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Help on stats: what's wrong?
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Posts: 164
Joined: Feb 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed P10 nasal pillows
Humidifier: Resmed Airsense 10 and heated hose
CPAP Pressure: 9
CPAP Software: SleepyHead

Other Comments: Started APAP on May 26, 2014. Benefits kicked in on May 31 thanks to forum help (leakage resolved)

Sex: Male
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Post: #1
Help on stats: what's wrong?
Hi,

I am struggling with the treatment. Yesterday I was very sleepy and had a bad night. This morning I woke feeling like I was "suffocating" (bit dramatic as an expressing, but I woke feeling like I struggled for air).

I'm including the stats here. Hope some of you more experienced wizards can focus my attention on what could be wrong.

One night ago:

[Image: QELAjqG.png]

[Image: 6FT45Wo.png]

[Image: ZWquEda.png]

[Image: TFAQSyn.png]

[Image: KQVS1oE.png]

Last night (I woke up feeling like I had been struggling for air, so the last part might be relevant)

[Image: IgnjWgd.png]

[Image: Qs3oX7T.png]

[Image: 9ezWAmI.png]

[Image: sWDmDQB.png]

[Image: 6IDB19W.png]

Before APAP: [Image: DARTH-VADER_zpsa57946df.png]

After APAP: See avatar: R2D2 for the win!

"Be kind, for everyone you meet is fighting a great battle"
--Ian Maclaren

I don't snore! I just make creepy noises so the aliens know I'm not someone to be messed with.
06-05-2016 02:10 AM
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justMongo Offline

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Posts: 3,853
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #2
RE: Help on stats: what's wrong?
I'm not seeing anything wrong; nor any reason for you to have a "bad Night."

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.
06-05-2016 08:34 AM
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richb Online

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Posts: 537
Joined: Jun 2015

Machine: Resmed AirCurve 10 ASV
Mask Type: Nasal mask
Mask Make & Model: ResMed Mirage FX
Humidifier: Built in
CPAP Pressure: Epap 6 Ipap 8 Auto ASV
CPAP Software: ResScan SleepyHead

Other Comments: Idiopathic Central Apnea

Sex: Male
Location: Vermont

Post: #3
RE: Help on stats: what's wrong?
I as well don't see anything that would cause a bad night in your posted stats. You have a few Hypos and Centrals that seem to be related to increases in pressure but they are few and far between. Another thing to look at is whether the night you posted is much different from other nights graph wise.

Rich

Apnea Board Member RobySue has posted a Beginners Guide to Sleepyhead Software here: http://www.apneaboard.com/wiki/index.php...SleepyHead
06-05-2016 10:07 AM
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PoolQ Offline

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Posts: 986
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Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
Mask Make & Model: Amara View
Humidifier: Integrated
CPAP Pressure: 6.2, 15, PS4.0
CPAP Software: SleepyHead

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Sex: Male
Location: Sillicon Valley

Post: #4
RE: Help on stats: what's wrong?
to me it seems that if something is wrong, it is very technical and there are those here that can address that, just not me.
It does look like you are spending a lot of time very near your max of 12, snoring going on and that could be disruptive. I would consider raising your upper pressure and see if you can knock out the snores without introducing any centrals. You numbers of course are fine.

It could be one of several things:
1. technical as above, others will comment
2. a comfort setting is making you uncomfortable: EPR, humidity, temperature-you may need BiLevel AirCurve VAuto
3. any reason you might have COPD? Getting treated for COPD solved a lot of my CPAP problems.

"struggling with the treatment" just means you are not the "default" user
06-05-2016 11:21 AM
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green wings Online

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Posts: 548
Joined: Feb 2016

Machine: Respironics System One RemStar Pro (460)
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10
Humidifier: integrated humidifier
CPAP Pressure: 13.0 cm
CPAP Software: SleepyHead

Other Comments: using CPAP since Jan. 2016

Sex: Undisclosed
Location: US

Post: #5
RE: Help on stats: what's wrong?
What is your EPR (Expiratory Pressure Relief) setting? I am not very familiar with ResMed machines; I couldn't figure out what your EPR was from your attachments.
06-05-2016 11:27 AM
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OpalRose Offline

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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: Help on stats: what's wrong?
It doesn't appear that he is using EPR, or it would show under the stats on the left under EPAP readings. EPAP appears the same as IPAP pressure.

