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40.14 AHI with the Resmed airsense 10, need some advice please
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Richflu Offline

Members

Posts: 11
Joined: Jul 2016

Machine: Resmed Airsense10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed
Humidifier: 37028
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Suburb of Indianapolis Indiana

Post: #11
RE: 40.14 AHI with the Resmed airsense 10, need some advice please
OK, It does have a card. That's what I had to take in to the doctor every week when I first got it. I'll upload the data and see what it says.

Also, I'll download that manual and make the changes if I can. Thank you so much for your help and I'll get back tomorrow and let you know how it went.
07-10-2016 04:59 PM
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Richflu Offline

Members

Posts: 11
Joined: Jul 2016

Machine: Resmed Airsense10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed
Humidifier: 37028
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Suburb of Indianapolis Indiana

Post: #12
RE: 40.14 AHI with the Resmed airsense 10, need some advice please
Hello again, I just thought I'd add the S9 data from its SD card. It would appear that my problem is with the new machine. It looks like my S9 data was pretty good. I think it says it was set at 5-15? Is that correct? I wonder why they set my new machine to 4-20. Anyway, let me know what you see out of this and if you think it was pretty good on the S9.

Rich


CPAP Statistics
473 days of CPAP Data, between Sun Feb 1 2015 and Sat Jul 9 2016
Details Last Session July June May April March February January December November October September August
CPAP Usage
Average Hours per Night 07:25 06:19 02:06 03:05 05:22 06:03 06:03 05:42 05:32 06:17 06:17 05:32 04:22
Compliance 100% 100% 15% 37% 76% 77% 85% 90% 82% 93% 94% 73% 55%
Therapy Efficacy
AHI 38.42 40.14 11.22 7.66 5.18 2.45 4.36 2.73 2.82 3.09 5.27 7.18 4.09
Obstructive Index 12.40 11.98 5.15 4.89 3.39 1.67 3.15 2.04 2.08 2.34 3.91 5.67 3.27
Hypopnea Index 0.54 0.16 0.15 0.04 0.03 0.02 0.03 0.02 0.02 0.05 0.04 0.04 0.03
Clear Airway Index 21.97 22.11 3.77 2.31 0.74 0.61 0.84 0.56 0.49 0.23 0.47 0.40 0.33
Leak Statistics
Average Leak Rate 10.57 13.30 4.63 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
90% Leak Rate 34.80 36.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
% of time above Leak Rate threshold 15.71% 18.95% 4.59% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00% 0.00%
Pressure Statistics
Average Pressure 9.86 9.88 7.56 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Min Pressure 4.02 4.02 4.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Max Pressure 15.00 15.60 15.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
90% Pressure 12.72 12.58 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Average EPAP 7.63 7.50 7.23 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Min EPAP 4.02 4.02 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00
Max EPAP 12.00 12.60 12.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00 0.00

Changes to Prescription Settings
First Last Days AHI FL Machine Pressure Relief Mode Pressure Settings
Wed Jul 6 2016 Sat Jul 9 2016 4 40.14 0.00 AutoSet (37028) EPR: Full Time 3cmH2O APAP Min 4 Max 20 (cmH2O)
Sun Feb 1 2015 Thu Jun 23 2016 469 4.23 0.00 AutoSet (36005) EPR: Full Time 3cmH2O APAP Min 5 Max 15 (cmH2O)

Machine Information
Brand Series Model Serial First Use Last Use
ResMed S9 AutoSet (36005) 23131559206 2/1/2015 6/23/2016
ResMed AirSense 10 AutoSet (37028) 23161428537 7/6/2016 7/9/2016
07-10-2016 05:50 PM
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eseedhouse Offline

Advisory Members

Posts: 878
Joined: Dec 2014

Machine: ResMed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: SimPlus
Humidifier: ResMed
CPAP Pressure: 7-10
CPAP Software: SleepyHead

Other Comments: Also on supplemental O2 at 3L/min. while sleeping.

Sex: Male
Location: Victoria, British Columbia

Post: #13
RE: 40.14 AHI with the Resmed airsense 10, need some advice please
4-20 are the default settings built into the machine. They didn't "set" anything. 4-20 is wrong for nearly everybody, especially the lower end. You should raise that at least to six, but not necessarily all at once. Bring it up a half centimetre of water over two weeks or so until you get to a low end of 6, at least.

To set the pressure yourself, hold the "home" button and the round dial down together for about 5 seconds. The "clinician's" menu will appear. You have a perfect right to adjust your own pressures, in fact my DME told me how to get into the "clinicians" menu when they gave me the machine. Just don't move it too much up or down too fast. A half CM is about right, then wait to get comfortable with that. If you don't get comfortable with it after a week or so you may want to put it back down.

No one cares about you as much as you care about you, so take care of yourself.

Ed Seedhouse
VA7SDH

I am neither a Doctor, nor any other kind of medical professional.

Actually you know, it is what it isn't.
07-10-2016 06:07 PM
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PaytonA Online
Wiki Editor
Monitors

Posts: 3,000
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Orange County,California

Post: #14
RE: 40.14 AHI with the Resmed airsense 10, need some advice please
Richflu,

There is something that I think needs attention before making a bunch of pressure changes or EPR changes.

First, are you using the same mask with the A10 as with the S9? Your leaks with the A10 are not good and that may be affecting your AHI. It also may be affecting the machine's ability to determine the type of apnea which might be causing the CAs to be higher than they really are.

