Also, please be sure that there arent any holes in your hose. Clicking on the blue and yellow session buttons will include or exclude sessions from the display of the night's data. Hi - would like to help you but could you possibly look again at Oscar re posting what and what not? For further questions, or concerns, please reach us at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. How did it feel? Any thoughts? The way we know that more pressure support (difference between inhale and exhale pressure) is needed is that there is a relatively long inspiration time compared to expiration time. My AHI is .4 which is very good but my Leak number says 120 ml/min? My questions are 1) is the AHI measurement standard on all machines the same or is perhaps the Respironics more sensitve to what it considers an event? However, if theres an excessive leak, it could indicate a mouth leak or poor fitting mask. To help understanding of what you see read the SleepyHead tutorial topic in the Announcements section of the main forum. To assist in understanding your devices responses. These terms represent the following: The Apnea-Hypopnea Index (AHI) measurement is usually delivered within the setting of a sleep study report. 120 mL/hr is actually quite small. We wish you continued success with your CPAP Therapy! We also carry the various SD cards and other data readers for many devices. Thanks. The CPAP pressure level will be prescribed to the highest level you require during the night. Hi Rich, Also, be sure to advise your doctor of the headaches that you are experiencing so that they may make a medical decision on if your settings should be adjusted. People using a nasal interface mask can potentially lose enough air pressure to impact their therapy. Please confirm with your doctor what the RE means and a possible explanation as to why it has doubled. Increases the pressure of air on the CPAP device until you can sleep with a few sleep episodes or with none at all. Double-click the words "Bookmark at xx:xx:xx" in the Notes column. Join the FreeCPAPAdvice.com/forum Online CPAP Support Community.This video shows how to go through your data in SleepyHead and determine. An AHI, below 5, is considered normal. The summary of events will only show those which are turned on in the event flag selector. They may want to replace your CPAP with a BiPAP. Its the number of times per sleep hour that your upper airway (soft palate at your throat or tongue) partially or completely collapses, causing a drop in blood oxygen levels or a slight arousal from sleep. Is something wrong? / Note that on this chart flow limits are under-reported as compared to what we can visualize on the flow rate graph discussed above. Divide hypopnea + apnea by sleep time and then multiply the number by 60. Then make sure to move the switch back to the write position so that your CPAP machine can write to the SD card. Generally, lung-protective strategies in patients with ARDS involve administering tidal volumes of approximately 6-8 mL/Kg of ideal body weight. A mouse-over event for a pressure interval will accentuate its data point in black. Franais / ResMed ASV maintains a constant Minute Volume to manage Central Sleep Apnea. Medications that relax the muscles of the airway (i.e. You can purchase special. Note that although this is used to calculate the time asleep, the CPAP machine has no way of knowing if you were actually asleep or not. Can you explain why? ResMed S9, Philips Respironics System One, and Fisher & Paykel Icon machines record Flow Rate data if the card is in the CPAP machine during the night. Hi Melissa, it sounds like the machine is displaying your pressure setting. This reading is anywhere from 11.6 thru 15.3 with an average of 14.0. Pressure support from bilevel therapy can actually off-load some of the physical effort of inspiration to the machine and help you fill your lungs easier and more rapidly. To turn the pie chart on and off, press Ctrl-P on your keyboard (For macOS press fn-F3). A feature of flow limitation is that while the downstream pressure is sufficiently low to keep the tube collapsed the flow-rate will be more or less maintained at a constant value, regardless of changes to the driving pressure. Have you changed your cushion on your mask within the last 3 months? female, IBW = 45.5 + (2.3 * (height [in] - 60)); and Unfortunately, this is a machine model that CPAP.com doesnt sell. Master your therapy and improve your sleep with our powerful cloud-ba. by palerider Sun May 16, 2021 3:40 pm, Post Please feel free to reach us at: 1-800-356-5221, or e-mail us at: cpap@cpap.com, with further questions, or concerns. Hi Jim, That is not pressure, that is flow. http://www.cpaptalk.com/viewtopic/t99705/Please-help-define-quotClear-Airway-apneaquot.html. could it be a pressure issue of some machine issue or am I doomed. Tidal Volumes and Minute Vent can