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Please help!
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vsheline Offline

Advisory Members

Posts: 1,908
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: #11
RE: Please help!
(08-28-2015 10:13 AM)Judy1843 Wrote:  My cpap usage is 8.46, Ahi per hour is 2.6,Pressue 10,leaks 24L/min,Ahi2.1Total 1.8Central1.2.

Hi Judy1843,

Your usage 8.46 hrs is very good.

Your AHI 2.6 per hour is good. Anything less than 5.0 is usually considered acceptable.

Your Pressure 10: not sure if 10 is your median pressure (at or below 10 at least 50% of the time) or your 95 percentile pressure (at or below 10 at least 95% of the time). The Clinical Guide (setup manual) for your machine is available by email request and I think would explain whether the Pressure statistic displayed on your machine refers to the median pressure measured or the 95% pressure measured.

In my opinion, it is usually best to have the Min Pressure set not lower than 1 or 2 below the measured median pressure, to better avoid obstructive events. So I suggest you consider raising your Min Pressure. Also, a higher Min Pressure often makes it easier to inhale, making breathing more comfortable. The emphasis here is to find a comfortable Min Pressure which is only 1 or 2 or 3 lower than your median pressure.

Your (unintended) Leak of 24 Liter/minute or less, during at least 95% of the time, is not bad. ResMed machines do not count intended Leak, which is leakage through the vent holes built into the mask. ResMed recommends (unintended) Leak be not higher than 24L/m but their machines usually handle unintended Leak up to 30L/m quite well, especially if the Leak is fairly steady rather than all the time varying quickly.

Your AHI 2.1 per hour is very good. Perhaps this is for only the most recent night, and earlier 2.6 statistic was an average over many nights?

I think "Total 1.8" would mean the total of all apneas was 1.8 per hour. This is good.

I think "Central 1.2" would mean 1.2 central apneas per hour. This is small, nothing at all to worry about. The number of obstructive apneas would have been 1.8 - 1.2 = 0.6.

A more expensive type of CPAP machine which can treat both obstructive apneas/hypopneas and central apneas/hypopneas is not considered unless the number of central apneas per hour is at least 5.0.

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: 08-29-2015 02:20 PM by vsheline.)
08-29-2015 01:57 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: #12
RE: Please help!
(08-29-2015 01:57 PM)vsheline Wrote:  Your AHI 2.1 per hour is very good. Perhaps this is for only the most recent night, and earlier 2.6 statistic was an average over many nights?

I think "Total 1.8" would mean the total of all apneas was 1.8 per hour. This is good.

I think "Central 1.2" would mean 1.2 central apneas per hour. This is small, nothing at all to worry about. The number of obstructive apneas would have been 1.8 - 1.2 = 0.6.
I assume these numbers taken from the machine sleep report
If this is the case .... usage and AHI 2.6 shown on the top section of the sleep report which are for last night session or most recent ... together with happy faces for 'mask seal and humidifier'

To match bottom section numbers of the sleep report with the top section, you'll need to set the period to '1 Day', otherwise its average for the period selected ... options: 1 day, 1 week, 1 month, 3 months, 6 months, 1 years

AHI = AI + HI = number of events per hour (obstructive + central + unknown + hypopnea)
Total AI = number of events per hour (obstructive + central + unknown)

AHI - AI = Hypopnea Index = number of hypopnea per hour

I'll have to hurry up posting, my computer playing up

Coffee
08-29-2015 09:15 PM
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Judy1843 Online

Preferred Members

Posts: 84
Joined: Jul 2015

Machine: Resmed AirSense 10 Model 37028
Mask Type: Nasal pillows
Mask Make & Model: P10
Humidifier: Humidity Level 4 Ramp off
CPAP Pressure: 7-13
CPAP Software: SleepyHead

Other Comments: Amara View and DreamWear Nasal

Sex: Female
Location: St Louis,Mo

Post: #13
RE: Please help!
(08-29-2015 01:57 PM)vsheline Wrote:  
(08-28-2015 10:13 AM)Judy1843 Wrote:  My cpap usage is 8.46, Ahi per hour is 2.6,Pressue 10,leaks 24L/min,Ahi2.1Total 1.8Central1.2.

Hi Judy1843,

Your usage 8.46 hrs is very good.