Best Regards,

PaytonA
07-10-2016 06:09 PM
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Richflu Offline

Members

Posts: 11
Joined: Jul 2016

Machine: Resmed Airsense10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed
Humidifier: 37028
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Suburb of Indianapolis Indiana

Post: #15
RE: 40.14 AHI with the Resmed airsense 10, need some advice please
Basically the same mask. The Resmed Nasal Pillow. It does look slightly different but I'm guessing that it's just this years model of nasal pillow has a bit of an update from last year. When I say basically there is one difference. With the new machine I switched from the head gear to the ear straps. For me, the ear loops are much more comfortable and the mask ironically seems to fit tighter. Obviously though something isn't right with the air leaks. Could it be my mouth dropping open and that being the source of the air leak? Thought I read that on the MYAIR site that the jaw dropping open is an air leak source. Should I try adding the chin strap? I don't have one but can pick one up from the med equipment store.
07-10-2016 07:01 PM
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green wings Offline

Advisory Members

Posts: 543
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #16
RE: 40.14 AHI with the Resmed airsense 10, need some advice please
Hi, Richflu. Are you talking about the Bella Headgear for the Swift FX nasal pillows?

Looking at graphs from SleepyHead would give a better idea of what exactly your leaks look like (for example, if they correlate with your max pressures).

I know it's no fun to go back to an old mask when you have a new one that's comfortable, but using your old mask for a couple of nights would let you see if the leaks are happening with it as well.

Sticking with the new mask, looking at graphs, and buying a chin strap if necessary is also an option. I'm probably suggesting trying the old mask because I hate chin straps. Smile

(07-10-2016 07:01 PM)Richflu Wrote:  Basically the same mask. The Resmed Nasal Pillow. It does look slightly different but I'm guessing that it's just this years model of nasal pillow has a bit of an update from last year. When I say basically there is one difference. With the new machine I switched from the head gear to the ear straps. For me, the ear loops are much more comfortable and the mask ironically seems to fit tighter. Obviously though something isn't right with the air leaks. Could it be my mouth dropping open and that being the source of the air leak? Thought I read that on the MYAIR site that the jaw dropping open is an air leak source. Should I try adding the chin strap? I don't have one but can pick one up from the med equipment store.
07-10-2016 07:31 PM
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PoolQ Online

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #17
RE: 40.14 AHI with the Resmed airsense 10, need some advice please
There is something wrong with either the S9 data or sleepyhead reading it, look at all the zeros (pressure), they show up right as the AHI starts going down

Your first 2 CA readings are the same as on the S10 and then they go away along with the pressure. Is the pressure gone, the s9 data messed up, or sleepyhead not displaying it correctly? Do you have the latest sleephead installed?
07-10-2016 10:22 PM
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Richflu Offline

Members

Posts: 11
Joined: Jul 2016

Machine: Resmed Airsense10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed
Humidifier: 37028
CPAP Pressure: 4-20
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Suburb of Indianapolis Indiana

Post: #18
RE: 40.14 AHI with the Resmed airsense 10, need some advice please
OK, I'll try using the old mask tonight *sigh*
The new one is much better. You are correct too, it's a ResMed Swift FX Bella Gray. Also, I made an appointment with my Dr but it's not until next Monday. Plus I'm sure she will refer me to the sleep clinic but I gotta start somewhere.

I tried re uploading the SD card from the S9 and it didn't change anything. I downloaded the sleepyhead program just a couple days ago so I assume it's the most recent. Also, I think I have enough posts now to show you the graphs if you'd like but I'm not sure how to upload them. I've been looking around and trying to figure that out but to no avail. Can you point me in that direction as well please. Thanks, and let me know what graphs would be most useful to see and I'll try to upload them for you.
07-11-2016 03:04 PM
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PoolQ Online

Advisory Members

Posts: 986
Joined: Jul 2015

Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Sillicon Valley

Post: #19
RE: 40.14 AHI with the Resmed airsense 10, need some advice please
http://www.apneaboard.com/wiki/index.php..._the_Forum
http://www.apneaboard.com/wiki/index.php...SleepyHead

This should cover it
07-11-2016 03:14 PM
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OpalRose Offline

Monitors

Posts: 3,155
Joined: Nov 2014

Machine: PR System One REMstar Auto 560 with A Flex
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 For Her
Humidifier: REMStar heated humidifier with heated hose
CPAP Pressure: Auto Cpap 10-13 AFLEX 1
CPAP Software: SleepyHead EncoreBasic

Other Comments: Started CPAP Therapy October 23, 2014

Sex: Female
Location: Northeast Ohio, USA

Post: #20
RE: 40.14 AHI with the Resmed airsense 10, need some advice please
(07-11-2016 03:04 PM)Richflu Wrote:  OK, I'll try using the old mask tonight *sigh*
The new one is much better. You are correct too, it's a ResMed Swift FX Bella Gray. Also, I made an appointment with my Dr but it's not until next Monday. Plus I'm sure she will refer me to the sleep clinic but I gotta start somewhere.

I tried re uploading the SD card from the S9 and it didn't change anything. I downloaded the sleepyhead program just a couple days ago so I assume it's the most recent. Also, I think I have enough posts now to show you the graphs if you'd like but I'm not sure how to upload them. I've been looking around and trying to figure that out but to no avail. Can you point me in that direction as well please. Thanks, and let me know what graphs would be most useful to see and I'll try to upload them for you.



This link will show you what information is useful for a screenshot.
http://sleep.tnet.com/resources/sleepyhead/shorganize

It is easiest if you use an outside source like imgur to upload data.
https://sleep.tnet.com/reference/tips/imgur

OpalRose
07-11-2016 04:41 PM
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