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Expiratory Relief and Preliminary Report Analysis
#31
RE: [Newbie] Preliminary Report Analysis
(01-06-2019, 09:57 AM)Sleeprider Wrote: I wrote an Oxygen Bleed wiki that explains more than what you need to know: http://www.apneaboard.com/wiki/index.php..._with_CPAP

Wonderful, thanks a lot!
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#32
Grin 
RE: Expiratory Relief and Preliminary Report Analysis
Hello everybody,

This is my latest APAP report, after a few days spent figuring out how to make things work. I started to use the machine about 5 days ago.

Equipment: As in my profile, with the addition of a cervical collar.

O2 Saturation during the day is within normal parameters (Measured with D50H)

Mode Auto with Soft Response.

I am still unhappy with the results, as you can see, even though I had a drastic decrease of AHI events. As a reminder, I start from an AHI of 61.

I suspect some of the events flagged by the software are false positive?

Also, why does it say that I was in bed for 25 minutes and awake for hours?

Any feedback and comments on how to improve would be greatly appreciated.


Attached Files
.pdf   document1.pdf (Size: 371.67 KB / Downloads: 38)
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#33
RE: Expiratory Relief and Preliminary Report Analysis
It says that you were in bed from just after midnight (00:25)AM 0r 12:30 until 0925 or 9:25AM so you were there for 9 hours.

That said how well did you sleep?  Did you dream a lot?

You still have a lot of flow limitation and significant apnea.

Try a pressure range of 17 to 20 with EPR 3

And for sure get a hold of your doctor.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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.
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#34
RE: Expiratory Relief and Preliminary Report Analysis
You are going to end up with a bilevel machine (Aircurve 10 Vauto). Fully justified based on your pressure and lack of efficacy with CPAP.
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#35
RE: Expiratory Relief and Preliminary Report Analysis
Thank you for taking the time to read the data, Fred.

To answer your questions and to give you a little more context, as there are factors that may influence the therapy:

I sleep in very uncomfortable conditions in a very tiny space (long story, but hey, it's Hong Kong!)

I started to use a cervical collar two days ago

The latest data do not represent the best results I got. After two days of use, I managed to get a 15 AHI (no use of a collar, but still figuring out how it happened... For your reference I attached the report for that night).

I can barely feel the air and the humidity (level 4 now) in my mask (F20), and the mask is astoundingly silent. Is that normal? Does the mask/tube/air pump work properly? Is there a way for me to test that?

The doctor initially prescribed a nasal type of mask, but I am a mouth breather at night. I would tend to sleep on my side, but since I started the therapy I sleep on my back. Would another type of mask be more beneficial?

Immediate benefits noticed: Sleep throughout the night without having to go to the bathroom every two or three hours (never happened in years).
Do not wake up anymore with headache or a heavy head. Do not fall asleep suddenly during the day when sitting, often in embarrassing places...

Problem noticed: the bottom side of my L size mask (the silicon part on the chin area) sometimes slips up and uncovers my mouth. I have no idea why, but I guess it's a matter of mask fitting and night movements.

Thank you again.


Attached Files
.pdf   Best performance.pdf (Size: 287.34 KB / Downloads: 23)
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#36
RE: Expiratory Relief and Preliminary Report Analysis
Hi all,

In the attached screenshot there is my best performance so far.

I am still getting used to interpreting the data, but I think the graph shows once more that a Bi-Level machine with more pressure is most probably the right device for me.

Thoughts?
ThxSmile


Attached Files Thumbnail(s)
   
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#37
RE: Expiratory Relief and Preliminary Report Analysis
You are correct. A bilevel is in your future
If the pressure of the VAuto (4-25) is enough pressure then it will be the best machine.

If you need higher pressure than perhaps the PR ST which goes up to 25 EPAP and 30 IPAP
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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.
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#38
RE: Expiratory Relief and Preliminary Report Analysis
(03-05-2019, 10:05 PM)bonjour Wrote: If you need higher pressure than perhaps the PR ST which goes up to 25 EPAP and 30 IPAP

Thank you for the reply.

I am not familiar with the PR ST, but I hear it is not produced anymore?
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#39
RE: Expiratory Relief and Preliminary Report Analysis
I think bonjour's main point was that some of the more specialised machines will go up to 30 or 40cm, if that is needed. I haven't read all the posts, I take it you have tired postural changes, flat pillow and a foam cervical collar to see if you are tucking your chin and closing your airway during sleep.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap from machine data, or software. Set the min pressure at 'med' median pressure or 90% OR 2cm below 95% pressure. max pressure at 20cm for now. Forum will help you fine tune settings
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