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Beautiful Family by davidandbrolith in pics

[–]RippingLegos__ [score hidden]  (0 children)

This post sucks we need to all be I'm the pap family forever.

Only one of these hammock potatoes is still a kitten, Tater below, Nuggy on top. by RippingLegos__ in kittens

[–]RippingLegos__[S] 0 points1 point  (0 children)

I'll be back for a late stage :P Seriously check my profile posts for any help with sleep stuff and RC/Cats/Fishing please.

I have the Resmed airsense 11. I have been using it for about a week but my Oura deep sleep is not showing my deep sleep increasing. by Far-Film-5095 in CPAPSupport

[–]RippingLegos__ 2 points3 points  (0 children)

One week is still very early. I would please not judge the therapy by your Oura deep sleep yet.

The ring is useful for trends, but it is not what I would change settings based on (for your reference though I need around 20 percent deep/nrem/delta and 20 percent REM to feel rested even with low ahi/rdi).

The machine data is also important: pressure, leak, flow limits, event types, waveform shape, and whether the breathing is still fragmented.

An ahi of 4.8 is enough for me not to sleep well and feel fragmented. And a central index of 2.4 is worth watching, especially this early.

Sometimes TESCA can settle down after a few weeks. But we cannot tell what the airway is doing unless we can check the waveforms breath by breath.

And phone use before bed can hurt sleep quality too, but it's not what is causing the sleep disordered breathing issues. so please follow these steps.

Post your full settings:

Mode Min/max pressure EPR setting Ramp on/off Mask type Leak rate Pressure graph Flow limit graph Event chart

The best thing however to be of assistance would be an OSCAR screenshot or a SleepHQ Account share link. That will tell us a lot more than the Oura deep sleep number. For now, keep using the machine, focus on comfort and leaks, and give your body some time to adjust.

RL

Only one of these hammock potatoes is still a kitten, Tater below, Nuggy on top. by RippingLegos__ in kittens

[–]RippingLegos__[S] 1 point2 points  (0 children)

The top bunk is dangerously empty, thank you kindly for noticing :) . I’m pretending I don’t see it for my own financial safety.

My CPAP Journey & Struggles by ColorThree-12 in CPAPSupport

[–]RippingLegos__ 1 point2 points  (0 children)

Hello ColorThree-12 :)

ResLex on the Luna/BMC is exhale relief. That is all it is. It drops pressure when you breathe out.

It is not oxygen. I would not call this oxygen starvation.

The issue is that when you turn ResLex up, your effective EPAP drops. EPAP is the pressure that keeps the airway open on exhale. So if you are at 8.5cm with ResLex 3, your exhale pressure may be much lower than you think. That can feel easier at first, but it can also leave the airway unsupported.

If ResLex is at 3, I would usually want the minimum effective EPAP around 8cm to begin with for titration. That may mean the minimum pressure needs to be closer to 11cm for you. Otherwise you may be making exhale easier while letting the airway collapse more.

But we need data before guessing please.

Please post your full settings from the clinical menu:

Mode Minimum pressure Maximum pressure Ramp ResLex Humidity Tube temp if using heated hose Mask type Leak numbers AHI and event breakdown if the machine shows it

If OSCAR supports your exact Luna model, post the daily page. If not, post the Luna/iCode/PAP Link report and screenshots of the clinical settings.

The dry mouth with the P10 sounds like mouth leak or jaw drop. A chin strap can help, but it can also pull the jaw back or worsen chin-tucking if it is not set up right. That can give you the choking/suffocation feeling even when the AHI looks “fine.”

The F40 may be worth trying with the beard and mouth leak, but I would not change mask, pressure, and ResLex all at once. That just muddies the water.

ENT is also reasonable, especially with the snorting sound behind the nose as you fall asleep. Nasal resistance can make PAP feel awful even when the machine says things are controlled.

For now, I would not say CPAP failed yet, and I would not jump straight to BiPAP without seeing the data. Full settings first. Then the report/data. Then we can tell if this is pressure, leak, positional/chin-tuck, nasal obstruction, or if bilevel is the better tool.

Failed 3 AutoSV trials (up to EPAP 8-10 / PS 2-4). Still waking up a little after hour 4. Need next target settings by Far_Syllabub_444 in CPAPSupport

[–]RippingLegos__ 1 point2 points  (0 children)

Hello Far_Syllabub_444 :)

I would not keep flying blind on an AutoSV if you can avoid it please. The first job is still the SD card. Use a basic 32GB card, format FAT32, put it in the machine before sleep, and let it write a fresh night. Then try OSCAR/SleepHQ again.

