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There is slight improvement in the flow limit, and for now I would not make further pressure increases until that sleep transition CA settles down. Those short periods with all the centrals appear to be awake and can be thrown out. Making changes in pressure in a single night is not going to give you a reliable base line of data.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
(12-06-2020, 02:10 AM)Jeff8356 Wrote: @Flying High - Prior to CPAP I was suffering from night time extreme headaches and bad muscle cramps. Would wake me out of a sound sleep. Pulmo gave me a couple of overnight oximetry tests and said I was very sensitive to hypoxemia (low blood O2). My desats dropped to 86-87 but never long enough to meet the minimum for insurance to cover supplemental O2. He got me on my APAP and the headaches went away after a couple of nights, nad the leg cramps followed. Been following my O2 with the Contec CMS50F since then. O2 has been better averaging 91-92 for the night.
So your machine may indeed help with your headaches.
Might also be worth asking the Doc about getting the overnight oximetry test to make sure things are ok.
Thanks. I haven't looked into the oximetry part of this yet. How to you recommend that I proceed?
1. Can I get a Contec CMS50F through my insurance?
2. Is that the best one to get?
3. Can it sync with my nightly CPAP results from OSCAR?
4. Could I use it to see my high and low readings without the need for an oximetry test (or is that something that I can do at home?))
12-06-2020, 12:27 PM (This post was last modified: 12-06-2020, 12:28 PM by Glen e.)
RE: Can CPAP help my headaches?
I can almost guarantee you you’ve got a headache from hypoxia. I wouldn’t buy anything until you did a nightly O2 test. If it’s in the 80s, that’s your problem. My Apple Watch told me all night before I got my CPAP machine that I was dipping into the 80s , as low as 86 sometimes. I had a headache on waking.. After using the CPAP for six weeks @ pressure 7-12, no ramp and EPR 3, It never went below 91, and the headaches went away.
Machine: ResMed Airsense 10 Autoset Mask Type: Full face mask Mask Make & Model: ResMed F30 Humidifier: Built in CPAP Pressure: 10-14 CPAP Software: ResScan
OSCAR
Other Software
(12-06-2020, 11:27 AM)Flying High Wrote: Thanks. I haven't looked into the oximetry part of this yet. How to you recommend that I proceed?
1. Can I get a Contec CMS50F through my insurance? I can't say for sure, but probably not. You would have to check with your ins company.
2. Is that the best one to get? The most popular ones I see on the forum are the Contec CMS50F and the Wellue SleepU. They both have their pros/cons. I have both but I tend to lean more towards the Contec even though it's bigger and bulkier. I think the Contec software is better and gives you more options, albeit its Windows only. But that's just my opinion so take it with a grain of salt. Hopefully other oximeter users will chime in with their preferences.
3. Can it sync with my nightly CPAP results from OSCAR? Yes. The Contec uses a cable (included) to import your data directly into OSCAR. The Wellue is BlueTooth and saves a file to your computer (using their software) which can then be imported into OSCAR.
4. Could I use it to see my high and low readings without the need for an oximetry test (or is that something that I can do at home?)). Yes. They both show in OSCAR like the rest of your graph's. They also have their own software to use to view the data. Contec is Windows only, but Wellue is Windows & Mac. I use both OSCAR and the respective software for each.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
(12-06-2020, 08:54 AM)Sleeprider Wrote: There is slight improvement in the flow limit, and for now I would not make further pressure increases until that sleep transition CA settles down. Those short periods with all the centrals appear to be awake and can be thrown out. Making changes in pressure in a single night is not going to give you a reliable base line of data.
Hi. Here are last night's results with Min level 12.
What are Clear Airway Apneas? If they are clear, what would be the problem?
Thanks!
Clear airway events are apneas or cessation of breathing that lasts 10 or more seconds, and where the airway is open. In some cases these may be central apnea, but in the examples shown in your chart look to be periods of arousal where you are shifting position and holding your breath. It does not have the appearance of sleep-breathing, and can be disregarded as sleep-wake-junk (SWJ). The last image is clearly flow-limited breathing where you are experiencing significant upper airway resistance. This may be positional, however I think this pattern is fairly common in your sleep. Since you are using EPR and this shot shows pressure is at about 12.2/9.2, the only way to get additional pressure support is to upgrade to bilevel. Make sure you are not chin-tucking or using tall pillows.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
(12-07-2020, 11:42 AM)Sleeprider Wrote: Clear airway events are apneas or cessation of breathing that lasts 10 or more seconds, and where the airway is open. In some cases these may be central apnea, but in the examples shown in your chart look to be periods of arousal where you are shifting position and holding your breath. It does not have the appearance of sleep-breathing, and can be disregarded as sleep-wake-junk (SWJ). The last image is clearly flow-limited breathing where you are experiencing significant upper airway resistance. This may be positional, however I think this pattern is fairly common in your sleep. Since you are using EPR and this shot shows pressure is at about 12.2/9.2, the only way to get additional pressure support is to upgrade to bilevel. Make sure you are not chin-tucking or using tall pillows.
Ok. I'll bite. What is bi-level and how would it help? Unless I'm reading this wrong (quite likely), I don't see that setting my min pressure to 12 is helping the Flow Rate. The expiration is still much lower then the inhalation and the leak rate is much higher.
Machine: Needing iVAPS but QUACKS refusing to help but they love testing Mask Type: Not using mask Mask Make & Model: F&P Vitera on shelf Humidifier: None/nada CPAP Pressure: 0-0 pressure set CPAP Software: Not using software
Other Comments: SCS PVC K9D** Untreated CA Asthma Dr. Donothings
A bi-level or BPAP is 2 pressures, one exhale and one inhale separated by Pressure Support. PS is akin to the EPR you've used except it isn't limited to 3 cmH2O so it's able to be set more powerful to assist in the Flow Limits Sleeprider is referring to. In this machine upgrade, you're wanting another ResMed, but it is an AirCurve VAuto.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
By far we prefer the Resmed Aircurve 10 ASV. The response is faster on a breath by breath basis, while the Philips is still averaging back 5 breaths. The feel is smoother with the Easybreathe algorithm which you had with your Airsense 10. It is just an easier machine to adjust to. I expect you will do very well.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.