be seen via the 'volume under the curve', flow limits may show as "grassy" on the full night view but are readily apparent when viewed with the breath waveform is readily distinguished, typically 2-3 minutes. Which is most important? What am I doing wrong? Most machine manufacturers consider a normal leak rate 20-24. You mentioned that the fixed pressure and masks are the same with both machines, but what about other settings? Also, make sure when you take the SD card out of the CPAP machine you move the small read/write switch on the card to the locked position so that you don't overwrite the data on the card. I met with Stuart just now and we don't know why it's not showing data for the full 8 hours. Philips Respironics: PR machines do not produce this chart, instead they show FL events on the Events chart. The on-line AirSense 10 tutorials are mostly about taking the machine out of the case and attaching the hose and mask. What does all this mean. BiLevel for MOST with a diagnosis of UARS Quoting the article "in our clinical and research experience, we are using gaps of 4 to 12 cm of water in our patients. Usually measured in liters per minute, theres a built-in leak differential by masks since they all have variations because of the exhalation port. Fix Problems with CPAP and Improve your Sleep for Free. Nearly all that is happening throughout the night can be seen in the Flow Rate graph though usually in a zoomed view. Click the small black triangle to make the calendar appear or disappear. My pressure ranges from 5 to 7 each night and my AHI is down to 0.4 per hour. Statistics for pressure, leaks, snores, and respiration. by Julie Sun May 16, 2021 12:55 pm, Post Are does this mean that my 4 averaged event still took place even though the machine ramped up to the max of 20? in feb 2019 i diagnosed with mild OSA. I feel energized as hell. My ahi was 10, Im sure if I took that sleep test a couple of times it would be 5 or below. Can I stop breathing while awake? see the Wiki article Optimizing_therapy#Positional_Apnea, Correlation with other charts indicating cause and effect. Anyway to fix that? Click the small green arrows to move back & forth by one day. Description Collect and process data produced by CPAP and other devices used in the treatment of sleep apnea. First is mask leak. Hey Dave, please provide the name of the machine that you are currently using and we would be happy to confirm if there is software available for you to retrieve your sleep therapy data. Look how normal the resulting respiratory flow rate is. I am feeling much better. Each daily graph chart has a number of features in common: To reset the graph order for the Standard Charts click on View/Reset Graphs/Standard plz answer. The American Academy of Sleep Medicine (AASM) recommends to score a respiratory event as Cheyne-Stokes breathing if both of the following criteria are met:[/size][/color]. The increase in ventilation can reduce your CO2 level which affects respiratory drive. One time I will get 10.6 next time 14.8, and many other values displayed, all with the same mask, and sometimes only minutes apart. Tidal volume is the amount of air that moves in or out of the lungs with each respiratory cycle. This will allow you to view all of your data, including a graph showing stuff like the types of apnea events you experienced, when you removed the mask, when and how much leakage there was, etc. Hi Deb, im sorry to hear that your AHI is still reading high even though you are using your CPAP machine. Also, please feel free to reach us at: 1-800-356-5221, or you may e-mail: cpap@cpap.com, with any further questions, or concerns. The AHI measurement is the same for all CPAP machines. My apologies, but I need more information in order to accurately answer your question. Call1.800.356.5221M-F 8AM-8PM | Sa 8AM-5PM (CST). Required fields are marked *. The AHI, is considered normal if under 5, so your AHI of 7, is too high. Shows when the machine was turned on and off, and the total elapsed time. Hi Armita, we always recommend that you speak with your doctor before adjusting your pressure, but if a lower pressure works for you, then it should be okay. If not please adjust the two machines to an exact match and see if there is still a difference in the AHIs. I thought the machine was supposed to ramp up and down as need rather than maintaining a constant setting. Is EVENTS PER HOUR and AHI measuring the same thing? Nederlands / as a vertical bar. Either way, I would recommend you speak with your doctor, so that your therapy data can be viewed to determine if your settings should be adjusted. Acute respiratory distress syndrome, or ARDS, is a condition characterized by widespread inflammation of the lungs following an inciting pulmonary or extrapulmonary event. Thanks. Please see the link below for more information on headache and other side effects that you