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mkamalmohamed Offline

Members

Posts: 9
Joined: May 2015

Machine: Resmed S9 - Elite
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed S9
CPAP Pressure: 13
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Toronto - Canada

Post: #1
Please Advice
Hi All ,

Although I am using pressure 12 , the events is very high , does this mean that the CPAP machine is not suitable to my case ?? is there is anything I can try to minimize that rate ??

I am attaching here the screenshot of my events and summary , Please help as I am So worried now


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(This post was last modified: 06-10-2015 05:18 AM by mkamalmohamed.)
06-10-2015 05:15 AM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #2
RE: Please Advice
Nothing to worry about, AHI 5 and under is normal with treatment
In time, every thing should fall into place

If your S9 is an AutoSet, you might want utilize AutoSet mode, so the machine can go bit higher whenever needed
Otherwise if not, I would raise the set pressure a tad, sometimes its all that needed
BTW, leak rate is extremely good, whats your secret
06-10-2015 05:52 AM
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mkamalmohamed Offline

Members

Posts: 9
Joined: May 2015

Machine: Resmed S9 - Elite
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed S9
CPAP Pressure: 13
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Toronto - Canada

Post: #3
RE: Please Advice
Zonk . But the events always are between 11 and 17 . Sorry what is the pressure tad ?

I am using F&P simples , I think this mask is fine with my face
06-10-2015 06:02 AM
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DeepBreathing Offline
Wiki Editor
Moderators

Posts: 2,294
Joined: Sep 2013

Machine: Resmed S9 VPAP Adapt
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed H5i
CPAP Pressure: EPAP: 9 - 15 PS: 3 - 10
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Perth, Western Australia

Post: #4
RE: Please Advice
Hi mkamalmohamed. I agree with Zonk - your numbers look good.

Quote: But the events always are between 11 and 17 .

Those numbers are the duration of the apneas, between 10 and 17 seconds. They will always be at least 10 seconds, otherwise they don't count as an apnea. I wouldn't be worried by those numbers at all. The number Zonk is referring to is the AHI (apnoea hypopnea index) which is the average number of events per hour. In your case the AHI is 2.5, which is well below the threshold of 5.

Quote:Sorry what is the pressure tad ?

"Tad" is a word we use in Australia (and possibly elsewhere). It just means "a little bit". So raising your pressure a tad means to increase it a little bit, maybe raise it from 12 to 13 cm and see how that goes.

DeepBreathing
Apnea Board Moderator
www.ApneaBoard.com


Bed

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.
06-10-2015 06:49 AM
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Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,335
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: #5
RE: Please Advice
(06-10-2015 05:15 AM)mkamalmohamed Wrote:  Hi All ,

Although I am using pressure 12 , the events is very high , does this mean that the CPAP machine is not suitable to my case ?? is there is anything I can try to minimize that rate ??

I am attaching here the screenshot of my events and summary , Please help as I am So worried now

If I'm interpreting this correctly, you are experiencing all central apneas and some hypopnea. Your problem may not respond to pressure, and I would not suggest you change the pressure based on these results, particularly based on 6-hours of therapy. The events appear to be of short duration and are spaced apart so they should not cause any concern. To me, it looks like typical respiratory disruption from not being accustomed to CPAP and could be what we sometimes call sleep-wake junk. The lack of obstructive apneas indicates good treatment.

What were the results of your titration? Is there a reason you are using the CPAP mode rather than a range in auto. Why not using EPR?

I recommend you consider using the Sleepyhead software as it lets you examine these events individually and make some better judgements, but these results should not be a big concern to you starting out.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
06-10-2015 08:25 AM
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PaytonA Offline
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Monitors

Posts: 3,005
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

Other Comments:

Sex: Male
Location: Orange County,California

Post: #6
RE: Please Advice
(06-10-2015 08:25 AM)Sleeprider Wrote:  If I'm interpreting this correctly, you are experiencing all central apneas and some hypopnea. Your problem may not respond to pressure, and I would not suggest you change the pressure based on these results, particularly based on 6-hours of therapy. The events appear to be of short duration and are spaced apart so they should not cause any concern. To me, it looks like typical respiratory disruption from not being accustomed to CPAP and could be what we sometimes call sleep-wake junk. The lack of obstructive apneas indicates good treatment.

