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Pulse ox 64% event help please
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jamica5555 Offline

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Posts: 22
Joined: Feb 2013

Machine: Resmed S9 Escape Auto
Mask Type: Nasal pillows
Mask Make & Model: cpap pro mask
Humidifier: unsure
CPAP Pressure: 12-20
CPAP Software: ResScan SleepyHead

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Sex: Female
Location: kansas

Post: #1
Smile Pulse ox 64% event help please
I just did my first night on a recording pulse oximeter and it reported that at one point my o2 went down to 64% and my pulse was above 120 bpm.... how worried should I be and what do I do now?

I am on an s9 series cpap everynight with the cpap pro nasal mask. Diagnosed in 2010 ... have used cpap 100% since with no improvement. The last time I went to the sleep specialist he said the machine looked fine and he didn't know why I was still having issues and tried to put be on uppers during the day YUCK!
02-12-2014 05:32 PM
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pumpkln Offline

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Posts: 33
Joined: Jun 2013

Machine: S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Swift FX
Humidifier: Resmed
CPAP Pressure: 5 to 15
CPAP Software: SleepyHead

Other Comments: Oxygen 2 liters, night time

Sex: Female
Location: US

Post: #2
RE: Pulse ox 64% event help please
Let your sleep specialist know, they may want to add night time oxygen.

I had similar challenges, and am now on O2 at 2.5 liters at night only.
(This post was last modified: 02-12-2014 05:59 PM by pumpkln.)
02-12-2014 05:50 PM
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zonk Offline

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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: #3
RE: Pulse ox 64% event help please
(02-12-2014 05:32 PM)jamica5555 Wrote:  The last time I went to the sleep specialist he said the machine looked fine and he didn't know why I was still having issues and tried to put be on uppers during the day YUCK!
What the doctor means in saying "the machine looked fine"
How the machine looked or the amount of data gathered by the machine
If by the data, he cannot tell much ... S9 Escape Auto is not full data capable machine and an APAP (not AutoSet) ... two different machines even if looked the same

Because the machine does not shows any detailed data, you cannot tell if O2 dip due to some apnea events, leaks, or something else
02-12-2014 06:15 PM
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Bama Rambler Offline

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Posts: 213
Joined: Feb 2014

Machine: Respironics System One DS460TS
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: DS6T
CPAP Pressure: 15 cmH2O
CPAP Software: SleepyHead EncoreBasic

Other Comments: xPAP, Best thing since sliced bread!

Sex: Male
Location: Southwest Alabama

Post: #4
RE: Pulse ox 64% event help please
Personally I wouldn't be worried about a single event, especially considering it was the very first time using the oximeter. I'd run the test again for a few more nights and if the same thing showed up, then I'd definitely get together with the sleep doc about it. I'd also use that opportunity to try and get the doc to change your machine prescription to a fully data capable machine.
02-12-2014 07:52 PM
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Lukie Offline

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Posts: 352
Joined: Nov 2013

Machine: Resmed S9 Auto
Mask Type: Full face mask
Mask Make & Model: Airfit F 10
Humidifier: H I heated tubing resmed
CPAP Pressure: 6-16
CPAP Software: ResScan SleepyHead

Other Comments: Masks: Simplus, Air, Quattro fx, Nano, Eson, Swift fx and Activ

Sex: Female
Location: Vermont

Post: #5
RE: Pulse ox 64% event help please
if it is a one time event and your AHI is less than 5 you may be okay. If you desaturate every night lower than 90 I would begin to worry. You might have had a hyponea due to a mask leak and desaturated that one time. If it happens many times during the night you need to discuss this with your doctor and show him your oximeter results.
Since your machine is not data capable we have no way of knowing if you are having hyponeas, obstructive or central apneas.
02-12-2014 09:26 PM
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jamica5555 Offline

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Posts: 22
Joined: Feb 2013

Machine: Resmed S9 Escape Auto
Mask Type: Nasal pillows
Mask Make & Model: cpap pro mask
Humidifier: unsure
CPAP Pressure: 12-20
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: kansas

