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[Treatment] Snore/Spiking graph data/Sleepyhead
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johnprz Offline

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Posts: 13
Joined: Aug 2014

Machine: Respironics BiPAP autoSV Advanced
Mask Type: Full face mask
Mask Make & Model: F&P Simplus
Humidifier: Respironics System One
CPAP Pressure: EPAP min 10.0, EPAP max 12.0
CPAP Software: SleepyHead

Other Comments: The patient is my wife Jan.

Sex: Male
Location: Northen California

Post: #1
Snore/Spiking graph data/Sleepyhead
Jan is now 5 days on BiPAP AND Sleepyhead and I'm trying to understand the data from Sleepyhead.

Her AHI is doing very well with her current setup. However I'm trying to understand the data, so I can help her better.

Last night's AHI was 1.79 ... which is about the average so far. Great!

However, last night she spent about 45 minutes in "snore mode" "... longer than usual. However, different from previous "snore" periods, most of the graphs spiked apparently in response to the "snore". Since I watch the leak rate closely ... I noticed that it had spiked quite a bit (64) for almost 20 minutes solid. Pretty unusual.

The question is: why did most everything spike in response to the snore and in particular the amount of leak?

Your thoughts would be appreciated.

John


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09-03-2014 02:49 PM
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surferdude2 Offline

Advisory Members

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: #2
RE: Snore/Spiking graph data/Sleepyhead
Hi John,

Over analyzing a small sample can often lead you astray. If a correlation had to be make between snoring and mask leakage, it would be hard to make a case for snoring causing leaks but easy to make one for leaks causing snoring. Leaks have even been know to make sounds like snoring and possibly fool the software into scoring it improperly.

i suggest addressing the leak problem and ignoring the snoring data until you get a larger sampling to judge from. You're doing a great job by watching the data closely. Congrats
09-03-2014 03:11 PM
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Terry Offline

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Posts: 553
Joined: May 2014

Machine: Philips Respironics RemStar Auto with A-Flex (560P)
Mask Type: Nasal pillows
Mask Make & Model: P/R Nuance & Pap Cap
Humidifier: Integrated
CPAP Pressure: Auto
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location:

Post: #3
RE: Snore/Spiking graph data/Sleepyhead
(09-03-2014 02:49 PM)johnprz Wrote:  However, last night she spent about 45 minutes in "snore mode" "... longer than usual. However, different from previous "snore" periods, most of the graphs spiked apparently in response to the "snore". Since I watch the leak rate closely ... I noticed that it had spiked quite a bit (64) for almost 20 minutes solid. Pretty unusual.

If the leak is big enough, the machine can't maintain enough pressure to stop the snoring.

If you can take care of the leak, the rest will probably take care of itself (assuming the pressure settings are correct).

Once the leak is gone, if everything else doesn't quiet down, you might need to get the pressures changed.

Terry
(This post was last modified: 09-03-2014 04:02 PM by Terry.)
09-03-2014 04:00 PM
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retired_guy Offline

Preferred Members-2

Posts: 2,744
Joined: Jan 2014

Machine: ResMed S9 Autoset
Mask Type: Nasal pillows
Mask Make & Model: Resmed Airfit P10
Humidifier: ResMed
CPAP Pressure: 10.6/14, EPR 3
CPAP Software: ResScan SleepyHead

Other Comments: Is it bedtime yet?

Sex: Male
Location: Beautiful, albeit very wet Oregon Coast

Post: #4
RE: Snore/Spiking graph data/Sleepyhead
John, she's doing really great! Tell her "good job" for us. The chart you posted shows a goofy little leak event, but nothing to be concerned about.

What would be more interesting to me, is a breakdown of how many OA's, CA's, and Hypop's she is experiencing over the course of the night.

And most importantly, how is she feeling? Leaping tall buildings in a single bound yet? Or maybe gingerly jumping over little buildings?
09-03-2014 05:03 PM
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NickDanger Offline

Preferred Members

Posts: 91
Joined: Jun 2014

Machine: Resmed S9 Autopap
Mask Type: Nasal pillows
Mask Make & Model: ResMed P10
Humidifier: 5i
CPAP Pressure: 9
CPAP Software: ResScan SleepyHead

Other Comments: ResMed Chinstrap

Sex: Male
Location:

Post: #5
RE: Snore/Spiking graph data/Sleepyhead
I agree about reading too much into a small sample of data. Keep watching and see where the data leads you (her).
09-04-2014 11:13 AM
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