How to reduce my events while using my Cpap

Posted by alan bruce @alanbruce, Feb 25, 2019

I track my events, usage, seal and total score daily on Myair which is a Resmed product. I have used a Cpap machine for about 6 months and have had good success however my events seem stay below 5 for a few days and then jumps up to 8 or 9 for a day and then goes back to below 5.. It seems to be a regular pattern however I have not been able to determine why my events go up. Any suggestions are ideas on how to reduce my events would be great.

@rbcoast

I am using nose pillows and chin strap with Resmed AirSense. My report shows good seal and humidity but 44 events. Pressure setting is 9. What’s going wrong?

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Hello @rbcoast, Welcome to Mayo Clinic Connect. We like you are patients and are only able to share our experience. From what I've read and heard from others, it can take a good year before you realize the full benefits of using a CPAP machine. My sleep medicine doctor wanted my to focus on lowering my AHI to 4 or less and that took me well over a year and I still occasionally will have a bad night where it's above 4.

Here's some information that may explain the readings a little better about AHI numbers.
– The Clinical Significance of Apneas Versus Hypopneas: Is There Really a Difference?: https://www.ncbi.nlm.nih.gov/pmc/articles/PMC6597136/

I found that I got better readings when I sleep on my sides vs sleeping on my back. Also, never have been able to sleep on my stomach. Have you been able to discuss your sleep number results with your doctor or sleep therapist to see if they have any suggestions to help?

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My number of events is usually under 6. My events for last night were 26.3. Has that happened to anyone else before?

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@rileygirl1

My number of events is usually under 6. My events for last night were 26.3. Has that happened to anyone else before?

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Hello @rileygirl1, Welcome to Mayo Clinic Connect. My events go up and down quite often. I will have an AHI between 1 and 3 for a week and then it will go up above 4 for a day or two. I sometimes have trouble sleeping due to hip pain depending on which side I'm sleeping on so I toss and turn some during the night. I use a small pillow between my legs to help with it.

@thankful and other members may have some tips or suggestions to share with you. How long have you been using a CPAP?

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@rileygirl1

My number of events is usually under 6. My events for last night were 26.3. Has that happened to anyone else before?

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@rileygirl1– I have used C-pap for quite a few years and I can't remember my early years having issues with high AHI numbers. Seems like my sleep doc has always been happy with my numbers. I believe that they often will increase the pressure to your mask in order to reduce the higher AHI's. I've had them do that occasionalily and I have found that it often helpful to have them change the ramp time so as the pressure increases often you are already asleep.
The other thing I'm always speaking about is to be happy with the mask you use. In my opinion the mask fit, etc. is critical for establishing a long term relationship with your C-pap.
Happy Zzzz's to you! Jim@thankful

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@rileygirl1

My number of events is usually under 6. My events for last night were 26.3. Has that happened to anyone else before?

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I had ahi below 5 in sleep lab but at home ahi from 17 to 21 and feel horrible.

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Probably not recommended to change pressure yourself, but you might call and request that. Also, do you have a humidifier attached as well as temperature set to around 72? Headgear gives me grief, but I also take THC/CBD to help sleep.

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Have done all but ahi still increased

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What percentage of the events are obstructive and what percentage central? The CPAP only reduces the obstructive apneas

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@gramps

What percentage of the events are obstructive and what percentage central? The CPAP only reduces the obstructive apneas

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70-90% osa

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In reply to @akalsas "70-90% osa" + (show)
@akalsas

70-90% osa

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Ok, so you do need to find the optimal setup and settings for you. My case is the opposite: the CPAP reduces my osa to near zero, while the csa is 7-8. I'm trying to figure out why….

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@gramps

Ok, so you do need to find the optimal setup and settings for you. My case is the opposite: the CPAP reduces my osa to near zero, while the csa is 7-8. I'm trying to figure out why….

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@gramps I wish I had some suggestions for you. My CPAP program only shows clear airway apneas, hypo apneas and obstructive apneas. From what I've read about central sleep apnea is that it's somewhat different than OSA and usually people with CSA have an underlying medical condition. Is your diagnosis central sleep apnea? Here's more information I found when I was trying to understand the difference.

Obstructive vs. Central Sleep Apnea: Key Differences and Treatment Options: https://www.aastweb.org/blog/obstructive-vs.-central-sleep-apnea-key-differences-and-treatment-options

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@johnbishop

@gramps I wish I had some suggestions for you. My CPAP program only shows clear airway apneas, hypo apneas and obstructive apneas. From what I've read about central sleep apnea is that it's somewhat different than OSA and usually people with CSA have an underlying medical condition. Is your diagnosis central sleep apnea? Here's more information I found when I was trying to understand the difference.

Obstructive vs. Central Sleep Apnea: Key Differences and Treatment Options: https://www.aastweb.org/blog/obstructive-vs.-central-sleep-apnea-key-differences-and-treatment-options

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Sorry, I meant that most of my events are clear airway. Not something that CPAP can remedy….

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