OpalRose
(This post was last modified: 06-05-2016 11:35 AM by OpalRose.)
06-05-2016 11:34 AM
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PaytonA Online
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Posts: 3,014
Joined: Dec 2013

Machine: ResMed S9 VPAP Auto
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: H5i(distilled-top up)
CPAP Pressure: VAuto MinE14.0 MaxI 20.6 PS4.0
CPAP Software: ResScan SleepyHead

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Sex: Male
Location: Orange County,California

Post: #7
RE: Help on stats: what's wrong?
I do not know a lot about nasal pillows masks. I am trying out the Pilairo. What I have found is if I do not get the mask aligned just right, it makes it difficult for me to breathe. Is it possible that some movement during the night knocked your pillows out of alignment causing the breathing difficulty?

Best Regards,

PaytonA
06-05-2016 11:48 AM
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pupcamper Online

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Posts: 401
Joined: Nov 2015

Machine: PR DreamStation CPAP Pro
Mask Type: Nasal pillows
Mask Make & Model: AirFit P10 Pillows; Quatro Air FFM
Humidifier: DreamStation Heated Humidifier
CPAP Pressure: 10.5 cmH2O; no ramp; no C-Flex
CPAP Software: SleepyHead EncorePro

Other Comments: Lung cancer survivor since 11/2004; CPAP since 11/2015

Sex: Male
Location: Van Buren, Arkansas, USA.

Post: #8
RE: Help on stats: what's wrong?
(06-05-2016 11:48 AM)PaytonA Wrote:  I do not know a lot about nasal pillows masks. I am trying out the Pilairo. What I have found is if I do not get the mask aligned just right, it makes it difficult for me to breathe. Is it possible that some movement during the night knocked your pillows out of alignment causing the breathing difficulty?

Best Regards,

PaytonA

I've had the same experience Payton is having with his Pilairo when I'm using my AirFit P10.

"....respiration,—a troublesome practice, but one which custom has rendered necessary to our easy existence...." Oliver Twist, Charles Dickens- 1837

I use FlashPAP to load data from a FlashAir III wifi sd card in my machine to my computer and display it with SleepyHead .
robysue's Beginner's Guide to SleepyHead
06-05-2016 12:39 PM
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justMongo Offline

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Posts: 3,853
Joined: Sep 2013

Machine: ResMed VPAP Auto (S9)
Mask Type: Full face mask
Mask Make & Model: ResMed Mirage Quattro
Humidifier: ResMed H5i
CPAP Pressure: 18 IPAPmax - 11 EPAPmin, PS=5
CPAP Software: Other Software

Other Comments: μολὼν λαβέ

Sex: Male
Location: Калифорния

Post: #9
RE: Help on stats: what's wrong?
(06-05-2016 11:27 AM)green wings Wrote:  What is your EPR (Expiratory Pressure Relief) setting? I am not very familiar with ResMed machines; I couldn't figure out what your EPR was from your attachments.

The machine settings were cut off the image (cropped). (See bottom left of image.) To me, looking at the high sample rate pressure data, it appears that EPR may be enabled; but I cannot be 100% certain.

Permit me to add a comment on pressure. There is some flow limitation and snore. A bump up in min pressure might reduce that. The machine is also running out of headroom at the top of the pressure range (limited by max pressure.) Still, with the event rates, I don't see good reason to move the pressures.

And, the OP is presenting data from 2 days approximately 7 weeks apart. Although a little different -- there is no remarkable difference.

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.
(This post was last modified: 06-05-2016 01:18 PM by justMongo.)
06-05-2016 01:16 PM
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Crimson Nape Offline

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Machine: ResMed S9 Autoset
Mask Type: Other
Mask Make & Model: P-10 / F&P Simplus / DreamWear
Humidifier: H5i w/Climateline
CPAP Pressure: 8 - EPR 3
CPAP Software: SleepyHead

Other Comments: CMS-50F & 50IW

Sex: Male
Location: Georgia

Post: #10
RE: Help on stats: what's wrong?
Are you having dreams? Looking at your breathing patterns, it doesn't look like you're getting into a deeper sleep.

Statistics prove that people who have more birthdays live longer.
06-05-2016 01:35 PM
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