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my sleep report findings
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swaziman Offline

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Posts: 51
Joined: Dec 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: ResMed F10
Humidifier: inbuilt
CPAP Pressure: 8 -12
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Australia

Post: #1
Thumbsdown my sleep report findings
Firstly thank you for welcoming me after my first post.
Secondly, these are my initial sleep report results.

Sleep efficiency of 94%.
AHI of 64/hr, 85/hr whilst supine and 61/hr in REM.
Average oxyhaemoglobin desaturation of 5% with a nadir saturation at 79%.

I would be grateful for any advice or comments as I am currely collecting equipment to start a full treatment. I have not yet actually started on CPAP and have been only getting familiar with the machine after downloading the clinician manual.
01-14-2015 02:17 AM
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Tez62 Offline

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Posts: 837
Joined: Feb 2013

Machine: Resmed S9 Autoset
Mask Type: Full face mask
Mask Make & Model: Resmed Mirage Quattro
Humidifier: Resmed
CPAP Pressure: 5-15
CPAP Software: SleepyHead

Other Comments:

Sex: Male
Location: Melbourne, Australia

Post: #2
RE: my sleep report findings
Swaziman, you have servere sleep apnea with an AHI of 64, you need to get on your CPAP ASAP.
01-14-2015 02:30 AM
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DeepBreathing Offline
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Moderators

Posts: 2,295
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: #3
RE: my sleep report findings
What Tez62 said.

Those figures indicate you stopped breathing for ten seconds or more an average of 64 times every hour. 85 times an hour when supine - you were not breathing for nearly 25% of the time. That will do bad things to your oxygen saturation which has nasty repercussions. And every time you recover from an event like that you get a shot of adrenaline which raises your blood pressure, puts strain on your heart and can cause all sorts of other conditions you don't want to have.

DeepBreathing
Apnea Board Moderator
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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.
01-14-2015 03:00 AM
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Peter_C Offline

Advisory Members

Posts: 1,308
Joined: Sep 2013

Machine: System One DS960HS
Mask Type: Full face mask
Mask Make & Model: Mirage Quattro "MED"
Humidifier: Attached
CPAP Pressure: Auto mode-script is:15/3/3
CPAP Software: EncoreBasic Other Software

Other Comments: Severe obstructive sleep apnea 1999/Just got an ASV machine

Sex: Male
Location: Akron, Ohio USA

Post: #4
RE: my sleep report findings
While your desats aren't too bad, all that means is your body is (currently) doing a great job of waking you timely every time you have an 'event'. Events start at,at least 10 seconds minimum, and can go much longer. But *basically* you are having at least one event every 60 seconds, lasting at least 10 seconds, where you are getting 50% or less than your normal amount of air. Each event, your mind/body basically *jolts* you awake enough for your airway to open enough for you to breathe, then you fall asleep enough to relax the soft tissue, and within a minute the pattern then repeats itself.

Usually the 'jolt' is cause chemically by your brain - which if happening some 60 times an hour times 6-8hrs per night times 365 days per year times however many years will mean a ruined or destroyed heart (among other organ failures).

Many/most people have some degree of apnea. The question is to what degree, and, how badly they desat (blood O2 level drops). Using myself as an example; I don't remember the exact number, but I never entered REM sleep at all, and a desated multiple times into the low 60s (as in turning into a smurf) - I also got a copy of the video of the night, which was a real eye-opener. Mine was so bad that even after having both nose and throat surgery, and after 12+ years on my dream machine, I still have random bad nights with an AHI of 25+. Thankfully now on my ASV machine I have not had an AHI over 5 in many weeks.

I learned of my OSA due to my at-rest heart rate refusing to drop below 122 (this was all of a sudden), and it's only been the last year or so that my at-rest is now in the mid 70s - that's after all the CPAP stuff, and seeing and being treated by a heart doctor with many scripts - and, I am lucky.

As stated above, you need your machine (and 100% compliance) day before yesterday - sooner started, sooner you find that magic mask you love and get used to the program. You can learn as you use it, when I started, this forum was not here, and no machine was data-capable. By all means, read and learn - but first, start using your machine every moment you even think you will be taking a nap.
Does this make sense?

*I* am not a DOCTOR or any type of Health Care Professional. My thoughts/suggestions/ideas are strictly only my opinions.