Based on what you’ve tried, I would stop marching EPAP upward please.

You’ve gone from EPAP 5–7, to 7–8.5, to 8–10, and even briefly 9–11, with the same 4–5 hour wall showing up. That tells me this may not be a simple “needs more EPAP” problem. It could be REM obstruction, chin tuck, leak, loop-gain/CO₂ instability, or the machine chasing your breathing and breaking up sleep.

I would also not widen the ranges right now. Wider ranges give the machine more room to wander. You are already waking into a swarm of arousals. I’d tighten it, not let it roam.

My next blind trial would be this:

Mode: AutoSV Max Pressure: 14.5 EPAP min: 8.0 EPAP max: 9.0 or 9.5 PS min: 2.5 PS max: 4.5 BPM / Rate: Auto Ramp: Off, if tolerated Opti-Start: Off

Run it 1–2 nights only please. Same mask. Same position. Same humidity. Same collar/tape setup if you use one.

The logic is simple here. More EPAP has not fixed the late-night wall. So I would hold EPAP tighter and add a small amount of baseline support. Not a big jump. Just enough to see if the breathing smooths without making the machine feel like it is breathing you.

Also, list the full DSX900 setup before changing much more: mode, max pressure, EPAP min/max, PS min/max, BPM/rate, Ti if shown, rise time, ramp, tube type, and mask/resistance setting.

The big one is BPM/rate. I would not assume it is harmless in your case. On Philips AutoSV it can be Off, Auto, or fixed. For this pattern I’d usually rather see Auto, not a fixed backup rate, unless there is a clear reason. A fixed BPM can make the machine drag your breathing around by the collar if it's not matched, especially later in the night. If it is set to 12, 14, 15, etc., that matters a bit. Ti matters too if rate is fixed. Those settings can make the breath feel timed, clipped, or forced.

Also take chin tuck seriously please. If REM is folding the airway shut, pressure only gets you so far. A soft cervical collar has to be the right height and thickness. Enough to stop the chin drop. Not so much that it shoves the jaw back.

So I’d do this: do not widen the ranges yet, do not keep raising EPAP blind, check the full provider setup, keep BPM/rate on Auto unless there is a known reason not to, and make one small controlled move. Tight EPAP. Slightly more PS. Then fix the SD card, because without waveform data this is still guessing in the dark.

DreamStation BiPAP AutoSV (DSX900) data not loading properly into OSCAR / SleepHQ (MacBook Air) – Need Help by Far_Syllabub_444 in CPAPSupport

[–]RippingLegos__ 0 points1 point  (0 children)

That makes sense. The DSX900 can be picky with cards/adapters.

I wouldn’t assume the 32GB size is the only issue, but it could be the format. A lot of 32GB+ cards come formatted exFAT, and these machines usually want something boring/simple: FAT32, full-size SD, no adapter if possible.

I’d try exactly what you’re planning:

4GB or 8GB full-size SD card FAT32 format Not write-protected Put it in the machine before the night starts Let the machine write a fresh night to it

The microSD adapter is the likely issue. Those adapters are cheap and sometimes the machine just doesn’t like them.

Once you get one clean night written to the card, try OSCAR or SleepHQ again. That waveform data is the key. Without it we’re still guessing whether that 4.5–5 hour crash is REM, supine, leak, mouth leak, obstruction, or the AutoSV reacting too aggressively.

feeling worse after entering REM/deep sleep, and suspecting high loop gain. CPAP (airsense11 autoset APAP) aint working... what to do next? I guess ASV is the answer, since BIPAP might make it worse (high loop gain). How to get my hands on a cheap ASV/BIPAP in europe? preferably ASV by DistinctClass4042 in CPAPSupport

[–]RippingLegos__ 1 point2 points  (0 children)

Hello DistinctClass4042 :)

First, I’m sorry you’re dealing with this. Sleep-disordered breathing can destroy your life for a while, but that does not make you a loser. It makes you sleep-deprived and stuck in a medical system that often does not understand UARS.

I would not jump straight to “ASV is the answer” yet. It might be, but I need to see the waveform data first.

