How did it feel? The above is just the start. The graphical display of events is useful in determining whether they occurred at a particular time, in clusters, or spaced throughout the night. For example, if you nap for a half hour and have an AHI of 8, that means you only experienced four apneas which is still within the normal range. If you were to stop using your machine, your readings would most likely be much higher. Do you agree? Congrats on getting your AHI down! If not you may benefit from adding one. Thanks. Philips Respironics: PR machines do not produce this chart, instead they show FL events on the Events chart. Minute ventilation (or respiratory minute volume or minute volume) is the volume of gas inhaled (inhaled minute volume) or exhaled (exhaled minute volume) from a person's lungs per minute. Do read the entire patent application if you really want to get your head spinning. im from india. Give us a call today and one of our 5 star customer service representatives will help you. Mask Pressure is used in advanced cases such as for Central Apnea or other breathing issues where the breathing is paced (Timed) such as in some cases of COPD. You did get some basics, but not quite the right set-up (can't really see graphs for instance) and we would like to help. We wish you continued success with your CPAP Therapy. by Julie Sun May 16, 2021 4:08 pm, Post Also, I had high blood pressure and that went completely away after CPAP treatment! But then about 4 days ago my AHI for clear (central) apneas began to sky rocket from about 3-4 An hour to 15-20 per hour. https://grabby.cpap.com/2019-09-05_101010891-B4101i-1018.png. Hey Dave, please provide the name of the machine that you are currently using and we would be happy to confirm if there is software available for you to retrieve your sleep therapy data. Mask Pressure is the Pressure at the mask. Please see the link below which will give you information on AHI and AI. I get that you're a wreck now, but you're trying too hard all at once to get it going and it does take a while. Also, an Apnea Index Score under 5 is considered to be normal so yes, 0.9 is normal. It also shows the pressure settings. Ive never been asked about compliance. You mentioned that the fixed pressure and masks are the same with both machines, but what about other settings? Oscar requires that data is collected on an SD card which MUST be inserted into the PAP machine during use to record detailed data. Alternatively, use the menu item View | Show Pie Chart. by dorilou28 Sun May 16, 2021 12:09 pm, Post Is there an actual physical difference in how the two machines are providing air pressure? Did you take any type of different medication, or have any alcohol before sleeping? Does this mean this was my cm H2O pressure reading 95% of the hours I slept? I had been diagnosed with mild sleep apnea some months back. Hi Deb, im sorry to hear that your AHI is still reading high even though you are using your CPAP machine. On the Philips Respironics web pages, PB is defined as "Periodic breathing is defined as alternating periods of hyperventilation with waxing/waning tidal volume" Typically the waxing and waning pattern must be quite regular in visual appearance and it must present for at least a minute or two for PB to be scored. First two weeks everything cool except haveing to change from a medium to a small nose pillow. Acute respiratory distress syndrome, or ARDS, is a condition characterized by widespread inflammation of the lungs following an inciting pulmonary or extrapulmonary event. The following picture is from a CPAP device where the pressure is at a constant eight(8) cmH2O. This gives the make and model of the CPAP machine. Each time the machine is started then stopped is called a session. I went back into Oscar and have no clue how to capture the entire chart showing lines across from it. Here is what OSCAR calculates, including the math behind it. Many xPAP user complain about the "high" pressures involved. It is recorded in much higher resolution than Pressure is. Hello Guest, Welcome to Apnea Board ! Im not able to locate any details regarding the AHI for your machine. I like less pressure because it makes me more comfortable. ResMed S9, Philips Respironics System One, and Fisher & Paykel Icon machines record Flow Rate data if the card is in the CPAP machine during the night. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); COPYRIGHT 19992021 US EXPEDITERS, INC. ALL RIGHTS RESERVED. The diaphragm is the primary muscle of inspiration and is the one most commonly affected in NMDs. While these are fairly easy to interpret, you should really understand what the acronyms connected to the numbers are. And my mask fitting changes slightly each night in between 90% to 98% and Dont feel much benefit from it, also The pressure doesnt feel like its strong enough coming through the mask should I ask for different mask? Portugus / Usually measured in liters per minute, theres a built-in leak differential by masks since they all have variations because of the exhalation port. Thanks, You did put the correct graphs in, but not how they need to look - and I don't actually use O. myself - but others will be along with the right info soon - I supposed it would all be layed out in the instructions, but apparently not, tho' you're close you're doing great for a newbie, I think these are the graphs attached? If air is escaping your CPAP mask, youre not getting all the air pressure needed to keep your airway open and as a result AHI rises. Your low readings means your CPAP machine is working for you. Please speak with your doctor for further interpretation of your AHI. Thank you. Any thoughts? Your doctor will be able to review your data and make the proper determination. The normal leak rate is 24 L/min, so your 37 is a bit on the high side. Is EVENTS PER HOUR and AHI measuring the same thing? But, with this approach, however, youll receive the highest pressure all the time even when you only require it for part of the night. Which is the more significant reading of the two? Pressure is set at 11. Why should I have an AHI of 59 today amd 95 yesterday if using the cpap machine? 120 mL/hr is actually quite small. The calendar can be useful for navigation, but if you are posting an OSCAR Daily Detail graph on the forum, it should be minimized. The hyperventilation is documented by rising and falling chest excursions and the tidal volume. If you sleep right through the night, that is a single session. - Caution: before changing any of the settings on your machine, make sure you write down each and every pre-set setting so that if you make a mistake, you can change it back to the way it was. Also, you should discuss the increase in AHIs, with your doctor, since he/she, will be able to review your therapy data and determine if you would possibly benefit from a setting adjustment. The volume of inspired and expired air that helps keep oxygen and carbon dioxide levels stable in the blood is what physiology refers to as tidal volume. Can you explain why? Though newer machines utilize smartphone apps or other digital software to track therapy, CPAP.com still stocks some of the physical software bundles for some older machines. Cheyne-Stokes respirationis worse in the supine position or moving from supine to lateral body position. A more complete set of machine settings giving you the pressure and other settings for your machine. All xPAP devices attempt to maintain constant pressure. Mine is usually between .2 & .4 We can be reached at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. For further questions, or concerns, we may be reached at: 1-800-356-5221, or you may e-mail further questions to: cpap@cpap.com. Tidal Volumes and Minute Vent can be seen via the 'volume under the curve', flow limits may show as "grassy" on the full night view but are readily apparent when viewed with the breath waveform is readily distinguished, typically 2-3 minutes. Sleep is very important for your health!!! Thanks (PS I looked at the clinicians manual, and it didnt explain anything.). Flow Limits are often the main driver of pressure increases, especially with ResMed devices. ResMed's ResScan clinical analysis and patient data management software lets you update device settings and download, analyze and store therapy data from your PC. With a full mask Im getting almost no leakage but a nightly score of 7 events/ hour. I have an old machine that does not record any usage time. Tidal volumes of 500 to 600 mL at 1214 breaths per minute yield minute ventilations between 6.0 and 8.4 L, for example. it seems to me if the machine was working my AHI would be 0 . That is fantastic! Just close this tab to go back. CPAP machines now have features that can "ramp" up your pressure to make it easier for you to adjust to at the beginning of your sleep session while "automatic" machines can intelligently adjust your pressure up and down automatically based on your current AHI pattern while you sleep. Hey Danny, congrats on feeling better since you started your CPAP Therapy. Normal minute ventilation is between 5 and 8 L per minute (Lpm). I thought the CPAP machine was to help with that. Usually, a high leak rate, causes your AHI, to increase, unless you have a machine that compensates for the leak, or a defect with your unit. It shows the desired maximum leak rate. by Pugsy Sun May 16, 2021 8:59 pm. Whats total AI means? For each parameter (referred to as a 'channel') the panel shows the minimum recorded, the median, 95th percentile and the maximum. I am going to tell my Doctor about this. I dont understand and have been reading and reading. You can search for particular text in your bookmarks using the search window at the top of the sidebar (under the word Bookmarks). Unless you have a co-morbid condition that is associated with PB (such as congestive heart failure), PB is not something you need to spend much time worrying about or trying to locate in your data. Use the menu option, On the flow rate graph, place the cursor on the event you wish to record (eg an apnea). The Event Flags graph normally appears at the top of the stack. We wish you continued success with your CPAP therapy! To turn the pie chart on and off, press Ctrl-P on your keyboard (For macOS press fn-F3). The PAP mode is the particular algorithm set on the machine (many machines can operate in more than one mode). I havent been back to the pulmonologist in over 10 years (dont even remember who he was), and have no way to prove DOT compliance. What does the 10 mean? If so this could account for the increase in your number of events. What is the difference between the two? / Another option that you have is to take the SD card that records data in your machine to your DME and they would print out the compliance report. The summary of events will only show those which are turned on in the event flag selector. If the sizing is not correct, this could be the cause of the high leak rate. Youre correct, your machine automatically changes to the pressure you need on a breath-by-breath basis. There are several different Compliance requirements out there, FAA, DOT, Medical Insurance. My AHI reading below 3. Hey Gina, im sorry to hear that you are waking with headaches. I am also exhausted at 10 am. The actual amount of this designed leak will vary according to the mask. Bookmarks are created using the [bookmark tab] on the daily page: In the [right sidebar] click on the Bookmarks button at the bottom of the sidebar. Since I began using it I feel like I sleep terribly. Compliance tracking machine can track usage hours, but may not track advanced features, such as AHI and leaks. Statistics for pressure, leaks, snores, and respiration. If youre using an auto adjusting machine, it would be worth noting what your average pressure is to provide you with the lower AHI score. FreeCPAPAdvice.com. This happens when a person has considerable airway resistance or obstruction which requires more work and more time to get the volume of air needed to satisfy respiratory needs. My brother uses an oral device effectively and has mild SA. This can be clinically observed and documented with a cyclic variation of breathing pattern with a change in saturation from 90% to 100%. OSCAR is software that is compatible with Windows, Mac, and Linux operating systems, developed for reviewing and exploring data produced by supported CPAP, bilevel, ventilators, and related machines used in the treatment of sleep apnea. If you have serious heart disease and you see a lot of PB scored in your flow rate data, it is worth mentioning it to your cardiologist as well as your sleep doctor. Depending on your machine settings there may be several traces shown - usually the inhale pressure (IPAP) and exhale pressure (EPAP). The Pressure Interval for 8.6 is highlighted in yellow. I would assume (being I had 4 events per hour on average) that my machine attempted to ramp up to my max of 20 at some point right? I want to look for graphs? Alternatively press and hold the Escape (Esc) key or Down Arrow on your keyboard for a couple of seconds. It can be a variable pressure for the APAP machine, fixed pressure for the CPAP machine, or a dual pressure for the BiPAP machine. They may want to replace your CPAP with a BiPAP. Hey Judy, you are correct. / An AHI, below 5, is considered normal. I'm going to bump you up here now with this post. For further questions, or concerns, please give us a call at: 1-800-356-5221 and well be happy to assist you. Wiki article on Flow Limitation/UARS and BiPAP, is authored by a well-known MD, who deals extensively with sleep disorders, and is considered an Expert on UARS. Most therapy is around 4 inches or 10 cmw. / OSCAR - the Open Source CPAP Analysis Reporter OSCAR is software compatible with Windows, Mac and Linux operating systems, developed for reviewing and exploring data produced by supported CPAP, bilevel, ventilators and related machines used in the treatment of sleep apnea. The metrics used are: a flattening index for flow-limitation, a calibrated RMS measure of sound averaged over an inspiration for snore and the length of any apnoea detected. Unfortunately, this is a machine model that CPAP.com doesnt sell. This is the pressure the device is set at. Please speak with your doctor regarding your concerns, as they can view all of your therapy data and make a decision on if a setting adjustment is warranted. I am new with a BIPAP dream machine Hi Rich, Traditional preset tidal volumes higher than 10 ml/kg have been proved to be associated with increased risk of pulmonary barotrauma and should be avoided. iam using respro G20 A. I would however, recommend you speaking with your doctor since they are able to review your therapy data to determine if any of your settings need to be adjusted. Additionally, your smartphone or wearable sleep tracking device can also help you better manage your sleep and in some cases, even help uncover if you have sleep apnea. The bit with colors needs to go down the left side, but again, wait please. On the Daily page, select the bookmark you wish to delete, then click "Remove Bookmark" at the bottom of the panel. What does that mean, air pressure at 10. During REM sleep, there is generalized hypotonia of all respiratory muscles, except for the diaphragm, and a healthy person becomes diaphragm dependent. Most machines categorize a normal leak rate if the leak registers 20-24L/minute or less, but you should always know what constitutes a higher than normal leak