may experience. We wish you continued success with your CPAP Therapy. General Discussion on any topic relating to CPAP and/or Sleep Apnea. - Session starting, ending, and total times. Let us know. Normal 14. But its also important to assess how youre feeling after youve been using CPAP therapy for several months. A BiLevel, the next class of device up, it is 10 inches of water or 25 cmw. Therefore, a person relies on the diaphragm to maintain an adequate tidal volume during REM. Minimal Tidal Volume = 6 ml/kg * IBW I'm struggling with trying to post the graph. After using CPAP last night I want to take a look on the data. Usually, a high leak rate, causes your AHI, to increase, unless you have a machine that compensates for the leak, or a defect with your unit. I will ask my dr when I have my follow up appointment in a week but wondered if feeling worse with CPAP is common? This measurement helps to assess compliance and is a factor that insurance companies measure for coverage purposes. / Most therapy is around 4 inches or 10 cmw. Additionally, respiratory response to hypoxic and hypercapnic stimuli decreases, not to mention the decreased central respiratory drive, which, along with accessory muscle paralysis, leads to a slight decrease in tidal volume and minute ventilation. In other terms, tidal volumes should be kept as low as possible to prevent volutrauma and barotrauma. I view it as the current target pressure. And since I get awesome sleep 6.50 hrs is all I can sleep with no naps and fully energetic and lost 30lbs.Had to shave the mustache nasal and chin strap works best for me.Good luck everyone. Then just put the switch back to the unlocked position when you insert it in your CPAP machine. Clicking the year allows you to quickly change to a different year. Norsk / A CA (Clear Airway) and a OA (Obstructive) apneas occured during this pressure interval. Hi Peter, the leak rate can effect your AHI. He said just discuss that when we get the machine, oral appliances dont work. If you stop the machine for a toilet break then start it again, then two sessions will be recorded. Try a pillow adjustment, 1 vs 2 or a flatter, less firm pillow. The Pressure chart looks a little jointed, because of its resolution. Also, I had high blood pressure and that went completely away after CPAP treatment! Uncorrectable with 20 that is??? All in all, the AutoSet device, and its algorithm, is excellent for treating OSA patients. Whether this is worth doing on a regular basis is another question altogether. Please explain this to me, please. Note that some machines display more or fewer event types, and these can be selected in the Event flag selector on the Daily page. Same here I have an old machine its a respironics m series that dont have a chip in it how can i retrieve my data but it dont read anything for the dates such as 7 days or 30 days it has 0.00 0 hours and 0 minutes. or is tis machine wrong. The change is usually not prominent in healthy individuals but becomes prominent in patients with preexisting respiratory disease. The events are shown on this graph as well as on the event flags graph. Seeing Flow Limits in this graph is almost always accompanied by an increase in pressure as the ResMed algorithms depend heavily on the flow limits that are shown in this graph. I bought my ResMed AirSense 10 CPAP machine a few months ago, and it came with NO USER INSTRUCTIONS. Previously a severe sleep apnea patient, now on the cpap machine and post nasal surgery my figures have all gone down by approx 50% however my RE Count has doubled. Now please tell me, does it record a maximum pressure also? http://www.cpaptalk.com/viewtopic/t172943/Waking-up-gasping-for-air-with-cpap.html. It shows the desired maximum leak rate. Please see the link below for multiple versions of the software. Restrictive lung diseases are a group of chronic pulmonary conditions characterized by the inability of the lungs to fully expand, owing to problems in the lungs themselves or the structures surrounding them. Resmed machines show a single trace indicating the additional leak. They are often identified as a fundamental part of RERAs and UARS. However, there is one form of PB that is called Cheyne-Stokes Respiration (CSR) that is clearly associated with some forms of heart disease, including congestive heart failure. by dorilou28 Sun May 16, 2021 4:09 pm, Post And that's true regardless of whether you get to bed before midnight. If youre using your machine in autoset mode, the numbers provided may be pressure setting data. 1. Thank you. For further questions, or concerns, please give us a call at: 1-800-356-5221 and well be happy to assist you. Hi Susan, it means your AHI, (total episodes) is zero. Espaol / I appreciate everyones response. During REM, almost all body muscles, including respiratory muscles, become hypotonic, except for the diaphragm. Hi Jordan, your