Post: #6
RE: Pulse ox 64% event help please
Thanks to everyone who has replied.... I don't think I have a way of knowing my ahi with my current machine. The pulse oximeter is the cms50f also just fyi. Has anyone had any problems with this pulse ox? Any tips on things to look for in the data it gives you? Also when I go back to the sleep doctor if I can in any way afford it I am getting a new machine that is the data kind..... not sure if insurance will cover it or not since I have had this machine only a little over 3 years...
02-13-2014 12:08 AM
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herbm Offline

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Posts: 852
Joined: Jan 2014

Machine: ResMed AutoSet S9
Mask Type: Oral
Mask Make & Model: ResMed Airfit P10 Nasal Pillow
Humidifier: ResMed H5i
CPAP Pressure: 11-16
CPAP Software: ResScan SleepyHead

Other Comments: Backup Mask: Innomed Hybrid FFM -- Oral+Nasal Pillows

Sex: Male
Location: Austin, TX

Post: #7
RE: Pulse ox 64% event help please
I got down that low on my Pulse Oximeter and no one freaked out. I was "Ok".

But of course I have OSA and am now doing xPAP therapy.

So it wasn't good for my -- or your -- healthy, we can treat it.

Sweet Dreams,

HerbM
Sleep study AHI: 49 RDI: 60 -- APAP 10-11 w/AHI: 1.5 avg for 7-days (up due likely to hip replacement recovery)

"We can all breathe together or we will all suffocate alone."
02-13-2014 12:10 AM
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Peter_C Offline

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Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #8
RE: Pulse ox 64% event help please
FYI? How 'long' did the event last? Make sure the clocks on your machine, Oximeter, and computer all match. You *can* have random glitches/noise, etc if you move the sensor when you turn over in your seep - stuff like that.

On the Oximeter report, look for average, low average, number of minutes under 88% - those are what I watch, and my PCP wants to know. I (sadly) drop 3-4X nightly below 50 - but never for over 30 seconds.

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
02-13-2014 12:19 AM
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jamica5555 Offline

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Posts: 22
Joined: Feb 2013

Machine: Resmed S9 Escape Auto
Mask Type: Nasal pillows
Mask Make & Model: cpap pro mask
Humidifier: unsure
CPAP Pressure: 12-20
CPAP Software: ResScan SleepyHead

Other Comments:

Sex: Female
Location: kansas

Post: #9
RE: Pulse ox 64% event help please
Also I wish I could copy this info but heres what the pulse ox meter says :
total events 13,
time in event (mins) 8.6
average event duration (secs) 39.5
basal spo2 96.4
time below 88% (mins) 1.2
events below 88% 1
minimum spo2 64%
average low spo2 91.2%
average low below 88% spo2 64%
average pulse 74.5
low pulse 53
02-13-2014 12:59 AM
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me50 Offline

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

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Sex: Undisclosed
Location: USA

Post: #10
RE: Pulse ox 64% event help please
(02-13-2014 12:08 AM)jamica5555 Wrote:  Thanks to everyone who has replied.... I don't think I have a way of knowing my ahi with my current machine. The pulse oximeter is the cms50f also just fyi. Has anyone had any problems with this pulse ox? Any tips on things to look for in the data it gives you? Also when I go back to the sleep doctor if I can in any way afford it I am getting a new machine that is the data kind..... not sure if insurance will cover it or not since I have had this machine only a little over 3 years...

with no improvement, I would think you wouldn't have any issues getting a different machine. I had a S9 Elite for 2 1/2 years with no improvement. Then I got a S9 Auto Set and had it for 4 month with no improvement. Then I got a VPAP 1 month ago. My insurance covered them but the first one had already been paid for and the 2nd and the one I have now are rentals so the insurance company didn't have a problem.

Do you have the same insurance company that purchased your Escape? If not, your new insurance company shouldn't have an issue but you might have to get a sleep study first. YMMV as all insurance companies have different requirements.

AND, if you don't feel as though your sleep doc is listening or isn't being truthful, you may consider finding another one.
02-13-2014 01:03 AM
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