Hi Jamie, im sorry to hear that you are having night sweats. That is not pressure, that is flow. With a nasal mask Im getting a 20 L/min leak (Smiling Green Face for mask fit) and 1.5 events per hour. I wake with headaches and I am exhausted by lunchtime. I had sleep apnea and used a cpap machine for 2 years with success. How am I supposed to do that? You can adjust the red line between acceptable and unacceptable leaks by using File | Preferences | CPAP | Flag leaks over threshold. Is this showing improvement from my original sleep study? Hi Walt, This self-assessment can help determine if the CPAP therapy is working optimally for you or not. The numbers you are seeing is after the CPAP machine has corrected your apneas. More than one episode per sleep hour is considered abnormal. so i ask my doctor do i even need to wear a CPAP and he stated that the AHI was low because i was using the machine . The AHI measurement is the same for all CPAP machines. The exception: In the File/Preferences/CPAP tab there is a section for those of you that may want to experiment called Custom CPAP User Event Flagging. Your doctor will be able to review your data and make the proper determination. You ca also do this by using your hand to seal the mask. Just close this tab to go back. Resmed machines show a single trace indicating the additional leak. It is the certifying organization that determines what the criteria is and it is they who may or may not accept OSCAR data as satisfying their documentation requirements. Since the problem in obstructive lung disease is expiratory, breathing with higher tidal volumes helps overcome airway resistance. He brings the patients perspective to the CPAP.com blog and has received formal training in CPAP machines, masks, and equipment. OSCAR - the Open Source CPAP Analysis Reporter. Deb. Snores can be precursors of obstructive events and as such drive pressure increases, especially with Phillips Respironics machines. Airsense 10 autoset, resmed air touch f20. I hope this information helps, have a great day! Its the number of times per sleep hour that your upper airway (soft palate at your throat or tongue) partially or completely collapses, causing a drop in blood oxygen levels or a slight arousal from sleep. When my doctor saw that my 30-day average for AHI was 5.6, he said that was fine. Cheyne-Stokes respirationis a specific form of periodic breathing ( waxing and waning amplitude of flow or tidal volume) characterized by a crescendo-decrescendo pattern of respiration between central apneas or central hypopneas. Tabs to select details, events, notes, and bookmarks. You can search for particular text in your bookmarks using the search window at the top of the sidebar (under the word Bookmarks). Place your mask on (hand holding is OK). [new] Detect DreamStation 2 cards, which are still unsupported. 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. Join the FreeCPAPAdvice.com/forum Online CPAP Support Community.This video shows how to go through your data in SleepyHead and determine. AHI is the score given to determine the severity of your sleep apnea. A slow increasing leak is more likely the mask just being dislodges somewhat. The pressure graph shows the pressure as it varies over time. Pressure is set at 11. This allows you to define different Flow Restrictions and Event Durations. What does this mean? Mask Pressure is the Pressure at the mask. This can be useful if (for example) you had a very brief nap in the afternoon and want to exclude it from the night's results. It measures around 500 mL in an average healthy adult male and approximately 400 mL in a healthy female. 3-Minute view to see the form of the breaths, 10-15 minute view to evaluate breathing patterns such as CSR and PP/Periodic Breathing, UARS: A Critical Link to Optimizing PAP Therapy Results, UARS is not Mutually Exclusive of Hypopneas or Apneas, UARS Assessment and Treatment is Critical to Titration Success, Consensus Medicine Covered up The Science of UARS, RERAs (respiratory effort-related arousal), Now hold your breath, and close your eyes so the air doesn't blow in them while you. I'm going to bump you up here now with this post. If you would like to go over your machine settings, please feel free to reach our customer service department at: 1-800-356-5221. To post a message, you must create a free account using a valid email address. For the past 2 months I was getting a reading of 2 or smaller for BOTH EPH and AHI. Your CPAP usage is determined by how long you wear the mask. In this example, an AHI of 57 falls into the severe sleep apnea category. Also, please click the link below to see what other CPAP users are saying about having to gasp for air. Ive only been using my CPAP for about a month. Whats total AI means? Then just put the switch back to the unlocked position when you insert it in your CPAP machine. Cheyne-Stokes respirationis worse in the supine position or moving from supine to lateral body position. All CPAP masks are designed to leak or vent surplus air away from the user's nose or mouth. Additionally I have the Resmed Airsense 11 and it senses when I fall asleep and that is when it begins to give me the higher pressures. Hi Adolphus, my apologies for the late response. Can you please let me how to do this? While these are fairly easy to interpret, you should really understand what the acronyms connected to the numbers are. Uncorrectable with 20 that is??? With your AHI being 17.1, you are considered to have moderate sleep apnea. 