your chin in a side sleeping position too.  Have you tried a soft cervical collar or other neck/snoring type collars?

http://www.apneaboard.com/wiki/index.php...cal_Collar

In the meantime, try bumping your minimum pressure up to 13cm. If you look at your pressure graph, the pressure is pretty much riding the maximum of 15 set. Set your pressure to 13 min and 20 max to see what the machine needs to do. I would also suggest lowering the EPR to 2 to keep in check any clear airways, but you can wait a couple days to see if the pressure change helps.

The increase in pressure should also help with snores and FL, and reras.

[lysander08]

Looks like you have some positional apnea.  The clumps of Obstructives indicate that you are more than likely sleeping on your back and/or tucking your chin to you chest.  This will cut off your airway.  It’s possible to tuck your chin in a side sleeping position too.  Have you tried a soft cervical collar or other neck/snoring type collars?

http://www.apneaboard.com/wiki/index.php...cal_Collar

In the meantime, try bumping your minimum pressure up to 13cm.  If you look at your pressure graph, the pressure is pretty much riding the maximum of 15 set.  Set your pressure to 13 min and 20 max to see what the machine needs to do.  I would also suggest lowering the EPR to 2 to keep in check any clear airways, but you can wait a couple days to see if the pressure change helps.

The increase in pressure should also help with snores and FL.

thanks so much for your response OpalRose!  I just bought a soft cervical collar, I will try it tonight and i will bring up the settings which you have suggested.

I will post the results in a couple of days.
  Thanks a lot!

---

thanks so much for your response OpalRose!  I just bought a soft cervical collar, I will try it tonight and i will bring up the settings which you have suggested.

I will post the results in a couple of days.
  Thanks a lot!

[lysander08]

Hi guys!

Happy thanksgiving!

I need guidance on my APAP Settings.  I have increased my settings already and wore a soft cervical collar based on the previous recommendation from OpalRose.  The only problem is, I get woken up in the middle of sleep because of too much air/pressure blowing.  Good thing was my AHI went down already since I started APAP from last week.  Is there anything settings that I needed to change? I'm posting the two recent graphs on the current settings.

Thanks!

[Gideon]

Shrink the snore and Flow limit charts so they fit on the page. Flow Limits are the prime driver on your pressure.