Post Reply 
Please help. Data interpretation. Feel like crap.
Author Message
Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,390
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: #21
RE: Please help. Data interpretation. Feel like crap.
FWIW, compare our machine settings, and my minute vent and tidal volume data.

[Image: Pg8ZhuPl.png]

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
05-15-2015 07:02 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
Mark Douglas Offline

Advisory Members

Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #22
RE: Please help. Data interpretation. Feel like crap.
(05-15-2015 07:02 PM)Sleeprider Wrote:  FWIW, compare our machine settings, and my minute vent and tidal volume data.

[Image: Pg8ZhuPl.png]

I changed the originally prescribed settings (from most excellent PCP - not a sleep doc) that also gave me my best nights sleep because I started seeing a couple of CA's. Perhaps I over reacted. I have returned the machine to original specs which are not far from what you suggest. I will try to leave it the h#$! alone and maybe I would be wise to look at the data less often. Thinking-about

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
05-15-2015 08:05 PM
Find all posts by this user Post Reply Quote this message in a reply
Sleeprider Online
Wiki Editor
Advisory Members

Posts: 3,390
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: #23
RE: Please help. Data interpretation. Feel like crap.
I dunno if it will help, but what I saw in your data was a respiration volume that seems a bit suppressed. As you can see in my data, the primary event is CA, but it is inconsequential being of short duration and not something to worry about. Not every night is that good, but if you're not feeling refreshed in the morning, it might be because you're in perpetual hypopnea with a suppressed volume.

Do you have the minute vent rate and tidal volume from before you changed the settings?

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
05-15-2015 08:50 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #24
RE: Please help. Data interpretation. Feel like crap.
(05-15-2015 06:54 PM)Sleeprider Wrote:  Let me take a wild guess...your tidal volume is kinda low. I don't know how big a guy your are, but mine averages in the upper 500s to mid 600 range. The last closeup graph you showed indicates you might not be fully exhaling at your current settings, and this might be affecting your volume per breath. An increase in minimum PS can promote improved respiratory exchange.

Here is a thought to try...your choice. Keep all settings the same, but increase minimum PS to 4.0 and maximum to 7.0. Drink two beers with a piece of pizza, and call me in the morning. Smile

Seriously, this should continue to control the OA that is looking pretty good. If it doesn't aggravate CA, then the result should be a bit better ventilation rate.
(This post was last modified: 05-16-2015 04:54 PM by me50.)
05-16-2015 04:54 PM
Find all posts by this user Post Reply Quote this message in a reply
me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #25
RE: Please help. Data interpretation. Feel like crap.
I have often wondered about tidal volume as mine is 99% of the time between 420 and 440. Is that too low?
05-16-2015 04:54 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: 3,390
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: #26
RE: Please help. Data interpretation. Feel like crap.
(05-16-2015 04:54 PM)me50 Wrote:  I have often wondered about tidal volume as mine is 99% of the time between 420 and 440. Is that too low?

That is completely normal. Mine is probably in the 98th percentile because as a young un, I used to run at high altitude in the mountains, and I just have exceptional volume. The O.P. however was in the upper 200s which is fine for most small women.

You can search for tidal volume and minute vent. Normal varies with size and normal weight. Significant decreases occur with pulmonary disease, COPD and respiratory illnesses. Bilevel therapy can improve the ventilation rate of patients with poor respiratory volume, and even normal patients tend to have a higher volume on biPAP than CPAP. The higher the pressure support, the more that effect is noticed.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
05-16-2015 05:15 PM
Find all posts by this user Post Reply Quote this message in a reply
me50 Offline

Advisory Members

Posts: 2,559
Joined: Aug 2013

Machine: resmed S9 VPAP Auto
Mask Type: Nasal mask
Mask Make & Model: Wisp and Silicone Head gear
Humidifier: resmed H5i
CPAP Pressure: 18/8
CPAP Software: SleepyHead

Other Comments:

Sex: Undisclosed
Location: USA

Post: #27
RE: Please help. Data interpretation. Feel like crap.
(05-16-2015 05:15 PM)Sleeprider Wrote:  
(05-16-2015 04:54 PM)me50 Wrote:  I have often wondered about tidal volume as mine is 99% of the time between 420 and 440. Is that too low?

