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[CPAP] First month of CPAP usage, help with the logs
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Bravo Offline

Members

Posts: 8
Joined: Jul 2016

Machine: Philips Remstar Auto M Series with A-Flex
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro Air
Humidifier: Philips Remstar
CPAP Pressure: 7-13
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Portugal

Post: #1
First month of CPAP usage, help with the logs
Hi there.
I'm 34 and after going trough what almost all of us experienced, i ended up sleeping with my new cpap machine. It made me wonders, i feel like new. But, after 1 month of usage i think i'm having more mask leaks than i should.
Also, can i have some help interpreting these values?
Thanks in advance

The last time you used your Philips Respironics RemStar Auto with A-Flex...
was last night
You had an AHI of 1.96, which is considered reasonably good
You machine was on for 8 hours, 41 minutes and 29 seconds.
Your mask is leaking way too much.. Talk to your CPAP advisor.
Your pressure was under 12cmH2O for 95% of the time.

I would post some screenshots but i'm not allowed just yet.

Details Most Recent Last Week Last 30 Days
CPAP Usage
Average Hours per Night 08:41 07:23 06:05
Compliance 100% 100% 89%
Therapy Efficacy
AHI 1.96 1.44 2.26
Obstructive Index 0.12 0.14 0.23
Hypopnea Index 1.84 1.26 1.99
Clear Airway Index 0.00 0.05 0.04
Flow Limitation Index 1.15 1.35 1.13
RERA Index 1.27 0.99 1.98
Leak Statistics
Average Leak Rate 26.03 17.95 21.19
90% Leak Rate 44.00 36.00 38.00
% of time above Leak Rate
threshold 57.05% 34.39% 42.01%
Pressure Statistics
Average Pressure 9.66 9.75 9.66
Min Pressure 7.00 7.00 7.00
Max Pressure 13.00 13.00 13.00
90% Pressure 11.60 12.70 12.60
Average EPAP 8.14 8.16 8.07
Min EPAP 5.30 5.20 5.20
Max EPAP 11.50 11.60 11.60
(This post was last modified: 07-18-2016 06:19 PM by Bravo.)
07-18-2016 06:03 PM
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trish6hundred Offline

Advisory Members

Posts: 6,430
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #2
RE: First month of CPAP usage, help with the logs
Hi Bravo,
WELCOME! to the forum.!
Hang in there for answers to your questions and much success to you as you continue your CPAP therapy.

trish6hundred
07-18-2016 06:28 PM
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Bravo Offline

Members

Posts: 8
Joined: Jul 2016

Machine: Philips Remstar Auto M Series with A-Flex
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro Air
Humidifier: Philips Remstar
CPAP Pressure: 7-13
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Portugal

Post: #3
RE: First month of CPAP usage, help with the logs
Thank you so much Smile
This "thing" gave back my life...
I had to stop working because i was falling asleep during work, driving.
Now i'm so much better...
When i was diagnosed, i had 90+ breath stoppings per hour, for more than 10secs each.
I'm struggling to interpret the data from the machine... I don't understand the terms used on the Sleepyhead program...
I think i just need someone to tell me if i'm doing good, despite the mask leaking...
Too bad i can't post pictures. Would make the job easier.
07-18-2016 06:38 PM
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chill Online

Advisory Members

Posts: 850
Joined: Mar 2016

Machine: DreamStation X500
Mask Type: Full face mask
Mask Make & Model: Walk-in Mask Closet
Humidifier: DreamStation
CPAP Pressure: 13-16
CPAP Software: SleepyHead

Other Comments: CPAP True Believer

Sex: Male
Location: Vancouver, Canada

Post: #4
RE: First month of CPAP usage, help with the logs
Hi Bravo and Welcome!

Your numbers all look good, except for the mask leaks. If you can figure out exactly what kind of mask you have (company name and mask name), someone who has used it can help with the leaks. It may also be that you need to try a different mask. Is your mouth dry in the morning? The air might be leaking out through your mouth, which is a different problem to solve.

A few more posts and you can post pictures. While you are waiting for that, uyou can upload them to imagur or a similar site and post part of the link here (leave off the http://, we can figure the out)


Chuck
07-18-2016 06:53 PM
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Bravo Offline

Members

Posts: 8
Joined: Jul 2016

Machine: Philips Remstar Auto M Series with A-Flex
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro Air
Humidifier: Philips Remstar
CPAP Pressure: 7-13
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Portugal

Post: #5
RE: First month of CPAP usage, help with the logs
Hello Smile
Thanks for your reply.
I'm having some trouble with the mask leaking. It seems to not adjust properly to my face. Like it's too small...
Its a Resmed Quattro...
I'm waking up with my mouth dry, yes.
And yesterday for the first time since treatment, i've awaken very sleepy. I fell asleep on the computer right after. No good.

Any hints on how to adjust the mask?
I've been progressively tighten up the rubber bands, to the point i would wake up with them well marked on my face. Although, i was feeling i was having more leaks that way, so i losen it...
And if i tighten too much on the upper level, the contact of the mask in my face will be worst on the lower part, and vice versa...
I wish there was a good way to set it up...
07-24-2016 11:16 PM
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icyura10 Offline

Preferred Members

Posts: 197
Joined: May 2016

Machine: RESMED AirCurve 10 VAUTO
Mask Type: Nasal pillows
Mask Make & Model: Phillips Respironiscs DreamWear under the nose nasal ma
Humidifier: INCLUDED
CPAP Pressure: IPAP (20); EPAP (12); PS (8)
CPAP Software: ResScan SleepyHead

Other Comments: I just dropped in to see what condition my condition was in!

