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What is too many CA's during treatment?
#1
What is too many CA's during treatment?
I haven't seen my husband's initial sleep study report, but I finally got his machine so I can see what his report is every morning (they had it set for the bare minimum), and it looks like his AHI is 2-3, but they are pretty much all Clear Airways (or Centrals, according to his Resmed Bi-pap). Is this too many? He hasn't been to his sleep doctor since the first month he got it, so I told him he needs to go. I'm concerned though, since I know that same doctor told me that he doesn't get concerned unless it's more than 5.

Would love some input.

Also, he doesn't have an SD card in the machine, I just noticed, so I'm going to get one so he can post through Sleepyhead.

By the way - can you have two people's sleepyhead data on one computer?


Thanks-
Theresa
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#2
RE: What is too many CA's during treatment?
(09-16-2019, 07:23 AM)theres126 Wrote: I haven't seen my husband's initial sleep study report, but I finally got his machine so I can see what his report is every morning (they had it set for the bare minimum), and it looks like his AHI is 2-3, but they are pretty much all Clear Airways (or Centrals, according to his Resmed Bi-pap). Is this too many? He hasn't been to his sleep doctor since the first month he got it, so I told him he needs to go. I'm concerned though, since I know that same doctor told me that he doesn't get concerned unless it's more than 5.

What the doc said.

Also, in my personal experience, I got a lot of reported CAs early on, and they've largely gone, I guess as I've adjusted.
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#3
RE: What is too many CA's during treatment?
I would say the doc is probably correct as it's under 5, which is medically treated. Regardless, if you get that SD card you may post the Sleepyhead or OSCAR data and we can tell you what we see. If you've not done so, you might want to obtain a hard copy of the sleep study and post a redacted version here too. That is a full report not a one page summary.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#4
RE: What is too many CA's during treatment?
Thanks. I'll look into getting a report, but I have a feeling he only has a summary, if that. He's not nearly as good as I am at keeping track and researching all my medical issues. He was in denial about the sleep apnea for quite a while.
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#5
RE: What is too many CA's during treatment?
(09-16-2019, 07:23 AM)theres126 Wrote: I haven't seen my husband's initial sleep study report, but I finally got his machine so I can see what his report is every morning (they had it set for the bare minimum), and it looks like his AHI is 2-3, but they are pretty much all Clear Airways (or Centrals, according to his Resmed Bi-pap). Is this too many? He hasn't been to his sleep doctor since the first month he got it, so I told him he needs to go. I'm concerned though, since I know that same doctor told me that he doesn't get concerned unless it's more than 5.

Would love some input.

Also, he doesn't have an SD card in the machine, I just noticed, so I'm going to get one so he can post through Sleepyhead.

By the way - can you have two people's sleepyhead data on one computer?


Thanks-
Theresa

Did he experience central apneas during his sleep study? If not, I wouldn't be too concerned with this small amount but we would need to see his Oscar charts first. The machine flag a lot of stuff as CA that are not real central apneas. Most of the time, you are awake and not sleeping but the machine doesn't have any way to tell.
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#6
RE: What is too many CA's during treatment?
You can create multiple profiles in Oscar, which is based on Sleepyhead. I don’t know if SH allowed that, but if not, it might be time to update to Oscar.
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#7
RE: What is too many CA's during treatment?
CPAP results are good enough that I don't think we need to look at much more than a daily detail of his CPAP data results. A few central apnea are very normal, especially during the transition when one is adapting to the use of CPAP, and those results suggest his machine is properly calibrated to his needs. That said, it would help to know his minimum and maximum pressure and EPR settings, and what his median and 95% pressure is during the night.

Be assured the results you describe are actually quite good, and CA events normally diminish over the first month of therapy as they are usually just sleep disruption or sleep transitions.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
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Optimizing Therapy
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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.
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#8
RE: What is too many CA's during treatment?
(09-16-2019, 09:12 AM)ragtopcircus Wrote: You can create multiple profiles in Oscar, which is based on Sleepyhead. I don’t know if SH allowed that, but if not, it might be time to update to Oscar.

My computer is too old - doesn't meet the specs for the IOS and I can't update it yet, lol
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#9
RE: What is too many CA's during treatment?
(09-16-2019, 09:22 AM)Sleeprider Wrote: CPAP results are good enough that I don't think we need to look at much more than a daily detail of his CPAP data results.  A few central apnea are very normal, especially during the transition when one is adapting to the use of CPAP, and those results suggest his machine is properly calibrated to his needs.   That said, it would help to know his minimum and maximum pressure and EPR settings, and what his median and 95% pressure is during the night.

Be assured the results you describe are actually quite good, and CA events normally diminish over the first month of therapy as they are usually just sleep disruption or sleep transitions.

He's actually been on it almost a year - I just found out how to change it so we can see his full report last week!
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#10
RE: What is too many CA's during treatment?
There are on-screen reports and you can copy the settings and post the information. We can help you without the OSCAR data, but it does make things easier. If we can start over, it would be very helpful if you could tell us his machine model (Aircurve 10 Vauto?), mode, and pressure settings. Let u know what his usual results are for OA, CA, H events. the solution may be quite simple.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


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.
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