rate on your machine. At the same time, carbon dioxide continuously forms as long as metabolism takes place. This is what I have found: Respironics EncoreViewer Software along with their Smart Card Reader will allow you to track the clinical data recorded on the Smart Card. Hi Graham, my apologies, but I have no information on what the meaning of RE is. The only concern would be if your AHI exceeds 5. [new] Detect DreamStation 2 cards, which are still unsupported. However it tells me the leak rate is high at 37 litres/min. In order to find out why your apneas increased, please speak with your doctor as he/she would be able to review your therapy data in depth to see what happened when you returned to sleep. Polskie / Hi Susan, it means your AHI, (total episodes) is zero. Fix Problems with CPAP and Improve your Sleep for Free. I have been using an APAP for about 3 weeks. After using CPAP last night I want to take a look on the data. Please see the link below for more information. Hi Percy, my apologies for the delayed response. I had sleep apnea and used a cpap machine for 2 years with success. Dansk / When having an apnea, the machine does increase the pressure in an effort to correct the episode, but it may not have ramped up to 20. Modern devices can differentiate the mask actually being on the person or if the person just turns it on but doesnt wear the mask. Espaol / according to the monitored results i have had an AHI of 5 or more ( around 6 to be specific ) 3 days out of 60 the rest were 2 or less . I have a beard so wear a full face mask, my AHI score has gone down from 37.5 in the sleep test, to around 2 with the APAP. https://www.cpap.com/productpage/bfan-bedfan-night-sweats-cool-sleep-comfort. If you breathe through your mouth at night or sleep with your mouth open, some CPAP machines may worsen dry mouth. With a nasal mask Im getting a 20 L/min leak (Smiling Green Face for mask fit) and 1.5 events per hour. Franais / For instance, do you still require naps or are you feeling less tired? I had an AHI of 105 on my sleep study and they said my blood oxygen level was 53% at its lowest level. OSCAR, the Open Source CPAP Analysis Reporter ~ Official Download Page https://www.sleepfiles.com/OSCAR/ ~ Also the flow limits look like they may be positional, with you pushing your chin into your chest. Patients with ARDS already have injured lungs, and mechanical ventilation should follow a lung-protective strategy. Please explain this to me, please. And since I get awesome sleep 6.50 hrs is all I can sleep with no naps and fully energetic and lost 30lbs.Had to shave the mustache nasal and chin strap works best for me.Good luck everyone. Hi James, im sorry to hear about the increase in your AHIs. A flattening index is a non-dimensional feature (e.g., a real number) calculated using a patient's inspiration waveform. He brings the patients perspective to the CPAP.com blog and has received formal training in CPAP machines, masks, and equipment. Thanks everyone. Many come with a smiley face that lets you know everything is running properly and a frowning face to let you know theres a problem. The ResMed AutoSet algorithm responds to three things: The ResMed AutoSet algorithm monitors patient flow and raises pressure when it detects flow limitation or snore. Anything in excess of that amount is an "additional leak". I'm struggling with trying to post the graph. Please feel free to reach us at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. Hi Sherry, im sorry to hear that you were not given sufficient information about your sleep data. We wish you continued success with your therapy! I agree you need a higher pressure I'd say 9, but 10 also works. A known algorithm that is used to automatically set patient pressure in APAP machines is called ResMed AutoSet. As the disease progresses, daytime symptoms become prominent, and patients rely on a breathing pattern similar to the one seen in other restrictive lung diseases, i.e., shallow, rapid breathing.[10][11]. Clicking the year allows you to quickly change to a different year. It sounds like your CPAP therapy is working well for you. It measures around 500 mL in an average healthy adult male and approximately 400 mL in a healthy female. on screen would please explain what it means thank you. It illustrates the average number of hypopneas and apneas per hour for the timeframe. Thanks. Please see the link below with more information. This is what causes some of the CA events. You ca also do this by using your hand to seal the mask. Now Im told that the :Sleep Report screen should show my apnra index in the morning, but my machine does not have that line on the Sleep Report screen. Events/ hour because it makes me more comfortable algorithm that is used to automatically set patient in... On a breath-by-breath basis inspiration waveform low readings means your CPAP with a full mask getting... Sherry, im sorry to hear that your AHI, below 5, is considered be. For the delayed response new ] Detect DreamStation 2 cards, which are turned on in the Event flag.. Sun may 16, 2021 8:59 pm that your AHI is still reading even! 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