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+--- Thread: First 2 nights (/Thread-First-2-nights)
RE: First 2 nights - OpalRose - 05-09-2024
Well, your median 95% pressure reading is over 10cm and it hasn't brought down the FL, but I'll leave that up to you if you wish to experiment.
Focus on comfort. Higher pressures don't always give better results.
RE: First 2 nights - PeaceLoveAndPizza - 05-09-2024
Whilst we may not expect it to make any real difference, giving 10 a go for a night or two may be worth the experiment.
Once you have AHI under control as you do, one of the main remaining things to attempt managing are arousals. All we have is pressure to keep the airway open, so sometimes a wee bit more is all it takes. Of course, sometimes it does the exact opposite, but until you try we will never know.
Something like:
Min pressure 10
Max pressure 15
EPR 3 full-time
Note that it may totally ruin a nights sleep, so be prepared. Worst case, you turn it back to where it was before. Best case, we see a smoother flow rate and work from there.
RE: First 2 nights - HalfAsleep - 05-09-2024
I use Pad a Cheeks (or similar from an online artsy crafty website) to make my mask straps more comfortable. I no longer have marks on my face or a dent in the back of my head. They might be worth a try?
RE: First 2 nights - Narcil - 05-12-2024
2 more nights, tried 10cm last night without adjusting the mask. Not sure what happened with the leaks but this was the first hot day of the year and think it made it very hard to get some good sleep (no AC..). think i'll try a 2nd night but this looks a bit of a mess? but not sure it means anything since the leaks were pretty bad!
RE: First 2 nights - PeaceLoveAndPizza - 05-12-2024
The leaks are not that bad, just a bit above what we like to see. You do need a bit more pressure, but you can do that a little bit a night over a few nights. The goal would be to get to the recommendation from a few posts back, at least for now.
RE: First 2 nights - Narcil - 05-13-2024
Some nights it just works i guess.. definitely wasn't so hot last night so maybe that helped. guess i'll stick to this for a while since the FLs finally went down. Looks like the mask staying on helped a lot no surprise there.
RE: First 2 nights - OpalRose - 05-13-2024
Impressive! Sometimes, it just takes a little nudge up or down to see that change.
Most important is how you feel? Definitely stay with these settings for a while.
Let's hope there's a trend here.
RE: First 2 nights - Narcil - 05-13-2024
Pretty good considering i got woken up at 6 and it was waay too hot to fall back asleep. so far the biggest difference is being able to watch tv without instantly falling asleep
RE: First 2 nights - Narcil - 05-14-2024
i was curious and found my PSG results in my e-health portal didn't even need to ask the hospital! Here's the machine translated version..
Quote:Polysomnography
Sleep onset latency is prolonged (222.5 min ). 1st REM appears after 309.0 min (normal).
Sleep efficiency index decreased (50.7%). Total sleep time [was] shortened (287 min).
The patient snores discontinuously in all positions.
A significant number of apneas and hypopneas, mainly obstructive, are recorded (obstructive apnea-hypopnea index: 48.3/h sleep for a total apnea-hypopnea index
total apnea-hypopnea index: 48.2/h sleep).
Sleep is abnormally fragmented (arousal index + micro-arousals: 43.2/h sleep sleep) and interrupted by periods of wakefulness.
The patient desaturates significantly during the night: 80 min are spent under 90% saturation (i.e. 15.3% of the night).
Respiratory function tests
Theoretical value
FEV1: 3.89 l 90
VEMS/CVF: 73.94 % 92 %
Total lung capacity: 7.63 l 103% Diffusion
Diffusion: 10.36 mL/mmHg/min97 %
Resistance: 0.31 cmH2O/L/s 105 %
Residual Volume: 2.23 l 109 %
Conclusions
Severe non-positional SAS
Indication for CPAP treatment P 8 cm H2O
Translated with DeepL.com (free version)
Doesn't show anything specials right? only that it wasn't positional (no surprise) and that they didn't notice any CAs ? And that falling asleep at the hospital was a pain!
The also tested my lungs as i'm sure you can tell, put me in glass "box" with a tube in my mouth.
RE: First 2 nights - Narcil - 05-18-2024
2 more nights of data. think i'll try 10 tonight since FLs are still there. what you think?
since no FL were associated with these really weird breath, arousals?