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periodic breathing
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Sleeeppp Offline

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Machine: ResMed S9 ASV Adapt
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Sex: Female
Location: Aust

Post: #1
Question periodic breathing
    DIY home sleep study - I set my machine to Cpap mode (lowest pressure 4) to get some baseline data. I thought it would be interesting to see what the results would be..... I found that no obstructives were registered(weight loss and sleeping on my side must be working..:likeSmile but this pattern of breathing showed up throughout the night... it looks like cheyne-stokes to me - how can you tell?
06-18-2016 07:24 PM
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DeepBreathing Offline
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Location: Perth, Western Australia

Post: #2
RE: periodic breathing
I think they are repeated episodes of obstructive apneas and hypopneas. Each episode is terminated by a large recovery breath which is the "gasp" you feel after an obstructive apnea. With Cheyne Stokes you'll see a gradual diminution in flow, followed by a gradual increase. You're seeing the gradual diminution but it's followed by an abrupt resumption of breathing.

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06-18-2016 09:04 PM
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vsheline Offline

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Machine: S9 VPAP Adapt (USA Model# 36007, not better 36037 or 36067)
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Other Comments: Marfan Syndrome, chronic bradycardia, occasional Cheyne-Stokes Respiration

Sex: Male
Location: California, USA

Post: #3
RE: periodic breathing
(06-18-2016 09:04 PM)DeepBreathing Wrote:  I think they are repeated episodes of obstructive apneas and hypopneas. Each episode is terminated by a large recovery breath which is the "gasp" you feel after an obstructive apnea. With Cheyne Stokes you'll see a gradual diminution in flow, followed by a gradual increase. You're seeing the gradual diminution but it's followed by an abrupt resumption of breathing.

Right. Not CSR.

The UA shown are obstructive apneas and the hypopneas shown are obstructive hypopneas.

Need higher EPAP pressure to avoid the obstructive events.

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: 06-18-2016 10:33 PM by vsheline.)
06-18-2016 10:32 PM
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PoolQ Offline

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Post: #4
RE: periodic breathing
yep it is periodic, but it is not "periodic breathing" or CS breathing
06-18-2016 10:47 PM
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Sleeeppp Offline

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Posts: 40
Joined: Oct 2015

Machine: ResMed S9 ASV Adapt
Mask Type: Full face mask
Mask Make & Model: Amara View/ Wisp Nasal mask
Humidifier: heated humidifier -climate control hose
CPAP Pressure: AutoASV (default setting)
CPAP Software: SleepyHead

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Post: #5
RE: periodic breathing
Thanks.....
06-19-2016 12:29 AM
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PoolQ Offline

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Posts: 1,001
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Machine: AirCurve 10 VAUTO
Mask Type: Full face mask
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CPAP Software: SleepyHead

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Sex: Male
Location: Sillicon Valley

Post: #6
RE: periodic breathing
vsheline helped me with my breathing that looked pretty much like yours, but mine would last for hours at a time. my low pressure was 1.2cm too low and right on the edge of being good enough. I would start to obstruct and then recover over and over, ala periodic like yours. when I raised the pressure a little at a time over many days my sleep leveled off and so far I am now sleeping through the night.
06-19-2016 01:08 AM
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Sleeeppp Offline

Preferred Members

Posts: 40
Joined: Oct 2015

Machine: ResMed S9 ASV Adapt
Mask Type: Full face mask
Mask Make & Model: Amara View/ Wisp Nasal mask
Humidifier: heated humidifier -climate control hose
CPAP Pressure: AutoASV (default setting)
CPAP Software: SleepyHead

Other Comments:

Sex: Female
Location: Aust

Post: #7
RE: periodic breathing
Yeh, I had not seen that pattern before - I would say partial obstructives (Flow limitation up).

I did this 'experiment' to see if/ how much the ASV has helped so I switched it to CPAP (pressure 4) - lowest setting. Sort of a DIY sleep-study....The AHI was 12 and a lot of 'interesting' breathing patterns and apneas for most of the 7:30hrs... And I felt bl....y awful the next day!!! (rotten headache etc).

Last night, I switched it back to ASVAuto (epap 6-9, ps 3-15) - AHI 1.1 with 7:30 hrs of nice waveforms and I feel energised... WOW

Thanks
06-20-2016 01:09 AM
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