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CSR reports on Sleepyhead
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AirSign Offline

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Machine: ResMed Airsense A10 for her
Mask Type: Nasal pillows
Mask Make & Model: Nuance / Airfit P10
Humidifier: Airsense A10
CPAP Pressure: 9-16, average under 14
CPAP Software: SleepyHead

Other Comments: Seasons here: Wintah, Mud, Road Repair, Wintah

Sex: Female
Location: Road Repair Season, New England

Post: #1
CSR reports on Sleepyhead
This was Day 13 using my APAP.

Sleepyhead reports two periods of CSR, each 19 minutes long.
Have not had any before this.

Also shows 8 RERA events, which have not had before.
The RERAs do not seem to be simultaneous with the CSR periods.

6.5 hours of sleep, AHI 7.83
No Large Leaks.

Should I be concerned about either the CSR or the RERAs?
04-25-2015 08:29 AM
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OpalRose Offline

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Machine: PR System One REMstar Auto 560 with A Flex
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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: #2
RE: CSR reports on Sleepyhead
(04-25-2015 08:29 AM)AirSign Wrote:  This was Day 13 using my APAP.

Sleepyhead reports two periods of CSR, each 19 minutes long.
Have not had any before this.

Also shows 8 RERA events, which have not had before.
The RERAs do not seem to be simultaneous with the CSR periods.

6.5 hours of sleep, AHI 7.83
No Large Leaks.

Should I be concerned about either the CSR or the RERAs?


AirSign,
Apparently the CSR has been mislabeled in SleepyHead. It should be Periodic breathing. Probably nothing to worry about.

I think your AHI could be lower. Are you looking at SleepyHead Graphs to see where your pressure is? It would be a benefit to you to narrow your pressure range.
Either post a graph here or look to see what your average and 90% pressure numbers are.

OpalRose
04-25-2015 08:56 AM
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AirSign Offline

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Posts: 85
Joined: Mar 2015

Machine: ResMed Airsense A10 for her
Mask Type: Nasal pillows
Mask Make & Model: Nuance / Airfit P10
Humidifier: Airsense A10
CPAP Pressure: 9-16, average under 14
CPAP Software: SleepyHead

Other Comments: Seasons here: Wintah, Mud, Road Repair, Wintah

Sex: Female
Location: Road Repair Season, New England

Post: #3
RE: CSR reports on Sleepyhead
(04-25-2015 08:56 AM)OpalRose Wrote:  Either post a graph here or look to see what your average and 90% pressure numbers are.

What surprised me was the 19 minutes in a single event, twice.
Pretty sure I was not awake during either of them, because I did turn off the machine one time only but after both the CSR events had happened.

The 95% pressure is reported as 14.2
Other nights, it's been as high as 15.
I've been starting it at 4, but only for a 5 minute ramp up.

Maybe these were REM? And I was having really awesome Stephen King intensity dreams?
Huh
04-25-2015 09:04 AM
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OpalRose Offline

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Posts: 3,168
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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: #4
RE: CSR reports on Sleepyhead
(04-25-2015 09:04 AM)AirSign Wrote:  
(04-25-2015 08:56 AM)OpalRose Wrote:  Either post a graph here or look to see what your average and 90% pressure numbers are.

What surprised me was the 19 minutes in a single event, twice.
Pretty sure I was not awake during either of them, because I did turn off the machine one time only but after both the CSR events had happened.

The 95% pressure is reported as 14.2
Other nights, it's been as high as 15.
I've been starting it at 4, but only for a 5 minute ramp up.

Maybe these were REM? And I was having really awesome Stephen King intensity dreams?
Huh

AirSign,
If I had a Stephen King dream, there would be no sleeping after that. I used to read his novels, then couldn't sleep without a light on. Shock-2

Most folk feel smothered with a starting pressure of 4, plus it takes longer for the machine to respond to an event. From what you posted here, I would start your pressure at 7, with a maximum of 16, then watch your data for at least 10 days to see if further adjustments should be made.

OpalRose
04-25-2015 09:20 AM
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Sleeprider Online
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Machine: Resmed Aircurve 10 Vauto
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CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

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Sex: Male
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Post: #5
RE: CSR reports on Sleepyhead
(04-25-2015 08:29 AM)AirSign Wrote:  This was Day 13 using my APAP.

Sleepyhead reports two periods of CSR, each 19 minutes long.
Have not had any before this.

Also shows 8 RERA events, which have not had before.
The RERAs do not seem to be simultaneous with the CSR periods.

6.5 hours of sleep, AHI 7.83
No Large Leaks.

Should I be concerned about either the CSR or the RERAs?

Take a closer look at your data and see if there is a correlation of the periodic breathing with other events or particular pressures. My guess is that your problems arise from too low of a minimum pressure, and that if you would raise the minimum pressure to your average or median pressure, you could probably cut events in half and not see PB. Without seeing the data, I can't be more specific, but an AHI of 3.5 or less is consistently available to you if you will do this.

