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First two days of CPAP data - any advice?
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kupalooza Offline

Members

Posts: 5
Joined: Mar 2015

Machine: ResMed 10 Auto
Mask Type: Nasal mask
Mask Make & Model: AutoFit
Humidifier: Built-in
CPAP Pressure: 7.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #1
First two days of CPAP data - any advice?
I've had my ResMed 10 Auto for 2 days now and while I feel like my apnea (diagnosed as "mild to moderate", no other data provided) has improved somewhat, I'm not quite sure I'm getting what I'm supposed to be. I've felt mildly more refreshed but I'm still a little on the groggy side in the morning.

I downloaded SleepyHead and grabbed the data from my machine. Attached is a copy of my initial statistics for my first two days. I'm still learning about the software - can anybody provide some feedback for me as to what this all means and tell me if my machine is doing the trick or not? If not, is there anything I can do to improve my results? My MD is very difficult to get a hold of and I'm not sure I can stand to wait yet more months to get anything corrected (took months as is to get my machine).

If you can't see my file (or is not allowed), here are the basic numbers, which I don't quite understand. My pressure setting is a 7.

Most recent result (what do these numbers mean?):

AHI: 7.66
Obstructive: 2.01
Hyponea: 0.73
Clear Airway: 4.74
Average Leak Rate: 1.06
90% Leak Rate: 2.40
% of time above Leak Rate Threshold: 0.01

Thanks!


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03-06-2015 02:36 PM
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AshSF Online

Advisory Members

Posts: 356
Joined: Oct 2014

Machine: PRS1 D560TS
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10, Bkup: Airfit F10 & Quattro Air
Humidifier: PRS1 60 series with Heated Tube
CPAP Pressure: 8 - 8 w/ Aflex 3
CPAP Software: SleepyHead

Other Comments: Using APAP mode with fixed pressure

Sex: Male
Location:

Post: #2
RE: First two days of CPAP data - any advice?
Good job on controlling leaks. That is a big part of the battle which you have under control.

Give it at least 10 days on this setting. Since you have just started CPAP, you are seeing Clear Airway apnea events. They will settle down to their true level (probably close to zero) once your body gets a bit used to breathing against this device.

Once you have been on it for 10 days, then post your summary data again. I would not touch anything for the first 10 days.

What is your EPR setting? After evaluating your 10 day data, you may have to change your pressure/EPR settings to optimize your therapy. Its easy to do. You should request a clinical manual of your machine by clicking "CPAP Setup Manuals" link on top of Apneaboard page.

Started APAP 4-20, Closed range to 7.5-14, then straight 8.0 w/ Aflex 3
RDI always below 1. But sleep much much better at straight pressure.
Started on F10, Tried Quattro Air successfully. Finally settled on P10.
03-06-2015 03:07 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
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: #3
RE: First two days of CPAP data - any advice?
I really don't understand why some docs prescribe a perfectly good auto-titrating machine then insist on dummy'ing it down with a low fixed pressure.

As Ash says, the conventional advice is don't do anything for awhile. But, as an ultra right-wing conservative with closet liberal tendencies, I generally suggest modesty, but movement.

So if it was my machine, then I'd set it to "auto" mode, with a minimum of 6 and a maximum of 10, and see what happens over 2 or 3 nights.
03-06-2015 03:26 PM
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trish6hundred Offline

Advisory Members

Posts: 6,452
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: #4
RE: First two days of CPAP data - any advice?
Hi kupalooza,
WELCOME! to the forum.!
Hang in there for more answers to your questions and much success to you with your CPAP therapy.

trish6hundred
03-06-2015 07:07 PM
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GeoffD Offline

Preferred Members-2

Posts: 194
Joined: Sep 2014

Machine: ResMed Airsense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: ResMed AirFit P10
Humidifier: Integral + ClimateLine
CPAP Pressure: 14-17
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: New England

Post: #5
RE: First two days of CPAP data - any advice?
(03-06-2015 02:36 PM)kupalooza Wrote:  Most recent result (what do these numbers mean?):

AHI: 7.66
Obstructive: 2.01
Hyponea: 0.73
Clear Airway: 4.74
Average Leak Rate: 1.06
90% Leak Rate: 2.40
% of time above Leak Rate Threshold: 0.01

AHI is the number of apnea events the machine thinks you have per hour.