"Only two defining forces have ever offered to die for you. Jesus Christ and the American Soldier. One died for your Soul, the other for your Freedom."
01-14-2015 03:10 AM
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swaziman Offline

Preferred Members

Posts: 51
Joined: Dec 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: ResMed F10
Humidifier: inbuilt
CPAP Pressure: 8 -12
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Australia

Post: #5
RE: my sleep report findings
Thanks for all that. Since the sleep test I have seen the specialist who interpreted the results who didn't appear all that worried. I am apparently asymptomatic as I do not randomly fall asleep, etc. Notwithstanding that I take your points about the hidden dangers and damage it could be causing. My sleep centre doesn't yet have a machine available for me to rent (I want the S10) so I have bought myself the S9 and am awaiting delivery of a mask. When my sleep centre gets a machine I still may rent as they can then interpret the results I get until I know my settings. I have taken to not sleeping onmy back which I think helps.
01-14-2015 08:32 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: #6
RE: my sleep report findings
Ok! The S9 will serve you quite well. What we don't know is what pressure setting will be best for your situation. The default on the S9 is low of 4 and high of 20. That usually doesn't work out all that well. A narrow range surrounding your "ideal" pressure is where you need to go.

To figure that out, you sort of need to sneak up on it. Set the machine to a low of perhaps 6 or 8, and a high of perhaps 14. I don't recommend using the ramp feature although there are many that feel it will help you get used to the machine. You might benefit from setting the EPR to on, and a value of 2 to begin with. That will allow for the pressure to drop on exhale 2 points lower than inhale.

Then you start using the machine. Each day check your results using the Sleepyhead software from this site. If the average pressures through the night seem to hover around 10 as an example, then after a few days you can tighten the range a little bit. On the other hand if you find you are bumping the top end a lot, then you'll want to move the range upwards.

The most important thing is to pay attention to getting a good seal with your mask, and once you start using the machine do not allow yourself to not use it when you are laying down. Just resolve that this will now be the way you sleep, and after a short time you will probably find you wouldn't ever go back to not using a machine.
01-14-2015 09:18 PM
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vsheline Online

Advisory Members

Posts: 1,908
Joined: Jul 2012

Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
Mask Type: Full face mask
Mask Make & Model: F10 or SimPlus w/ 2Liners. MirageQuatro & Gecko gel pad
Humidifier: H5i
CPAP Pressure: 15 EPAP, PS 5-10
CPAP Software: ResScan

Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #7
RE: my sleep report findings
(01-14-2015 08:32 PM)swaziman Wrote:  My sleep centre doesn't yet have a machine available for me to rent (I want the S10) so I have bought myself the S9 and am awaiting delivery of a mask.

Hi swaziman,

I recommend asking for the A10 AutoSet For Her model, because it is a more capable machine than the standard A10 AutoSet.

The standard A10 AutoSet does not include the gentler AutoSet For Her therapy mode, nor does it report RERA events.

The A10 For Her includes the fixed-pressure CPAP therapy mode, the standard A10 AutoSet therapy mode, plus the more gentle A10 AutoSet For Her therapy mode, and is the only A10 model which reports RERA events.

Take care,
--- Vaughn

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. The Advisory Member group provides advice and suggestions to Apnea Board administrators and staff on matters concerning Apnea Board operation and administrative policies - not on matters concerning treatment for Sleep Apnea. I think it is now too late to change the name of the group but I think Voting Member group would perhaps have been a more descriptive name for the group.
(This post was last modified: 01-14-2015 09:27 PM by vsheline.)
01-14-2015 09:26 PM
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swaziman Offline

Preferred Members

Posts: 51
Joined: Dec 2014

Machine: Resmed Airsense 10 Autoset
Mask Type: Full face mask
Mask Make & Model: ResMed F10
Humidifier: inbuilt
CPAP Pressure: 8 -12
CPAP Software: ResScan

Other Comments:

Sex: Male
Location: Australia

Post: #8
RE: my sleep report findings
Thanks for that advice. I will set my upper limit below where i usually find that the mask leaks, around 13, and see what the results show. I am finding resscan quite easy to use. I couldn't unzip sleepyhead. My results have only been for around an hour a night so i know they can't be relied upon.
01-15-2015 01:19 AM
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