Your AHI 2.6 per hour is good. Anything less than 5.0 is usually considered acceptable.

Your Pressure 10: not sure if 10 is your median pressure (at or below 10 at least 50% of the time) or your 95 percentile pressure (at or below 10 at least 95% of the time). The Clinical Guide (setup manual) for your machine is available by email request and I think would explain whether the Pressure statistic displayed on your machine refers to the median pressure measured or the 95% pressure measured.

In my opinion, it is usually best to have the Min Pressure set not lower than 1 or 2 below the measured median pressure, to better avoid obstructive events. So I suggest you consider raising your Min Pressure. Also, a higher Min Pressure often makes it easier to inhale, making breathing more comfortable. The emphasis here is to find a comfortable Min Pressure which is only 1 or 2 or 3 lower than your median pressure.

Your (unintended) Leak of 24 Liter/minute or less, during at least 95% of the time, is not bad. ResMed machines do not count intended Leak, which is leakage through the vent holes built into the mask. ResMed recommends (unintended) Leak be not higher than 24L/m but their machines usually handle unintended Leak up to 30L/m quite well, especially if the Leak is fairly steady rather than all the time varying quickly.

Your AHI 2.1 per hour is very good. Perhaps this is for only the most recent night, and earlier 2.6 statistic was an average over many nights?

I think "Total 1.8" would mean the total of all apneas was 1.8 per hour. This is good.

I think "Central 1.2" would mean 1.2 central apneas per hour. This is small, nothing at all to worry about. The number of obstructive apneas would have been 1.8 - 1.2 = 0.6.

A more expensive type of CPAP machine which can treat both obstructive apneas/hypopneas and central apneas/hypopneas is not considered unless the number of central apneas per hour is at least 5.0.

Take care,
--- Vaughn

Thank you so much Vaughn. I think I will start by raising my minimum pressure to 6. I did notice that my AHI number wearing the Amata View mask was higher (3.5) and I did not sleep well at all that night. I seem to have a Problem with getting the nasal portion on the Amara view situated on my face properly. When I switched the next night to the Quattro air my AHI went downto 1.5. I did try the Padaxheek liner for the 1st time with the Quatteo Air mask however it felt like I was sufficating so changed it out for the RemZzz liner and I did feel better! My AHI last night was 1.5!
08-30-2015 11:23 AM
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vsheline Offline

Advisory Members

Posts: 1,908
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: #14
RE: Please help!
(08-29-2015 09:15 PM)zonk Wrote:  
(08-29-2015 01:57 PM)vsheline Wrote:  Your AHI 2.1 per hour is very good. Perhaps this is for only the most recent night, and earlier 2.6 statistic was an average over many nights?

I think "Total 1.8" would mean the total of all apneas was 1.8 per hour. This is good.

I think "Central 1.2" would mean 1.2 central apneas per hour. This is small, nothing at all to worry about. The number of obstructive apneas would have been 1.8 - 1.2 = 0.6.
I assume these numbers taken from the machine sleep report
If this is the case .... usage and AHI 2.6 shown on the top section of the sleep report which are for last night session or most recent ... together with happy faces for 'mask seal and humidifier'

To match bottom section numbers of the sleep report with the top section, you'll need to set the period to '1 Day', otherwise its average for the period selected ... options: 1 day, 1 week, 1 month, 3 months, 6 months, 1 years

AHI = AI + HI = number of events per hour (obstructive + central + unknown + hypopnea)
Total AI = number of events per hour (obstructive + central + unknown)

AHI - AI = Hypopnea Index = number of hypopnea per hour

Thanks zonk!

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.
08-31-2015 03:18 AM
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Judy1843 Online

Preferred Members

Posts: 84
Joined: Jul 2015

Machine: Resmed AirSense 10 Model 37028
Mask Type: Nasal pillows
Mask Make & Model: P10
Humidifier: Humidity Level 4 Ramp off
CPAP Pressure: 7-13
CPAP Software: SleepyHead

Other Comments: Amara View and DreamWear Nasal

Sex: Female
Location: St Louis,Mo

Post: #15
RE: Please help!
Thank you everyone! I'm starting to understand more everyday! I have afib and this is very important to me! O truly appreciate all your time and help!
08-31-2015 12:10 PM
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