Obstructive, Hyponea, and Clear airway are the machine trying to guess what kind of apnea event each one was. Obstructive is what most people typically see a lot of. That's when your upper airway gets blocked. I use ResScan software so I'm not qualified to comment on how Sleepyhead software names things.

24 is the "unacceptable" leak rate. 1 or 2 is fine and means you likely don't have a mouth leak problem that requires a chin strap; and your mask fit is fine.

Without knowing the numbers in your sleep study, it's tough to say much about an AHI of 7. If you were at 30 or 40 in your sleep study, it's a big improvement. Between your body adjusting to the machine and fiddling with the settings slowly over time, it would be good to get to a lower number. Less than 5 is "average" and a lot of people (like me) with severe apnea (I was 42 events per hour in my sleep study) get below 1 most of the time. Everybody is different.

I agree with the advice to enable the AutoSet feature is the right approach. If the machine sees you're having breathing issues, it bumps up the pressure. Your software can show the individual apnea events as they occur and how long they last. You should put up some of that data. If the events are bunched together, AutoSet might really help.

You were asked about your EPR setting. Many of us, particularly those who use higher pressures than you do, set it on 3 so you're not fighting so much to exhale. I'm at 14-17 AutoSet. When I exhale, it drops down to 11.

My final words: Change settings very slowly and make very modest changes. Collect at least a couple of weeks of data before changing them again. Many durable medical equipment suppliers (DMEs) have a cow if you change the settings without getting your sleep center to change the prescription. It's probably better to ask them before changing anything as you're trying to dial in your settings.
03-06-2015 07:14 PM
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OpalRose Offline

Monitors

Posts: 3,181
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: #6
RE: First two days of CPAP data - any advice?
(03-06-2015 02:36 PM)kupalooza Wrote:  I've had my ResMed 10 Auto for 2 days now and while I feel like my apnea (diagnosed as "mild to moderate", no other data provided) has improved somewhat, I'm not quite sure I'm getting what I'm supposed to be. I've felt mildly more refreshed but I'm still a little on the groggy side in the morning.

I downloaded SleepyHead and grabbed the data from my machine. Attached is a copy of my initial statistics for my first two days. I'm still learning about the software - can anybody provide some feedback for me as to what this all means and tell me if my machine is doing the trick or not? If not, is there anything I can do to improve my results? My MD is very difficult to get a hold of and I'm not sure I can stand to wait yet more months to get anything corrected (took months as is to get my machine).

If you can't see my file (or is not allowed), here are the basic numbers, which I don't quite understand. My pressure setting is a 7.

Most recent result (what do these numbers mean?):

AHI: 7.66
Obstructive: 2.01
Hyponea: 0.73
Clear Airway: 4.74
Average Leak Rate: 1.06
90% Leak Rate: 2.40
% of time above Leak Rate Threshold: 0.01

Thanks!

Hi kupalooza,
I also do not understand Doctors who set a fixed pressure on an Auto CPAP, although you can do that later if your more comfy with a fixed pressure.
Your AHI is good for only 2 days, but could be a lot better. Do you know what your titrated pressure number was from your sleep study?
I think retired-guy's advise is good to start, then watch sleepyhead and keep track for a week or more before making any other changes. Maby by then you can post graphs and get help making further adjustments if needed.
Good luck! Sleep-well
OpalRose

OpalRose
03-06-2015 07:41 PM
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rbrooke Offline

New Members

Posts: 1
Joined: Oct 2012

Machine: S9
Mask Type: Nasal pillows
Mask Make & Model: Resmed Swift FX
Humidifier: Hi5
CPAP Pressure: 17
CPAP Software: Not using software

Other Comments:

Sex: Male
Location:

Post: #7
RE: First two days of CPAP data - any advice?
[quote='kupalooza' pid='103391' dateline='1425670574']
I've had my ResMed 10 Auto for 2 days now and while I feel like my apnea (diagnosed as "mild to moderate", no other data provided) has improved somewhat, I'm not quite sure I'm getting what I'm supposed to be. I've felt mildly more refreshed but I'm still a little on the groggy side in the morning.