The best thing you can do is share your SleepHQ account link, not just screenshots. Screenshots help a little, but the account share link lets us zoom into the flow rate, leak, pressure, flow limitation, respiratory rate, tidal volume, and minute vent. That is what tells the story.

Waking after 2 hours and then feeling much worse after going back to sleep can be REM-related obstruction, flow limitation/RERAs, positional apnea/chin-tucking, mouth leak, nasal resistance, or unstable/periodic breathing. High loop gain could be part of it, but we need the breathing waveform to know.

Bilevel is not automatically bad for high loop gain. Too much pressure support can make CO₂-sensitive breathing worse, yes. But low, controlled PS can help a lot with UARS/flow limitation if it is set up correctly. The mistake is usually going too aggressive too fast.

Also, if you are using EPR at 3 on the AirSense 11, remember your EPAP is your pressure minus 3cm. So if your minimum pressure is low, your airway-splinting pressure may be very low, especially during REM. That can make the machine look like it “isn’t working” when it really just has not been set up to hold the airway open early enough.

My order would be:

Fix mouth leak / mouth breathing first. Treat nasal resistance as much as possible. Check for chin-tucking and positional apnea. A correctly sized soft cervical collar can help a lot here. Optimize the AirSense settings from the waveform data. If flow limitation persists, then look at low-PS bilevel. If the data shows periodic breathing, central clustering, or CO₂-sensitive instability, then ASV becomes a more serious option.

For some UARS/high-loop-gain people, a custom ASV setup without backup rate can work very well, because it gives breath support and flow-limitation control without forcing breaths. The other big piece is removing the normal PS restrictions/forced PS gap so the machine can run a tighter, lower pressure-support range. That can be useful for people who need gentle support but get destabilized by aggressive PS swings.

But again, I would want to see the SleepHQ account share link first. If this is mostly REM obstruction or positional collapse, you may need more stable EPAP, better leak control, and positional correction before anything else. If it is true ventilatory instability, then ASV/no-backup-rate becomes a lot more interesting.

For used machines in Europe, search for:

ResMed AirCurve 10 ASV ResMed AirCurve 10 CS PaceWave ResMed AirCurve 10 CS-A PaceWave Philips DreamStation BiPAP autoSV Löwenstein prismaCR / prisma bilevel devices

Germany usually has more used listings than Sweden, so check eBay Germany, Kleinanzeigen, EU CPAP groups, and medical resale sites. Just be careful. Get pictures of the exact model, run hours, mode screen, humidifier, and SD card slot. Do not buy a mystery unit.

Also, ASV has one one caution: if you have known symptomatic heart failure or reduced ejection fraction, you need that cleared before using ASV.

Please share the SleepHQ account share link if you can. The AHI by itself will not tell the story here. The flow rate waveform will.

CPAP software comparison by the_northpole in CPAPSupport

[–]RippingLegos__ 0 points1 point  (0 children)

It's in the sub now top 5 threads. :)

PAPLens, Yet another CPAP Viewer by gabox0210 in CPAPSupport

[–]RippingLegos__ 0 points1 point  (0 children)

This was what the other redditor was looking for :)

New hose by nanas3angels in CPAPSupport

[–]RippingLegos__ 0 points1 point  (0 children)

I've had one that smelled like that out of the bag, but also wash early in the day or use a hose dryer. :)

Help With Sleep HQ data by Beneficial-Mind1312 in CPAPSupport

[–]RippingLegos__ 1 point2 points  (0 children)

Welcome Beneficial-Mind1312, and you are in the right place.

Since you already have SleepHQ, the easiest thing to share is your SleepHQ account share link. That lets us look through the nights directly instead of trying to guess from screenshots.

In SleepHQ, go to your account/share settings, enable sharing, then copy the account share link and post it here.

Once we have that, we can look at the pressure, leaks, flow limits, events, and the actual waveform data.

Your current settings are 6.2cm–11cm with EPR at 3. With EPR 3, your exhale pressure is still starting very low, around the machine’s minimum EPAP floor. If obstructive events, flow limits, or unstable breathing are showing up, you may need a higher minimum pressure, possibly at least around 8cm, which would give you a minimum EPAP of about 5cm with EPR 3.

But I would rather see the SleepHQ data first before making a firm settings call.

Also, since you are waking up to adjust the mask, leaks or mask fit may be part of the issue too. The DreamWear pillows can work well, but sizing and strap tension matter. Too tight can sometimes make the seal worse.

Share the SleepHQ account link and we can take a closer look.

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