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Am I on the right track? Not feeling it yet.
#11
(01-01-2017, 11:09 PM)benseidler Wrote: Side note: I wore the pulse oximeter last night, and imported the data also, and my low was 89, which also appears to be a big red flag.

A low of 89 is not a big deal. An AVERAGE of 89 would definitely be a big deal. Cpap gets me to a 91% average o2 which keeps me from being sleepy, although I get fairly dull in the afternoon.
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#12
As VSHELINE mentioned, I will give it a week or two to balance out, but the other night I bumped it to 6, and didn't see an improvement, so I bumped it to 8, and took a 2 hour nap today.

My AHI based on the two hour nap today was 7.2

I have attached a short snip from the nap, showing a handful of apneas.

Do these look like centrals?

Thanks Again,
Ben

[attachment=3084]
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#13
Highlight about 2 minutes to zoom in around a couple hypopneas, so we can see the Flow waveform more clearly.

"Flow" waveform shows the estimated Rate of airflow into (positive) and out of (negative) our lungs. When Leak is fairly small and steady (like yours) the estimated Flow should be accurate.

Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
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#14
Is this better? Sorry, I am still figuring out how to navigate sleepyhead.


[attachment=3085]
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#15
(01-03-2017, 07:07 PM)benseidler Wrote: Is this better? Sorry, I am still figuring out how to navigate sleepyhead.

Better. That was about 8 minutes. 2 or 3 minutes would be more clear.
Membership in the Advisory Member group should not be understood as in any way implying medical expertise or qualification for advising Sleep Apnea patients concerning their treatment. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
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#16
Ok, I think I have this down now lol... Thanks for your patience...

[attachment=3086]
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#17
Can you summarize your machine settings, particularly any back-up rate. This machine should be triggering much higher IPAP pressures on a breath by breath basis, and that is not happening.

Vsheline, do you have any examples of this that you can show for comparison? I see this from Respironics machines far more often then Resmed ASVs.
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#18
Here are my settings that I can see in the clinical setup screen..

[attachment=3087]
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#19
Settings look correct, and BPM is on auto as I would expect. The machine should be sensing respiratory volume on each breath and increasing pressure support above the 2 minimjum when adequate inhale volume or flow is not present. Failing to do this, leaves the hypopnea untreated. I don't know if this is a malfunction, or machine sensitivity, but I don't see this happen on Resmed Aircurve 10 asv models compared to the Auto SV machines that we see on the forum. Bear in mind, CPAP and ASV machines are not my expertise, so this is anecdotal observation. I think it is particularly visible when you compare the mask pressure line to the events. The pressure support is not increasing pressure in the mask to overcome the events. Here is an example of what I would expect to see for a TREATED hyponea. Note the spikes of pressure:

[Image: May13_Adapt_web_zpsej44wdu0.jpg]
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#20
should the max EPAP remain at 9, or should i bump that up?
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