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[Treatment] Help interpret results?
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splitter Offline

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Posts: 1
Joined: Oct 2014

Machine: Resmed S9
Mask Type: Nasal mask
Mask Make & Model: Philips Respironics Wisp
Humidifier: Resmed S9
CPAP Pressure: 8 - 16
CPAP Software: ResScan

Other Comments:

Sex: Male
Location:

Post: #1
Question Help interpret results?
This probably sounds odd, but my normal therapist is on leave for a few months and I haven't fully learnt yet how to interpret the results (using Rescan v5 software , Resmed Autoset 9 w/humidifier and Philips Wisp mask).

Pls refer to the attached report.

I'm sleeping reasonably well but still waking up tired and listless. Is the leak rate an issue? everything else looks to be in good shape? Any feedback would be welcome, thank you!


Attached File(s)
.pdf  MDS sml 150121.pdf (Size: 100.48 KB / Downloads: 105)
01-20-2015 11:18 PM
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trish6hundred Offline

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Posts: 6,450
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #2
RE: Help interpret results?
Hi splitter,
WELCOME! to the forum.!
Hang in there and someone will be along to help you with interpreting your graphs.
Much success to you as you continue your CPAP therapy.

trish6hundred
01-20-2015 11:25 PM
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surferdude2 Offline

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Posts: 1,077
Joined: Jul 2014

Machine: ResMed S9 AutoSet
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro & Optilife
Humidifier: ResMed H5i @ #3 if nose breathing & #5 if mouth breathing
CPAP Pressure: 12 ~ 20 & 11 ~12 if nasal mask
CPAP Software: ResScan SleepyHead

Other Comments: Late stage 2 emphysema

Sex: Male
Location: Mousetown, Southern Illinois

Post: #3
RE: Help interpret results?
It's pretty hard to see the colors on your leak bars but it looks like your median and 95 percentile leak rates are satisfactory (with 5 ~ 6 exceptions). I suspect you are removing your mask with the flow generator running since you are getting a large maximum leak daily. Since that's not relevant, I'd say you're doing pretty well with the therapy (your AHI levels look fine..below 5 most of the time) although you may have some other issue that is making you feel poorly. Perhaps you need more time to acclimate to the pressure...I appears that you have interrupted several sessions so that's points to some problem with getting long periods of sleep...that could be the reason you're feeling tired the next day.

Stick around for other opinions.
(This post was last modified: 01-21-2015 12:23 AM by surferdude2.)
01-21-2015 12:10 AM
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DeepBreathing Offline
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Posts: 2,296
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: Help interpret results?
G'day Splitter, welcome to Apnea Board.

Your daily usage is unusual - your sleep is fractured, but also your bedtime seems to be all over the place. I find that I sleep better if I get into a routine and hit the sack around the same time every night. Are you able to set a regular bedtime and stick to it? Perhaps if you're able to eliminate some of those daytime naps it might be easier to develop a more regular routine.

Good luck with your therapy, and don't hesitate to ask - we're here to help!

DeepBreathing
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.
01-21-2015 05:46 AM
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quiescence at last Offline

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Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #5
RE: Help interpret results?
leaks look ok, if I read it right. The 95th percentile leak is generally below the recommended maximum leak for your gear.

you might give us a little more insight, if you are aware of the mix of OA, CA, H. I do see the AI and AHI, and if I understand it, the AI is a combination of OAI (obstructive apneas) and CAI (central apneas), while the AHI also adds in the hypopneas (lighter breathing but not yet apnea - an actual full stop).

the numbers for AHI seem to be within the fully treated band.

the tired feeling may be caused by interruptions to proper sleep stages. in other words you may be getting a lot more light to moderate sleep but the apneas you are having may collect in brief periods spaced throughout the night, and those periods are probably when you were transitioning to deeper sleep or dreamy state (REM) sleep.

we mostly have suggested a more blow by blow analytical software, like sleepyheadTM, which can give you graphs of most elements through the night. with that, you may be able to detect what is happening in the tough spots of the night, and maybe what is wakening you.

question for you - when you do awaken, do you remember having been dreaming? this is different than recalling the contents of the dream.

final observation -- The median pressure each night is nearly always above 10, and your profile says you are prescribed a band with starting pressure of 8. For many that exhibit this, advice has been to raise the minimum pressure a little closer to 10. Some would suggest a gradual rise to 8.5 or 9 initially, and stand at one setting for a week to 2 weeks to see if your AHI goes down.

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. 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.
01-21-2015 06:05 AM
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Skinny Bones Bradley Offline

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Posts: 16
Joined: Jan 2015

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10, Respironics Primo P
Humidifier: Resmed H5i
CPAP Pressure: 5<>10,6 Variable
CPAP Software: ResScan SleepyHead

Other Comments: Breathe Music! Play Blues Harmonica !

