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New study and machine
#1
New study and machine
I had my first study done at sea level 7 years ago and now live at 7500'. Currently using Phillip Resperonics System One BIPAP. Machine seems very tired and not putting out enough pressure. I did register for a new/correct one, but thought I would take this opportunity to get another machine too.

Here's my numbers:

AHI- 38.1
ODI-36.4
RDI-38.1
REI-37.2
Mean SpO2 90%
Min SpO2-85%
Mean HR-49
SpO2 Cumulative time <89% 30.7min
SpO2 Longest span <89% 1.8min
Snoring-23.6 (suggested ENT consult, have deviated septum)
Events by stage:
TST-OA=2.3
NREM-OA=2.5
REM-0

Should I stay w/BIPAP, go CPAP or AUTO

Thanks, I'm now working night shift (nurse) and the lack of quality sleep is kicking my butt Big Grin

Makai1959
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#2
RE: New study and machine
Welcome to the forum.
First stick with the BiLevel, I do assume that you know your machine has been recalled.
You have not provided enough data to be specific. Please provide an OSCAR screenshot (F12), as that will provide information on what is happening and why.

Your O2 SATs are borderline on requiring supplemental Oxygen to absolutely needing it.
Increase your PS by 1and post again with a screenshot and your OSCAR data. I am only addressing your O2 SATs until I can see more data. Increased PS should promote better Gas exchange and improve your O2 SATs.
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#3
RE: New study and machine
Is this what you need?

Here this too.


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#4
RE: New study and machine
Sir, 

is this the information you need?

Thanks
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#5
RE: New study and machine
That and your OSCAR screenshot.
Do you know what your oxygen sats are with your BiLevel?
I fully expect them to be normal, but IMHO anyone who shows low overnight sats without a CPAP/BiLevel should have a recording oximeter if only to verify that your night says are normal.
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#6
RE: New study and machine
Yes, I agree the SpO2 minimum is low enough to warrant looking at. Next we need a recorded chart, and at least for me, seeing the duration of that low number. This gives us a more full picture of your issue.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
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.
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#7
RE: New study and machine
Dave, 30 min <89%. On sleep test 1stvpost if you missed it.
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#8
RE: New study and machine
No surprise Gideon. Thanks. My gallon of coffee didn't wake me up.

Hmm only 30 minutes? That's probably bad enough for supplemental oxygen unless the PAP brings the SpO2 up a bit.
Dave

OSCAR
Standard OSCAR Chart Order
Mask Primer
Dealing With A DME
Soft Cervical Collar Wiki
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.
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#9
RE: New study and machine
Okay I have a SD in my machine. It will be more accurate. I think the study was pretty generic… a home test.

I’m not very computer savvy, but I’ll try to use Oscar. Is there a tutorial somewhere for Oscar?

Thanks ?
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#10
RE: New study and machine
Please see the links in my signature.
Crimson Nape
Apnea Board Moderator
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

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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