help to understand sleepyhead results

[Apnea Infant]

Please read Bonjour's reply just above your post for an excellent explanation on your numbers.  

But your most recent posted chart from that bad evening shows strong clusters for the most part which would indicate positional Apnea events were happening that night.  A situation whereby your chin was tucked in towards your chest a few times restricting your airway and increasing the odds of multiple events occurring very close together.  

In a case like that, usually we would recommend the use of a soft cervical collar to keep the neck aligned and/or possibly changing your pillow if it is of a deep soft variety.  You may be making yourself much more susceptible to these positional apneas with the type of pillow you may be using.  I would recommend a buckwheat hull pillow or a more firm memory foam pillow.  It really helped with my event clusters.

Yes I read Bonjours post as soon as I posted my reply to you. That was indeed really really clear.

Thanks for that Marillion, I get your explanation of those clusters. Perhaps thats why it stopped the next night as I then started using the soft cervical collar with the P10 which had less leaks for me. I do have 3 very soft pillows and shall look into the ones you have suggested.

[Gideon]

AI, I see that you are using attachments for your charts. The forum limits attachments so you are better off using a service like Imgur. Then you just paste a link into your post. That will help with history.

[Gideon]

Even though EPR is considered a comfort setting, because of all the CA events you have your EPR should be 0, at least as close to it as you can get, at least until you beat the CA and can adjust some EPR back in if you wish.
Always keep in mind both aspects of therapy, first are the numbers, you want a reasonably low AHI, but more importantly you need comfort, Without comfort you won't be "compliant", you won't use your pap machine full time, and that is not good therapy.

So How do you feel?

[quiescence at last]

ok, I put a graphic together to show what bonjour was stating about reducing pressure at the same time as reducing EPR, until you settle out at 11 cm with EPR of 0.


Hope that helps in combination with his several explanations.

QAL

[Apnea Infant]

Hey guys.....QAL, Bonjour and Marillion

Thank you so so much for your time and help. I now have the explanation about EPR/IPAP and CA in all ways possible and its is entirely clear.

Its Friday night here and I am dead beat after the London attacks, my illness, an election and work all in a week!!

I shall look into adjusting EPR relative to IPAP starting tonight. Think I shall reduce IPAP to 13 with EPR of 2 tonight and see what that brings me.

Shall upload some history and also tonights results to imgur with next posts tomorrow.

[Apnea Infant]

Hi good morning

http://imgur.com/a/xrT3Y

Attached the info from last nights sleep and CPAP therapy of IPAP 13, EPR 2. I have to say that I did not feel great upon waking up. Had bad headaches which are slowly easing. Had a lot of OAs just before waking-perhaps REM sleep?? But do not know if headaches are due to this flu bug thing that I have been afflicted with this week. However I did not have them before sleeping.

Any thoughts??

[Apnea Infant]

A bit more detail without clicking on imager link

CA- 6, OA- 7 so it might seem IPAP 13 with EPR 2 is working. Will definitely give it more time but cannot say I feel good. But could be due to illness.

[ajack]

I wouldn't call an AHI of 1.4 with an OA of .7, the longest being 14 seconds terrible, in fact most would say that is good. you could increase the pressure a bit more for the OA

[quiescence at last]

all three examples of OA you showed detail for are holding your breath for some reason, perhaps swallow or halting to listen to something.

QAL

[Apnea Infant]

Good morning

In the spirit of putting all my data in one thread for history, attached shows the reporting of good mask seal by MyAir but the reality of enormous number of large leaks by Sleepyhead confirmed by my own memory of lots of mouth leaks through through the night.

More importantly I felt crap yesterday, as though I had loads of OSAs despite the register being low.

Why do you think this is??