Sex: Male
Location: Netherlands (Dutch) (English) (German) (French)

Post: #6
RE: Help interpret results?
(01-21-2015 12:10 AM)surferdude2 Wrote:  It's pretty hard to see the colors on your leak bars but it looks like your median and 95 percentile leak rates are satisfactory (with 5 ~ 6 exceptions). I suspect you are removing your mask with the flow generator running since you are getting a large maximum leak daily. Since that's not relevant, I'd say you're doing pretty well with the therapy (your AHI levels look fine..below 5 most of the time) although you may have some other issue that is making you feel poorly. Perhaps you need more time to acclimate to the pressure...I appears that you have interrupted several sessions so that's points to some problem with getting long periods of sleep...that could be the reason you're feeling tired the next day.

Stick around for other opinions.


Hi greetings from the Netherlands.

Could you please give a easy explanation about my chart.
I do get some of it.
But why are the white leak bars spiking of the chart?

Thank you


[attachment=1207]
(This post was last modified: 01-21-2015 09:43 AM by Skinny Bones Bradley.)
01-21-2015 09:41 AM
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me50 Offline

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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: #7
RE: Help interpret results?
Because you are having leaks above the acceptable leak rate. It looks like at least half of the days you sleep you are having leak issues. Some things you can do to help that is to make sure your pillows are cleaned regularly, that you wash your face before you go to sleep, make sure that if you have head gear that it isn't too tight, make sure that your pillows are the proper size and make sure that you change your pillows often. I change my cushions 2 times per month. Others will come along with other suggestions for you. This is all I can think of at the moment.
01-21-2015 10:15 AM
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quiescence at last Offline

Advisory Members

Posts: 753
Joined: Nov 2014

Machine: REMstar System One with Autoflex
Mask Type: Full face mask
Mask Make & Model: Quattro AirFit F10
Humidifier: yes typical setting = 4
CPAP Pressure: 5-13 Autotritrating CPAP
CPAP Software: SleepyHead EncoreBasic

Other Comments: CMS-50F Plus oximeter /w SPO2 Assistant software. Avowed mouth-breather switching to nose-breathing

Sex: Male
Location: US

Post: #8
RE: Help interpret results?
@SB-Bradley - yep. leaks happening, but white bar indicates these excursions are less than 5% of your sleeping time.

Dedicated to QALity sleep.
You'll note I am listed as an Advisory Member. I am honored to be listed as such. See the fine print - Advisory Members as a group provide advice and suggestions to Apnea Board administrators and staff concerning Apnea Board operation and administrative policies. 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.
01-21-2015 12:16 PM
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trish6hundred Offline

Advisory Members

Posts: 6,450
Joined: May 2012

Machine: Resmed S9 AutoSet for Her
Mask Type: Full face mask
Mask Make & Model: Fisher & Paykel Simplus
Humidifier: H5i Heated Humidifier
CPAP Pressure: 10 - 7-20 Cm H2O
CPAP Software: Not using software

Other Comments: I started CPAP in 2008. Totally blind since birth.

Sex: Female
Location: Missouri, USA

Post: #9
RE: Help interpret results?
(01-21-2015 09:41 AM)Skinny Bones Bradley Wrote:  
(01-21-2015 12:10 AM)surferdude2 Wrote:  It's pretty hard to see the colors on your leak bars but it looks like your median and 95 percentile leak rates are satisfactory (with 5 ~ 6 exceptions). I suspect you are removing your mask with the flow generator running since you are getting a large maximum leak daily. Since that's not relevant, I'd say you're doing pretty well with the therapy (your AHI levels look fine..below 5 most of the time) although you may have some other issue that is making you feel poorly. Perhaps you need more time to acclimate to the pressure...I appears that you have interrupted several sessions so that's points to some problem with getting long periods of sleep...that could be the reason you're feeling tired the next day.

Stick around for other opinions.


Hi greetings from the Netherlands.

Could you please give a easy explanation about my chart.
I do get some of it.
But why are the white leak bars spiking of the chart?

Thank you
Hi Skinny Bones Bradley,
WELCOME! to the forum.!
Hang in there for more answers to your questions about your graphs.
Much success to you with your CPAP therapy.

trish6hundred
01-21-2015 03:55 PM
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Skinny Bones Bradley Offline

Members-b

Posts: 16
Joined: Jan 2015

Machine: Resmed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed AirFit P10, Respironics Primo P
Humidifier: Resmed H5i
CPAP Pressure: 5<>10,6 Variable
CPAP Software: ResScan SleepyHead

Other Comments: Breathe Music! Play Blues Harmonica !

Sex: Male
Location: Netherlands (Dutch) (English) (German) (French)

Post: #10
RE: Help interpret results?
Trish I have red the earlier reply from surferdude therefore... Well you know. Water to the ocean.
My colors on the other hand are perfectly visible.

I would very much like to know why the white or very light green bars go off the scale.
And I do not understand the 90 something percentile.

Anyone ?
01-21-2015 09:02 PM
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