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looks like i have cheyne stokes..
#11
RE: looks like i have cheyne stokes..
Another thing that may help is that it appears you've a Ramp in pressure of 4 for 20 minutes. I'd suggest considering turning ramp off as this cancels most to all therapy benefits for that time duration.
Dave

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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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#12
RE: looks like i have cheyne stokes..
You may also lower the minimum pressure to 8.
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#13
RE: looks like i have cheyne stokes..
why lower the min to 8?

also, 
thanks everyone for all your info and suggestions.

since lowering the EPR i now got this for last night.

its been awhile since i've had a night under 1.0 AHI...

   
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#14
RE: looks like i have cheyne stokes..
That looks very good! It appears from that report that your events are positional. Otherwise, they would be spread out over your complete sleep session.
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#15
RE: looks like i have cheyne stokes..
Looks like your pressure at 9.0 is doing the trick without the EPR . I'm all in for keeping the same. Central apnea is consistently inconsistent, so expect some variation, but at least the scary stuff is gone.
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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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#16
RE: looks like i have cheyne stokes..
Hi all,

It seems i'm still getting CA = (central?) events. So far not in the CSR pattern that I had before...but.

Ideally I know I shouldn't get them at all, but what is the tipping point to contact the Dr. to get this addressed? is it more then X number of CA events?

Do the new ASVs require another sleep test to get a new machine? Do they actually work?


   
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#17
RE: looks like i have cheyne stokes..
Based on this example, you cannot demonstrate a medical need for ASV. The wiki Justifying Advanced PAP covers the main criteria by insurance. http://www.apneaboard.com/wiki/index.php...P_Machines We have seen some members buy out of pocket with similarly low numbers of central events. In my opinion, you seem to experience respiratory instability near the apneic threshold, and it is likely this could be stabilized with EERS. http://www.apneaboard.com/wiki/index.php...ace_(EERS)
Sleeprider
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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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#18
RE: looks like i have cheyne stokes..
To add in hopefully something useful; with the chart you've got here it's evidence of ASV not being medically necessary. I know it's one night on OSCAR. If you went for titration, and progressed into settings similar to what you have now and produce this result, then they'd not go further than this. As is, it's well treated and the jury would hand in that verdict.

Congrats BTW.
Dave

OSCAR
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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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#19
RE: looks like i have cheyne stokes..
Thanks SarcasticDave94 for your words of encouragement and positive vibes, I def need more of that since I tend to look at the negatives.

I assumed this wouldn't be looked at; or even qualify. 

I guess my question is what is the threshold of CAs per night that warrant a ASV? - just for my own education.

greater than 30+ events/night? 50? etc? in my original screenshot where OSCAR reported CSR, I had 37 CA events in ~6 hours of sleep. (Thou, I only get CA events infrequently and if they do happen it is usually under 30events a night.)

This was the max I ever had and so far in the past week nothing even close to that amount (after changing EPR to 1, seems to have helped)

Thanks Sleeprider,


Never heard of EERS, until now. Seems like an interesting DYI project. I wonder why its not produced by resmed or simliar?

Thanks again -
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#20
RE: looks like i have cheyne stokes..
It's not events per night, it is events per hour.
read this wiki http://www.apneaboard.com/wiki/index.php...P_Machines
for Complex Sleep Apnea
  1. Titrate to minimize OSA, that is the obstructive AHI to less than 5 per hour. (Note this number does NOT include Central Apnea)
  2. The central apnea-central hypopnea index (CAHI) (looking for greater than or equal to 5 per hour and greater than 50% of total AHI)
For Central Sleep Apnea
  1. central apnea-central hypopnea index (CAHI) (looking for greater than or equal to 5 per hour and greater than 50% of total AHI)
  2. total of central apneas plus central hypopneas is greater than 50% of the total apneas and hypopneas
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