Sex: Male
Location: I'm just a Galactic Traveler Traversing the Universe on a Blue Rock!

Post: #6
Ohmy RE: First month of CPAP usage, help with the logs
  • Event Flags
      LL - Large Leak - A Large Leak Affecting Machine Performance

      CA - Clear Airway - An Apnea where the airway is open

      UA - Unclassified Apnea - An Apnea that couldn't be identified as Central or Obstructive, due to excessive leakage interfering with the classification process.

      OA - Obstructive Apnea - An Apnea caused by obstruction

      H - Hypopnea- An partially obstructed apnea
  • Flow Rate - Breathing flow rate waveform L/hr
  • Mask Pressure - Centimeters of Water cmH20 pressure the mask is seeing
  • Pressure - Therapy Pressure in Centimeters of Water cmH20 machine delivers
  • Leak Rate - Rate of detected mask Leakage (L/min)
  • Snore - Graph displaying snore volume (?)
  • Flow Limit - Flow Limitation - Graph showing flow limitations (Severity (0-1))
  • Respiratory Rate - Rate of Breaths per Minute (Breaths / Min)
  • Tidal Volume - Amount of air displaced per breath (ml)
  • Minute Ventilation - Amount of air displaced per minute (L/Min)
  • Inspiratory Time - Time taken to breathe in (seconds)
  • Expiratory Time - Time taken to breathe out (seconds)
  • I:E Ratio - Ratio between Inspiratory and Expiratory Time (Seconds)
  • AHI - Apnea Hypopnea Index - Graph showing running AHI for the last hour (Events /hr)
  • Time At Pressure - I can't get the description from sleepyhead..


NOTE: There are some fairly complex explanations and math used to formulate some of the terms which isn't included in the table above.

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07-25-2016 12:24 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,292
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #7
RE: First month of CPAP usage, help with the logs
G'day Bravo, welcome to Apnea Board.

The mask is the hardest part of the whole CPAP experience, and many people need to try several before they get the right one. Every face is different, which is why there are so many different masks on the market. They also come in different sizes, so it's possible you have the smaller version of the Quattro.

You can also use mask liners (Google Pad-a-cheek or Remzz) which help the mask rest more comfortably against the skin.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


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07-25-2016 08:35 AM
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OpalRose Offline

Monitors

Posts: 3,161
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: #8
RE: First month of CPAP usage, help with the logs
(07-18-2016 06:38 PM)Bravo Wrote:  Thank you so much Smile
This "thing" gave back my life...
I had to stop working because i was falling asleep during work, driving.
Now i'm so much better...
When i was diagnosed, i had 90+ breath stoppings per hour, for more than 10secs each.
I'm struggling to interpret the data from the machine... I don't understand the terms used on the Sleepyhead program...
I think i just need someone to tell me if i'm doing good, despite the mask leaking...
Too bad i can't post pictures. Would make the job easier.


Bravo, your numbers look good, but the mask leaking should not be ignored.
Finding the right mask is the hardest part of therapy. Some things to try....mask liners. A lot of folk have had luck using liners. Check some of the online suppliers.
Don't over tighten straps, that doesn't help with leaks and can cause discomfort instead.

You can post screenshots after 4 posts. It is easier to use an outside source like imgur to upload here.
https://sleep.tnet.com/resources/sleepyhead/

Also, here is the Begineers Guid to SleepyHead.
http://www.apneaboard.com/wiki/index.php...SleepyHead

OpalRose
07-25-2016 09:13 AM
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Bravo Offline

Members

Posts: 8
Joined: Jul 2016

Machine: Philips Remstar Auto M Series with A-Flex
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro Air
Humidifier: Philips Remstar
CPAP Pressure: 7-13
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Portugal

Post: #9
RE: First month of CPAP usage, help with the logs
Thank you so much. You are all helping me a lot.

In my case, the machine & mask are supplied for free by the healthcare, and just for now i can't switch the mask... But as soon as it's possible, i will ask them to replace it.
08-03-2016 11:23 AM
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Bravo Offline

Members

Posts: 8
Joined: Jul 2016

Machine: Philips Remstar Auto M Series with A-Flex
Mask Type: Full face mask
Mask Make & Model: Resmed Quattro Air
Humidifier: Philips Remstar
CPAP Pressure: 7-13
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Portugal

Post: #10
RE: First month of CPAP usage, help with the logs
So, here goes the screenshots.

This is last nights:

[Image: 2fcede6691614a884ddba99d5dd82e78.png]

[Image: 8c904213cb1ec1320ab85a11aa24024d.png]

[Image: bd23d0edc4ff1840de5cb3643feb6d89.png]


The statistics:

[Image: 0c4a53092f8f5bdff314099bd9f767fd.png]

[Image: 7225ecc998a00f96a0b240a759edb3ff.png]

[Image: 0ef36d237da2df6194ada89fe6bed063.png]
08-03-2016 11:28 AM
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