That is completely normal. Mine is probably in the 98th percentile because as a young un, I used to run at high altitude in the mountains, and I just have exceptional volume. The O.P. however was in the upper 200s which is fine for most small women.

You can search for tidal volume and minute vent. Normal varies with size and normal weight. Significant decreases occur with pulmonary disease, COPD and respiratory illnesses. Bilevel therapy can improve the ventilation rate of patients with poor respiratory volume, and even normal patients tend to have a higher volume on biPAP than CPAP. The higher the pressure support, the more that effect is noticed.

As you may have noticed, I am on VPAP Auto. I have been concerned for a while now that my VT was too low but could not get answers from my doc or the RT.
Thanks.
05-16-2015 05:18 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: 3,390
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: #28
RE: Please help. Data interpretation. Feel like crap.
Your ideal weight in kilograms, multiplied by 7 would be your ideal tidal volume. So, for me 180/2.2= 81.8 Kg (I wish) x 7 mL/Kg = 572 mL average tidal volume. Small people in good health will have less, larger persons more. My average Tidal volume is generally in the mid 500s to mid 600s.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
05-16-2015 05:29 PM
Find all posts by this user Post Reply Quote this message in a reply
Mark Douglas Offline

Advisory Members

Posts: 513
Joined: Apr 2015

Machine: Sys 1 (60) RemStar BiPAP Auto with Bi-Flex 760P Auto Bi-Level (Variabl
Mask Type: Nasal mask
Mask Make & Model: PR Wisp
Humidifier: PR Sys One heated
CPAP Pressure: RiseTime 3 Fxd E-9.0 / I-11.5
CPAP Software: SleepyHead EncoreBasic

Other Comments: Hashimoto's thyroiditis.

Sex: Male
Location: SW Ohio

Post: #29
RE: Please help. Data interpretation. Feel like crap.
Just moved a recording pulseoximeter up the buy list.
I can see I must give myself permission to spend a day reading/learning about only data interpretation and getting the most from SH.
This board is like trying to drink from a firehose....

I use my PAP machine nightly and I feel great!
Updated: Philips Respironics System One (60 Series)
RemStar BiPAP Auto with Bi-FlexModel 760P -
Rise Time x3 Fixed Bi-Level EPAP 9.0 IPAP 11.5 (cmH2O)
05-16-2015 09:39 PM
Find all posts by this user Post Reply Quote this message in a reply

Donate to Apnea Board
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: #30
RE: Please help. Data interpretation. Feel like crap.
(05-16-2015 05:29 PM)Sleeprider Wrote:  Your ideal weight in kilograms, multiplied by 7 would be your ideal tidal volume. So, for me 180/2.2= 81.8 Kg (I wish) x 7 mL/Kg = 572 mL average tidal volume. Small people in good health will have less, larger persons more. My average Tidal volume is generally in the mid 500s to mid 600s.

Our "ideal weight" is based on height and whether we are male or female.

Because the Tidal Volume formula is based on ideal weight (not actual weight) it actually depends on our actual height and sex, not our weight.

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: 05-17-2015 12:03 AM by vsheline.)
05-17-2015 12:01 AM
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
  Flow Rate Interpretation nadprok 2 220 11-13-2016 06:08 PM
Last Post: nadprok
  1 night off of cpap.....feel great! duece12345 6 535 10-31-2016 08:55 AM
Last Post: robysue
  I Feel So Dumb - Climateline Hose Violetskyye 14 874 10-08-2016 11:15 PM
Last Post: Violetskyye
  New AHI Low but Didn't Feel That Great holden4th 1 273 09-09-2016 04:59 AM
Last Post: DeepBreathing
  I have gained 10 lbs and I never feel rested on cpap Lalae 18 1,062 09-08-2016 05:59 PM
Last Post: doll
  New CPAP user feel like crap markrb 20 6,543 09-06-2016 07:24 AM
Last Post: mikeindc
  Sleepyhead data vs. Doctor's data Daisylouu 8 1,409 09-01-2016 06:10 PM
Last Post: eseedhouse

Forum Jump:

Who's Online (Complete List)