AHI reading of 0.9 means on average you have less than 1 event per night, thats great! https://www.cpap.com/cpap-faq/Common-Side-Effects#why-do-i-have-a-headache-when-i-wake-up. Ive never used Oscar before so Im not sure what Im supposed to grab from Oscar and show here. These will be discussed in greater detail below. _________________. To print the report, go to the menu, You can export all your notes as an XML file for backup purposes or additional analysis. And my mask fitting changes slightly each night in between 90% to 98% and Dont feel much benefit from it, also The pressure doesnt feel like its strong enough coming through the mask should I ask for different mask? That is great! Multiple plots for IPAP and EPAP are also supported. David Repasky has been using CPAP treatment since 2017 and has first-hand experience with what its like to live with Sleep Apnea. Does the leak rate effect your AHI number. It isnt perfect, but it isnt bad. The Event Flags graph normally appears at the top of the stack. Its common for AHI to vary from night to night. To go to a particular bookmark, click on the date. The only concern would be if your AHI exceeds 5. For Resmed machines, this is 24 L/min. Patients with ARDS already have injured lungs, and mechanical ventilation should follow a lung-protective strategy. The exception: In the File/Preferences/CPAP tab there is a section for those of you that may want to experiment called Custom CPAP User Event Flagging. Another option that you have is to take the SD card that records data in your machine to your DME and they would print out the compliance report. by dorilou28 Sun May 16, 2021 6:11 pm, Return to CPAP and Sleep Apnea Message Board. Tabs to select details, events, notes, and bookmarks. Usually, for the mask fit, you receive either a smiley face if the fit is good, or a sad face if the mask need to be adjusted, not numbers. Your AHI score is most likely accurate, but you can always speak with your sleep therapist, or doctor to have your data reviewed. https://www.cpap.com/productpage/remzzzs-full-face-cpap-mask-liners, https://www.cpap.com/productpage/silent-night-full-face-cpap-mask-liners. It shows airflow in and out of your lungs throughout the night. by dorilou28 Sun May 16, 2021 12:41 pm, Post The events shown here are all, alright, almost all, reported by your xPAP machine. There isnt any difference in the air pressure provided by the machines as long as all of the settings are the same. it seems to me if the machine was working my AHI would be 0 . In our prescriptions for bilevel, I would venture that the average gap is in the 5 to 6 range with tremendous variation, including some with a gap of only 2 or 3. by palerider Sun May 16, 2021 5:02 pm, Post Using a nasal interface mask can potentially lose enough air pressure to impact their therapy body. 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Follow up appointment in a week but wondered if feeling worse with CPAP and Apnea! Was 10, Im sure if I took that sleep test a couple of times it would be 5 below! Long as all of the settings are the same around 4 inches or 10 cmw write so... In liters per Minute, theres a built-in leak differential by masks since they all have variations of!, the numbers provided may be pressure setting data the small black triangle to make the calendar appear disappear! Grab from Oscar and show here hose and mask of approximately 6-8 mL/Kg of ideal weight. I met with Stuart just now and we do n't know why it has doubled normally at... Be seen in the treatment of sleep Apnea sure what Im supposed to ramp up how to read oscar cpap as... / Note that on this chart, instead they show FL events on the.... Respironics: PR machines do not produce this chart flow limits are under-reported as compared to we. To why it has doubled with what its like to help you but could possibly... Data in SleepyHead and determine on any topic relating to CPAP and sleep Apnea the rate! Increases the pressure chart looks a little jointed, because of its.!, Notes, and bookmarks than 1 event per night, thats great attaching the and... Chart, instead they show FL events on the diaphragm AHI was,. No USER INSTRUCTIONS exhalation port the total elapsed time the highest level require. Are under-reported as compared to what we can visualize on the date a fundamental part RERAs! A regular basis is another question altogether these terms represent the following the. Dont work under 5, is excellent for treating OSA patients get to bed before midnight including how to read oscar cpap,... Excessive leak, it could indicate a mouth leak or poor fitting mask during REM, almost all body,... Happy to assist you a week but wondered if feeling worse with CPAP is common ending and. Return to CPAP and other side effects that you may experience measured in liters per Minute, theres built-in! 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