I downloaded SleepyHead and grabbed the data from my machine. Attached is a copy of my initial statistics for my first two days. I'm still learning about the software - can anybody provide some feedback for me as to what this all means and tell me if my machine is doing the trick or not? If not, is there anything I can do to improve my results? My MD is very difficult to get a hold of and I'm not sure I can stand to wait yet more months to get anything corrected (took months as is to get my machine).

If you can't see my file (or is not allowed), here are the basic numbers, which I don't quite understand. My pressure setting is a 7.

Most recent result (what do these numbers mean?):

AHI: 7.66
Obstructive: 2.01
Hyponea: 0.73
Clear Airway: 4.74
Average Leak Rate: 1.06
90% Leak Rate: 2.40
% of time above Leak Rate Threshold: 0.01

Thanks!

Don't expect instant success. Remember that the machine working properly won't solve not getting enough sleep. I.E. if you body requires 8 hours and you get 6-1/2 hours of great sleep, you still need the balance. I know that every one is different. Plus, remember that until you used the equipment, you may have been deprived of sleep and that will take some time to recoup. so carry on, keep track of the readings as you are doing, consult with the pro's and enjoy.

Cheers

Robert
03-06-2015 07:57 PM
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kupalooza Offline

Members

Posts: 5
Joined: Mar 2015

Machine: ResMed 10 Auto
Mask Type: Nasal mask
Mask Make & Model: AutoFit
Humidifier: Built-in
CPAP Pressure: 7.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #8
RE: First two days of CPAP data - any advice?
Hi everybody! Thanks so much for all the great advice so far.

I checked SleepyHead and it says I'm on an EPR of 3. Also, for those who asked - all I know about my sleep study is that my AHI during it was returned as "somewhere between 7 and 12", so if that's the case maybe I'm not improving all that much?

I looked at the graphs (are there certain ones that are good to show?) and I had a bunch of clear airway issues when I first went to bed, so maybe I was adjusting. I was good for about 90 minutes then had minor issues (I recall waking up during this time for a couple of seconds, so maybe that was it). Everything else was mostly scattered with the exception of a period around 4:30 AM, and I think I woke up briefly then too. Neither was disconcerting unlike other apnea episodes, just went back to sleep. Maybe I just need time to adjust to prolonged CPAP usage?
03-06-2015 08:11 PM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #9
RE: First two days of CPAP data - any advice?
if you had an AHI of 7 to 12 in your sleep study you would not have been prescribed with CPAP.

I wouldn't have, unless there was some other problem they detected.

QAL

by the way, I'd just keep on using it for the week, as ASH indicated. there is nothing seriously wrong with where you are at at the moment. I am a conservative, right out in the open.

good reading is yours for the taking. pop around and do some word searches for anything that sounds interesting.



[just because you can doesn't mean you should.]
.

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. 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.
03-06-2015 10:39 PM
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APAPqueen Offline

Members

Posts: 4
Joined: Mar 2015

Machine: Resmed Airsense S10
Mask Type: Nasal mask
Mask Make & Model: Resmed Mirage FX
Humidifier: unsure
CPAP Pressure: 4cmH2O-20cmH20
CPAP Software: ResScan

Other Comments:

Sex: Female
Location:

Post: #10
RE: First two days of CPAP data - any advice?
I agree with retired guy!!! Use that machine to it's fullest!!! Set it on APAP mode, I would set a range of 4cmH2O-20cmH2O, turn EPR off, turn ramp off, change essentials to plus and let it rip. If you change essentials to plus you can look at the full sleep report. The S10 is an awesome machine... use all of it!!!
03-06-2015 11:15 PM
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