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Amount of Apnoeas
I have been on cpap, and now bipap, for a couple of months now. I have just got the mask that suits me. However I am still having 24, average, apnoeas a night. My ramping starts at 10 and the highest pressure is 20. As this is quite high I am begining to think that I will never get this under control. I'm feeling really low about the whole thing at the moment.
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Replies to This Discussion
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Permalink Reply by Tigers Fan on
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Number of apnoeas.
Sounds like your CPAP is actually an APAP and it seems your operating band is way too wide. Your ramp start is immaterial - where does it end? Crucially, what is your AHI and even more crucially what is your 90% pressure.
As your machine is set with Pmax = 20, it will go there every time you have a 'significant' apnoea, it is programmed to do so and has nothing whatever to do with the efficacy of your therapy.
Which machine do you have?
Two routes to fix the problem - DIY if you are confident about things mechanical or back to the clinic. If you choose the second option, let's at least arm you with some knowledge of what you want from them - hence my questions.
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Permalink Reply by Carolyn Tipping on
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I am using a resiponics bi-pap auto b-flex.
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Are you able to answer the other quetions?
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My AHI is 7 days 21.8 and 30 days 21.6. My 90% is 7 days19.6/17.6 30 days 19.4/17.4. I got these numbers odd my machine. I'm not sure what they mean.
Tigers Fan said:
Are you able to answer the other quetions?
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Hello Mary. I am also on a lot of meds. What is your AHI? Thanks for your advice.
Mary Zimlich said:
Carolyn, your AHI is the number of apneas and hypopneas you are having in one hour. It should be under five. Something is wrong. If you feel great maybe the machine is overreporting. I would see the doctor, explain what is going on, and have him/her download and read your data. Not to scare you, but if the machine data is correct your sleep apnea is not being effectively treated. You can also call the doc and speak to the nurse and explain the situation. Please get checked out, though, and for goodness sakes keep us posted.
In my own case I cannot get to a normal AHI because of meds I take, but mine is not as high as yours.
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Whilst awaiting an appointment with your GP/sleep clinic, have a look at your mask leakage. That high 90% pressure suggests to me that youare experiencing a whole lot of leakage.
But chase a review at yourt sleep clinic urgently - effectively, you are hardly being treated at all!
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I think that heavy meds, including morphine and diazepam, are probably causing such a high AHI. I've got an appointment at sleep clinic on 16th Sept, my birthday, what a nice place for a birthday treat. hahahhaahhaha.
Mary Zimlich said:
Carolyn, my AHI is usually in the teens- high to low, it varies. My average AHI for the week was 16.4 and for the month 19.
I am on some heavy meds and my doc believes that is the cause of the high AHI.
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Permalink Reply by Kath Hope on
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Both Morphine and Diazepam make sleep apnoea worse. I've done numerous research on this subject for people in the past. Do a Google search but spell apnoea the US way 'apnea' and you'll find lots of info. However, people obviously need these medications, but this needs discussing at your next appointment. Having said this, at least you're on the BiPap as it would be much worse if you weren't.
Carolyn Tipping said:
I think that heavy meds, including morphine and diazepam, are probably causing such a high AHI. I've got an appointment at sleep clinic on 16th Sept, my birthday, what a nice place for a birthday treat. hahahhaahhaha.
Mary Zimlich said:
Carolyn, my AHI is usually in the teens- high to low, it varies. My average AHI for the week was 16.4 and for the month 19.
I am on some heavy meds and my doc believes that is the cause of the high AHI.
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Thanks, everyone, for replies.
Kath Hope said:
Both Morphine and Diazepam make sleep apnoea worse. I've done numerous research on this subject for people in the past. Do a Google search but spell apnoea the US way 'apnea' and you'll find lots of info. However, people obviously need these medications, but this needs discussing at your next appointment. Having said this, at least you're on the BiPap as it would be much worse if you weren't.
Carolyn Tipping said:
I think that heavy meds, including morphine and diazepam, are probably causing such a high AHI. I've got an appointment at sleep clinic on 16th Sept, my birthday, what a nice place for a birthday treat. hahahhaahhaha.
Mary Zimlich said:
Carolyn, my AHI is usually in the teens- high to low, it varies. My average AHI for the week was 16.4 and for the month 19.
I am on some heavy meds and my doc believes that is the cause of the high AHI.
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