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SleepyHead not showing CSR
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nelamvr6 Offline

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Posts: 47
Joined: Mar 2013

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: DeVilbiss Aloha
Humidifier: Integrated
CPAP Pressure: 11-16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New London, CT USA

Post: #1
SleepyHead not showing CSR
I recently (in November) switched from a Philips Respironics System 1 Auto to a ResMed Airsense 10 Autoset.

When I was on the Philips system i would occasionally get flags in SleepyHead for some time spent in CSR. It wasn't every day and the time spent in CSR was never enough to really worry about.

But now, with the new ResMed system, when I load my data in SleepyHead, I don't even see an event flag for CSR. Not that there are no events, there's not even a place where there would be an event recorded!

i have attached a screen cap to show what I'm talking about.

I'm not really worried about it, but I am wondering, does this me that the ResMed hasn't detected any CSR, or is there something I have to do to make the ResMed record CSR if it happens?


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12-14-2015 01:43 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: #2
RE: SleepyHead not showing CSR
(12-14-2015 01:43 PM)nelamvr6 Wrote:  I'm not really worried about it, but I am wondering, does this me that the ResMed hasn't detected any CSR, or is there something I have to do to make the ResMed record CSR if it happens?
You cannot enable or disable CSR detection in the clinical menu. CSR detection available on all AirSense 10 models except "CPAP" model
If "Essential Plus" enabled, efficacy data shows on the screen sleep report but should have no relevance

Not sure about SH but ResScan Statistics page shows %Time in CSR ... shows 0.0 if no such events occurred

Edit: just checked, also "Summary Graphs" - Total Usage & Cheyne-Stokes
When you hover the arrow over the usage bar, shows Total Usage (hrs & mins) and CSR: mins (%)
(This post was last modified: 12-14-2015 03:35 PM by zonk.)
12-14-2015 03:20 PM
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nelamvr6 Offline

Preferred Members

Posts: 47
Joined: Mar 2013

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: DeVilbiss Aloha
Humidifier: Integrated
CPAP Pressure: 11-16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New London, CT USA

Post: #3
RE: SleepyHead not showing CSR
OK, I installed ResScan, and it does show CSR, shows that I have 0.0% time in CSR.

I then completely uninstalled SleepyHaed and re-installed it. Still, no mention of CSR at all.

I am beginning to believe that SleepyHead simply doesn't show CSR if there are no instances of it.
12-14-2015 06:00 PM
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Gyddyup Offline

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Posts: 33
Joined: Oct 2015

Machine: Resmed Airsense 10
Mask Type: Full face mask
Mask Make & Model: F&P Simplus; Quattro Air
Humidifier: built-in
CPAP Pressure: 12.8 - 17.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Australia

Post: #4
RE: SleepyHead not showing CSR
CSR shows up on Sleepyhead for me as 0.00% (above leaks leaks).

I have had CSR detected on previous nights, so this may have triggered it appearing even when zeros
12-14-2015 10:32 PM
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Sleeprider Offline
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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: #5
RE: SleepyHead not showing CSR
To see CSR in the daily details you need to check that option in the menu. Select File/Preferences and go to the Events tab. You will see Cheyne Stokes Respiration. You can (and should) change that label to Periodic Breathing, and abbreviate it as PB. You can even change the description. Most periodic breathing flagged as an event by the device is not CSR, and the label is incorrect and unnecessarily alarming.

Be sure all events you want to see in the events chart are checked, and you can uncheck event types that are not important to you. For example, I don't see any need for flags for user defined events or ramp.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
12-14-2015 10:46 PM
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nelamvr6 Offline

Preferred Members

Posts: 47
Joined: Mar 2013

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: DeVilbiss Aloha
Humidifier: Integrated
CPAP Pressure: 11-16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New London, CT USA

Post: #6
RE: SleepyHead not showing CSR
(12-14-2015 10:46 PM)Sleeprider Wrote:  To see CSR in the daily details you need to check that option in the menu. Select File/Preferences and go to the Events tab. You will see Cheyne Stokes Respiration. You can (and should) change that label to Periodic Breathing, and abbreviate it as PB. You can even change the description. Most periodic breathing flagged as an event by the device is not CSR, and the label is incorrect and unnecessarily alarming.

Be sure all events you want to see in the events chart are checked, and you can uncheck event types that are not important to you. For example, I don't see any need for flags for user defined events or ramp.

All events are already checked in my preferences.
12-14-2015 11:12 PM
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Sleeprider Offline
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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: #7
RE: SleepyHead not showing CSR
It's possible the Resmed Airsense 10 does not record CSR as an event, similar to flow limitations, but instead is summarized data as described by Gyddyup. It's not worth worrying about, since you don't have the problem, and you could certainly see it on the flow waveform if it ever did occur. It's one of the most worthless pieces of information we get anyway. The only people concerned with it should be on Aircurve ASV or BiPAP SV machines, which can actually treat it.

______________________________________________
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Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
12-14-2015 11:34 PM
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nelamvr6 Offline

Preferred Members

Posts: 47
Joined: Mar 2013

Machine: ResMed AirSense 10 AutoSet
Mask Type: Nasal pillows
Mask Make & Model: DeVilbiss Aloha
Humidifier: Integrated
CPAP Pressure: 11-16
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: New London, CT USA

Post: #8
RE: SleepyHead not showing CSR
Yeah, I'm not too concerned, I just thought it was strange.
12-15-2015 12:08 AM
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Gyddyup Offline

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Posts: 33
Joined: Oct 2015

Machine: Resmed Airsense 10
Mask Type: Full face mask
Mask Make & Model: F&P Simplus; Quattro Air
Humidifier: built-in
CPAP Pressure: 12.8 - 17.0
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Australia

Post: #9
RE: SleepyHead not showing CSR
fyi this is how CSR appears in sleepyhead for me...

[attachment=1969]

Just don't ask me what any of it means
(This post was last modified: 12-15-2015 05:49 PM by Gyddyup.)
12-15-2015 05:37 PM
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Sleeprider Offline
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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: #10
RE: SleepyHead not showing CSR
What you'll need to do is zoom in on that "CSR" event, to the point the waveform can be clearly viewed on the flow chart. CSR has a very characteristic pattern, while other types of periodic breathing may have another appearance. I'm pretty sure you will find periodic breathing there, but not CSR. Looks like you have EPR set a 2.0, and spend most of the night at about 12.0 cmH2O.

______________________________________________
Organize your SleepyHead Data
Post your SleepyHead Data from Imgur
Robysue's Beginner's Guide to Sleepyhead
12-15-2015 07:35 PM
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