Chin

Thanks for sharing your experience, I will avoid flying in BA next time.

In what position do people generally sleep with their CPAP mask?

If I sleep on my side, (with the mask), then I run into a lot of issues: (1) drooling, (2) open mouth, air escaping through mouth, super dry mouth (3) tired tongue in the morning, as if tongue was pushed to one side of the mouth, it almost seems tongue muscles were twisted. So in the morning if I try to extend my tongue out, in the center, it always goes to the right ( or left, depending on the day). (4) (and related to #3 may be), lower jaw sliding to a side, so in the morning when I open close my mouth , I have some lateral movement of the lower jaw and what dentists say CR/CO discrepancy, which seems to go away as day progresses.

If I sleep on the back, things generally good.

I think I read somewhere that people sleep on their side with CPAP mask on, but due to above 4 reasons I can't imagine doing that.

More info about me: 36 years old male, AHI 17, supine apnea. ResMed device with pressure 0f 7. I have tried all nose mask, nose+mouth mask and currently using nasal pillow.

Hi , I am Chin, 36 years old male, diagnosed with OSA in Jan 2017. I have AHI of 17. I use resmed CPAP machine, pressure of 7 (mm?) with nasal pillow currently and a mouth tape. Seems that I clench my teeth like crazy when I can't breath properly in sleep and that is playing badly with my dental root canals and crowns.

Thanks for providing this forum where there is so much knowledge and it is great to see and learn from people who are in similar situation.

Thank you wiredgeorge, appreciate your reply.

BTW, regarding the blood oxygen level, I see these in my report, I understand that it is related to oxygen levels, no?

Mean Awake SpO2: 95%

Mean Sleep SpO2: 95%

Minimum Sleep SpO2: 85%

Sleep Time with SpO2 < 88% (min, % of TST): 0.6 (0.1%)

I am 36 years old male. I went through sleep test and found that I have supine AHI of 24.8. Below is my complete report.

How bad is this considered to be? Do I need to use CPAP machine?

The reason I went for sleep test is because of griding teeth. Every morning I wake up with sore gums and 2 of my root-canals cracked recently and I got dental implants. I am apprehensive that if grinding continues it will just invite more troubles for my dental health.

Any help/advice is highly appreciated.

PROCEDURE:
This attended polysomnogram montage using Compumedics Profusion 3 Software included recorded video, 6 EEG electrodes for frontal, central, and occipital monopolar recordings, 2 EOG electrodes, ECG, and chin EMG electrodes, snoring microphone, thermistor, airflow pressure, thoracic, and abdominal respiratory effort, pulse oximetry, leg movement, body sleeping position, and body movement. Please note that the AHI greater than 4% in this report is consistent with the current Hypopnea definition according to Medicare Criteria and is consistent with the current Hypopnea definition according to AASM criteria. The 30 sec. epochs were scored according to the AASM Manual for the scoring of Sleep and Associated Events: Rules, Terminology and Technical Specifications edition (Ver. 2.3).

*SLEEP SCORING DATA: *

Lights Out / On (clock times): 21:30:30 / 06:01:31

Total Recording Time (TRT) (min): 718.5

Total Sleep Time (TST) (min): 428.5

Sleep Efficiency: 83.9%

Sleep Latency (min): 40.5

Stage REM Latency (min): 72.5

Wake after sleep onset (WASO) (min): 42.0

Stage N1 Sleep (min, % of TST): 7.5 (1.8%)

Stage N2 Sleep (min, % of TST): 312.5 (72.9%)

Stage N3 Sleep (min, % of TST): 57.5 (13.4%)

Stage R Sleep (min, % of TST): 51.0 (11.9%)

Supine Sleep (min): 229.5

Arousals (index, #): 22.7 (162)

RESPIRATORY ANALYSIS: (index = #/hr)

Apnea/Hypopnea Index (AHI): 17.4

*AHI 4% or greater: 2.9

NREM AHI: 18.6

REM AHI: 8.2

Non-Supine AHI: 8.7

Supine AHI: 24.8

*Respiratory Disturbance Index (RDI): 19.6 *

NREM RDI: 20.7

REM RDI: 11.8

Apneas (index, #): 0.8 (6)

Obstructive Apneas (index, #): 0.8 (6)

Mixed Apneas (index, #): 0.0 (0)

Central Apneas (index, #): 0.0 (0)

Hypopneas (index, #): 16.5 (118)

RERAs (index, #): 2.2 (16)

Mean Awake SpO2: 95%

Mean Sleep SpO2: 95%

Minimum Sleep SpO2: 85%

Sleep Time with SpO2 < 88% (min, % of TST): 0.6 (0.1%)

Cheyne Stokes breathing: No

Snoring: Moderate to loud

CARDIAC ANALYSIS:

Mean Awake HR: 71

Mean Sleep HR: 71

Bradycardia: No

Asystole: No

Sinus tachycardia: No

Narrow Complex Tachycardia: No

Wide Complex Tachycardia: No

Atrial Fibrillation: No

Other: None

LIMB MOVEMENT ANALYSIS:

Periodic Limb Movements of sleep (PLMS) (index, #): 0.0 (0)

PLMS with arousals (index, #): 0.0 (0)

OTHER ABNORMALITIES:

No other unusual body movements were demonstrated and no seizure activity was noted.

CLINICAL INTERPRETATION:

1. Obstructive Sleep Apnea, moderate with worsening in supine sleep