Post Reply 
Help reading Chart
Author Message
carl47715 Offline

Members

Posts: 7
Joined: Jan 2016

Machine: none
Mask Type: Nasal prongs
Mask Make & Model: none
Humidifier: none
CPAP Pressure: none
CPAP Software: Other Software

Other Comments:

Sex: Male
Location:

Post: #11
RE: Help reading Chart
Not sure if this helps.


Attached File(s) Thumbnail(s)
   
01-24-2016 12:51 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
carl47715 Offline

Members

Posts: 7
Joined: Jan 2016

Machine: none
Mask Type: Nasal prongs
Mask Make & Model: none
Humidifier: none
CPAP Pressure: none
CPAP Software: Other Software

Other Comments:

Sex: Male
Location:

Post: #12
RE: Help reading Chart
Now that I look at this I have tried ASV. sorry for any confusion.
01-24-2016 12:54 PM
Find all posts by this user Post Reply Quote this message in a reply
vsheline Offline

Advisory Members

Posts: 1,907
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #13
RE: Help reading Chart
(01-24-2016 12:54 PM)carl47715 Wrote:  Now that I look at this I have tried ASV. sorry for any confusion.

Hi carl47715, welcome to Apnea Board.

Do you still have your ASV machine?

The pressure settings were very high, and I'd suggest starting with less intense pressure settings, and (perhaps more importantly) I also recommend taking precautions to avoid sleeping in the supine (flat on back) position.

The Obstructive Sleep Apnea portion of the problem is usually strongly positional and usually can be mostly avoided by not allowing ourself to roll into the supine position while asleep.

By using the free SleepyHead data plotting computer program to look at the data stored in the machine's SD memory card, we can see how much pressure our machine is providing every minute of the night, and can learn to spot times when we have probably rolled onto our back, resulting in the pressure getting raised. (The other thing which commonly causes us to need high pressures is REM sleep stage, and REM stage sleep while we are supine is usually worst of the worst.)

Some of us place a couple tennis balls in pockets or in a sock sewn on a snug teeshirt sewn along the spine right between the shoulder blades or higher. Others wear a light knapsack with something light but bulky in it. Others place long body pillows under the bottom sheet to help us stay on our side. Others sleep in a comfortable reclining chair, so that the head can be elevated. Whatever it takes ...

ASV machines quickly adjust (breath by breath) the Pressure Support (PS). PS is the amount by which the pressure is being boosted while we are inhaling, to help us inhale. When we are exhaling the pressure drops to a lower pressure called EPAP. The pressure during inhalation rises to what is called IPAP. PS is the difference between EPAP and IPAP, and the higher the PS the easier it is to breathe in and breathe out.

By the time PS has been raised to around 10, the machine is doing for us just about all the work of breathing, for a person with normal lungs. I think although 15 may have been your ASV machine's default value for Max PS, I think few patients need that high of a value for Max PS and it is often unnecessarily bothersome if the Max PS setting is higher than around 10.

To start with, I suggest trying a lowered Max PS of 10 or 8, and you could gradually work back to a higher Max PS after you find solutions to the Leak problems. When the Max PS is as low as 8 it might not be able to fully eliminate as many central apneas, but it would still be helping a lot.

If keeping off your back allows the machine to keep EPAP at its Min EPAP value pretty much all the time, then the Min EPAP setting can be gradually lowered until it is usually around 1 cm H2O below our nightly average EPAP.

The lower the pressures, the easier to control leaks.

I need to use high pressures and a Full Face Mask and have found that I must use a cloth Mask Liner. Using a liner takes a while to get used to, but it completely stops the mask from bothersome mask flutters/burping/trumpeting. What leaks remain are softer and not as bothersome. I use RemZzzs brand, which recommends using a fresh liner each night. I ignore the directions by being careful to not let the liner get stretched out at all and usually can use one for about a week.

Take care,
--- Vaughn

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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 01-24-2016 04:41 PM by vsheline.)
01-24-2016 03:37 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,318
Joined: Dec 2014

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: #14
RE: Help reading Chart
Your attachment does sum it up pretty good. Under the titration study, they had you at EPAPmin 10, EPAPmax 15, PS 2-15 and you still had 23 events per hour, but based on only 13 minutes of sleep. That's a tough case. Did you get an ASV machine for home?

[Image: attachment.php?aid=2071]

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
01-24-2016 03:40 PM
Find all posts by this user Post Reply Quote this message in a reply
trish6hundred Offline

Advisory Members

Posts: 6,430
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: #15
RE: Help reading Chart
Hi carl47715,
WELCOME! to the forum! and, much success to you.

trish6hundred
01-24-2016 10:28 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
ST1300 Offline

Preferred Members

Posts: 40
Joined: Feb 2016

Machine: System One REMstar 60 Auto Machine
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: System 1
CPAP Pressure: 13.5
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Nova Scotia, Canada

Post: #16
RE: Help reading Chart
cfbgfg
02-12-2016 07:09 PM
Find all posts by this user Post Reply Quote this message in a reply
Post Reply 


Possibly Related Threads...
Thread: Author Replies: Views: Last Post
  Chart & Mask Questions mcsheltie 9 338 11-02-2016 01:52 PM
Last Post: mcsheltie
  [Equipment] SD card reading tim52160 15 1,207 09-27-2016 08:14 PM
Last Post: pjfollyfarm
  help reading SleepyHead data charts JaneAM 2 405 09-26-2016 10:27 AM
Last Post: Crimson Nape
Arrow [Diagnosis] Am I reading this right? Kakesim 7 441 08-30-2016 06:40 PM
Last Post: chill
  help reading SleepyHead data charts JaneAM 5 567 08-01-2016 07:22 AM
Last Post: Rcgop
  Bizarre Sleepyhead Reading for Flow Limitation holden4th 7 464 07-24-2016 01:58 PM
Last Post: vsheline
Question Help reading SleepyHead data.... Seajayh 3 443 06-24-2016 02:22 PM
Last Post: Seajayh

Forum Jump:

Who's Online (Complete List)