Correction, the events are almost all obstructive apneas but not really enough of them to worry about. I agree with Zonk. It would be helpful to us if you could identify the exact model of the S9 that you have. The model name is right above the start button. It should be something like Autoset, Elite, Escape, VPAP S, or VPAP Auto.

Best Regards,

PaytonA
06-10-2015 10:00 AM
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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: #7
RE: Please Advice
What I see is this: Your AHI number is fine. But your flow limit chart is not good. That indicates that a lot of improvement can be made even though you are fine overall. It might be that if you increase your pressure by 1 that will do it. On the other hand it might be that if you went to a pillows style mask you would see a lot of improvement with no increase in pressure, and maybe a decrease.
06-10-2015 10:45 AM
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mkamalmohamed Offline

Members

Posts: 9
Joined: May 2015

Machine: Resmed S9 - Elite
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Resmed S9
CPAP Pressure: 13
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Male
Location: Toronto - Canada

Post: #8
RE: Please Advice
Thank you all for your replay , please note the following

1 - My Model number is Resmed S9 Elite , I don't use the EPR because it is bothering me !! , ( But if you confirmed that it will enhance anything I can try to enable it again and see ) .

2- What about the Flow limitation is there is anything to improve it ,
as it is always with a high rates .

3- The attached screenshot is almost the result on the same 30 days , in specific word ( Plus or minus a little bit ) .
06-10-2015 04:30 PM
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zonk Offline

Advisory Members

Posts: 7,908
Joined: Feb 2012

Machine: A10 AutoSet
Mask Type: Nasal mask
Mask Make & Model: Activa LT
Humidifier: Integrated /ClimateLineAir
CPAP Pressure: 9/13
CPAP Software: ResScan

Other Comments: CPAP since Nov 2010

Sex: Male
Location: Australia

Post: #9
RE: Please Advice
Unlike AutoSet, S9 Elite is a fixed pressure machine, cannot increase pressure in response to snoring, flow limitation, and apnea

EPR is comfort feature, some people like myself loathe it, while others love it and for them, the best thing since sliced bread
For some can increase AHI and for others have no effect
Try it and makeup your own mind, everyone is different

Flow limitation is partial airways obstruction, again the AutoSet take action early enough by small pressure increase in response to snoring and flow limitation in order to prevent an apnea from happening. Both snoring and flow imitation are signs of obstructive apnea, not central apnea
AutoSet is a clever little machine, can distinguish whether apnea is obstructive or central and respond accordingly

Your numbers looks good, you can do nothing or increase pressure by a small increment, something like, 11 to 11.4 and keep monitoring
Don't make too many changes, too fast and too soon, otherwise you would not know what works and what not

AHI is just one parameter, more important is "how you feel" and don't judge "how you feel" by AHI, again AHI 5 or below is effective treatment

Not possible having AHI zero, night after night, more chance winning Lotto

Sleep-well
(This post was last modified: 06-10-2015 05:35 PM by zonk.)
06-10-2015 05:28 PM
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PaulaO2 Offline
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Moderators

Posts: 8,065
Joined: Feb 2012

Machine: S9 Autoset
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: H5i
CPAP Pressure: 14-20
CPAP Software: SleepyHead

Other Comments: Ehlers-Danlos Syndrome, Hypermobility Type; chronic sarcasm

Sex: Undisclosed
Location: western NC, USA

Post: #10
RE: Please Advice
Do you feel rested? Do you feel good during the day?

Your AHI is actually great. Wish mine was that low.

Some things for you to read:
Acronyms/abbreviations - http://www.apneaboard.com/wiki/index.php?title=Acronyms
Glossary - http://www.apneaboard.com/wiki/index.php?title=Definitions
http://www.ucmc150.uchicago.edu/sleep/terms.html

PaulaO2
Apnea Board Moderator
www.ApneaBoard.com


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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.
06-10-2015 10:09 PM
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