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04-25-2015 10:10 AM
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AirSign Offline

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Posts: 85
Joined: Mar 2015

Machine: ResMed Airsense A10 for her
Mask Type: Nasal pillows
Mask Make & Model: Nuance / Airfit P10
Humidifier: Airsense A10
CPAP Pressure: 9-16, average under 14
CPAP Software: SleepyHead

Other Comments: Seasons here: Wintah, Mud, Road Repair, Wintah

Sex: Female
Location: Road Repair Season, New England

Post: #6
RE: CSR reports on Sleepyhead
Hmm. Here's some graphs from Sleepyhead. No large leaks.

[attachment=1427]

[attachment=1426]

Could I have been pinching the air hose somehow?
(This post was last modified: 04-25-2015 10:44 AM by AirSign.)
04-25-2015 10:42 AM
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retired_guy Offline

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Post: #7
RE: CSR reports on Sleepyhead
(04-25-2015 10:42 AM)AirSign Wrote:  Could I have been pinching the air hose somehow?

Nope. But looking at your graph I agree with Opal and Sleep guy that increasing your range should help you. I forgot what they said but I would do the following:

1. Change the ramp setting to off. (You only use it for 5 minutes anyway, so why suffer that long?)

2. Change the pressure to minimum of 7 and maximum of 16. (That's really a larger range than I like to see, but I think some of your goofiness may be caused by sleeping position, and this range may be needed to offset that.)

3. Do you want to use EPR? That may help, but I wouldn't set it higher than 2 for now.

You're doing fine, you just need a little adjusting of the dials. You do not need to worry about the CSR's you're seeing killing you. On the other hand, if they did kill you, you wouldn't be worried about it anyhow.

Just unlax and enjoy your day, then sleep well tonight.
04-25-2015 11:41 AM
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AirSign Offline

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Posts: 85
Joined: Mar 2015

Machine: ResMed Airsense A10 for her
Mask Type: Nasal pillows
Mask Make & Model: Nuance / Airfit P10
Humidifier: Airsense A10
CPAP Pressure: 9-16, average under 14
CPAP Software: SleepyHead

Other Comments: Seasons here: Wintah, Mud, Road Repair, Wintah

Sex: Female
Location: Road Repair Season, New England

Post: #8
RE: CSR reports on Sleepyhead
Thanks, Opal, SleepRider, and RG -- I will change those settings for tonight. It's such a joy after 6 years to be able to actually SEE what happens with my breathing when I'm sleeping!

And R-G, more likely that the sacral neuromodulator that got put into me on Thursday is going to kill me, especially if I join some protest demonstration somewhere and get zapped by a taser !!!! Too-funny
04-25-2015 11:50 AM
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retired_guy Offline

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CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #9
RE: CSR reports on Sleepyhead
(04-25-2015 11:50 AM)AirSign Wrote:  Thanks, Opal, SleepRider, and RG -- I will change those settings for tonight. It's such a joy after 6 years to be able to actually SEE what happens with my breathing when I'm sleeping!

And R-G, more likely that the sacral neuromodulator that got put into me on Thursday is going to kill me, especially if I join some protest demonstration somewhere and get zapped by a taser !!!! Too-funny

Just remember "Hands up! Don't Shoot!" and you'll be fine. ..and don't be burning your bra at the demonstration..... That's so "yesterday."
04-25-2015 11:54 AM
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Sleeprider Online
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Machine: Resmed Aircurve 10 Vauto
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: Resmed Climateline
CPAP Pressure: Auto Bilevel 18/9, PS 3
CPAP Software: ResScan SleepyHead EncoreBasic

Other Comments:

Sex: Male
Location: Where they make Respironics

Post: #10
RE: CSR reports on Sleepyhead
First, thanks for posting the data. Youre doing pretty good for just being two weeks into therapy and things will likely improve, even if you do nothing. Adjusting to sleeping with CPAP takes some time.

I agree with Retired_Guy but would place the minimum pressure at 8.0. If you look at the second chart you posted, you can see your therapeutic pressure is between 12 and 14 cm (EPR drops that pressure on exhale). Pretty much any pressure under 8.0 is a waste of time, and I would use that as a minimum if you can tolerate it. The biggest cluster of OA was during ramp after that break at 03:00.

You appear to be using EPR of 3.0 which can make higher pressures more comfortable, but some people experience apnea if the EPAP (expiration pressure) is insufficient to support the airway at the bottom of the respiratory cycle. I might use a bit less EPR and see if it helps, or makes any difference in your comfort level.

You can zoom in on the periodic breathing. It looks like this is a period of time where you breathing is shallowing out and is a series of hypopnea followed by recovery breaths. This can be cyclical and the machine scores it as periodic breathing. True Cheye-Stokes is a very smooth waxing and waning of breath punctuated by central apnea at the low ebb of the cycle. It's not something to be concered about unless it becomes a regular feature of your sleep, and this will likely disappear as you adapt to CPAP.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
04-25-2015 12:05 PM
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