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[Treatment] Please review my data. - Printable Version

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Please review my data. - fakename1845 - 10-26-2017

I have recently switched to auto bipap using a Resmed Aircurve 10s (VPAP). Just wondering how my data looks. This is for the past 4 nights. 

https://imgur.com/CHSBQx0
https://imgur.com/EpLTA6l
https://imgur.com/tJcuEIj
https://imgur.com/BAzSDLJ


RE: Please review my data. - Sleeprider - 10-26-2017

If you could please provide a complete link, but insert a space like this htt p://www.xyz, that will allow us to find your chart.


RE: Please review my data. - fakename1845 - 10-26-2017

htt ps://imgur.com/CHSBQx0
htt ps://imgur.com/EpLTA6l
htt ps://imgur.com/tJcuEIj
htt ps://imgur.com/BAzSDLJ


RE: Please review my data. - DeepBreathing - 10-26-2017

G'day fakename. Welcome to Apnea Board.

I've edited your original post so all the links show up correctly.


RE: Please review my data. - fakename1845 - 10-26-2017

Thanks!


RE: Please review my data. - Walla Walla - 10-26-2017

Try to arrange the data charts as shown in the link below. Also on sleepy head at the bottom of the charts you need to make sure all your flags are turned on. They should show green. By the way Welcome to the Board!


RE: Please review my data. - fakename1845 - 10-26-2017

This should be the same four days with the graphs organized as directed. All event flags are on.

https://imgur.com/GfopIxM
https://imgur.com/HbslAz1
https://imgur.com/HT4k2Ot
https://imgur.com/BXwEnhg


RE: Please review my data. - Walla Walla - 10-26-2017

If it were me I'd raise the EPAP to about 13cm and reduce the Pressure Support (PS) to 3. I'd leave the max IPAP at 25cm for now.

Your increase in PS is causing the CA's. Dropping it to 3 should reduce them. Increasing the EPAP to 13cm should help cut out the OA's.


RE: Please review my data. - trish6hundred - 10-26-2017

Hi fakename1845,
WELCOME! to the forum.!
Good luck with CPAP therapy and getting it fine-tuned to meet your needs.
Hang
in there for more answers to your questions.


RE: Please review my data. - Sleeprider - 10-26-2017

Your OA event flags are not showing on the event chart. That can be turned on at the lower right corner of the graphs, or in File/Preferences/Events. I think your minimum pressure of 5.0 is not doing you much good. Your settings are pretty wide open at 5-25 PS 5.0. The pressure support does not appear to be a problem, and since OA is not flagged, we can't see the pattern for those events. OA is managed by the EPAP pressure, so it's pretty clear that needs to be higher.

At PS 4 over 10/5 you had AHI of 6.4. At PS 5.0 over 25/5 you got 4.6, 9.8 and 8.3. The problem is not maximum pressure or PS, but the minimum pressure. You need to raise it until OA events are essentially gone. I think you need to set EPAP min to 9.0, PS back to 4.0 and IPAP max at 20. If you need more PS to deal with hypopnea, we an revisit this. I would really like to see a chart that includes the OA events so we an see what is going on, and I'd really like to see why pressure is not increasing ahead of events, so we also need Flow Limitation and Snores. My guess is you don't have much in those charts, or the pressure would rise. It would also help to know how you ended up on a bilevel machine. What was going on in the sleep study that you got bilevel?