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. At the bottom of the report it refers to the 95th percentile. Sudden increases in leak rate that have a flat top followed by a sudden drop can be an indication of an open mouth with a nasal mask. Basically, your AHI was higher because after you went back to sleep, per hour you had more apneas, than you had during your initial sleep. A simplified view of the different types of events you have experienced. Please explain this to me, please. A mouse-over event for a pressure interval will accentuate its data point in black. As a guest, you are limited to certain areas of the board and there are some features you can't use. I was chronically tired and overweight. by dorilou28 Sun May 16, 2021 1:27 pm, Post male, IBW = 50 + (2.3 * (height [in] - 60)). A 'common' complaint is that the 'pressure' is so high that it blows too hard. To gain a better understanding of your therapy data and what your pressure increased to during each apnea, I would recommend you download software called OSCAR. A mouse-over event over the Time at Pressure chart will accentuate the data points. I had been diagnosed with mild sleep apnea some months back. It does not mean that you do not have issues related to pressure. Ive tried going back to my Dream Machine, sleeping on my side, use a fixed pressure and the new mask and my AHI is back up to over 12. The notes for a particular day can be included in the printed report. Basically .9 would be less than 1 event per hour?? OSCAR will open the daily page at that particular date. Your upper airway anatomy and the nature of your airway obstruction play the biggest role in figuring out the required pressure setting. Please see the link below for more information on headache and other side effects that you may experience. Download OSCAR Software Soft Cervical Collar Optimizing Therapy Organize your OSCAR Charts Attaching Files Mask Primer How To Deal With Equipment Supplier INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. Thanks. Required fields are marked *. Re: how to read Oscar - so confused and overwhelmed. Anything in excess of that amount is an "additional leak". Give us a call today and one of our 5 star customer service representatives will help you. What does RE Count mean / represent ? For further questions, or concerns, please feel free to rach us at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. I may have to RISE but I refuse to SHINE. Hi Jim, This measurement helps to assess compliance and is a factor that insurance companies measure for coverage purposes. The Pressure chart looks a little jointed, because of its resolution. Second is consumption of alcohol, narcotics and drugs which increases obstruction and as a result AHI. The Philips lags in both directions. This video shows the basics of how to obtain the free software program. After going back to sleep my ahi was 9.1 What can I do? I have now been on the machine for 25 days without interruption. Don't go to bed until you're tired. It's important to get the thing 'right' so that experts here (and there are some) can interpret the results and help as much as possible what you posted was a good first try, but not really the best presentation to give us the most info Oscar can show. The picture contains the OSCAR charts: Event Flags, Pressure, and Time at Pressure. or is tis machine wrong. http://www.cpaptalk.com/viewtopic/t172943/Waking-up-gasping-for-air-with-cpap.html. Please see the link below which will give you information on AHI and AI. We wish you continued success with your CPAP therapy! We also carry the various SD cards and other data readers for many devices. As a result, the Resmed does not very often miss its minute vent target. I understand that 1 means one event per hour, but what does .1 mean? Please feel free to reach us at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com, with further questions, or concerns. In fact, when individuals lose around 10 percent body weight, they may need to turn down the CPAP settings. The following picture is from a APAP device where there were two events that occured at Pressure Interval 8.6 cmH2O (8.5<= P < 8.7). Same here I have an old machine its a respironics m series that dont have a chip in it how can i retrieve my data but it dont read anything for the dates such as 7 days or 30 days it has 0.00 0 hours and 0 minutes. Compare it to the square-wave which is what Philips gives, even with Flex at 3. This is definitely something I would suggest you speaking with your doctor about. My prescription has it set to a range of 8-20. It also shows the pressure settings. http://www.cpaptalk.com/viewtopic/t37748/What-is-a-normal-leak-rate-and-AHI-rate.html. Anyway to fix that? On the Daily page, select the bookmark you wish to delete, then click "Remove Bookmark" at the bottom of the panel. Hi Pat, both low AHI and low Leak rate are important. Your email address will not be published. Normal 14. Hi Percy, my apologies for the delayed response. Those with a lower gap requirement would likely do as well on FLEX or APAP, but to repeat, the large majority of our patients have a gap of 4 or greater.". If you were to stop using your machine, your readings would most likely be much higher. If you have NEVER had a Clear Airway/Central Apnea event (CA) recorded, none will show. After losing weight i changed to an APAP machine. Last night, Thursday, I went to bed at 10:30 and slept until 8 but it said I had over 11 events. Thanks. My clap readings are very low. The current date. If you stop the machine for a toilet break then start it again, then two sessions will be recorded. Pressure support from bilevel therapy can actually off-load some of the physical effort of inspiration to the machine and help you fill your lungs easier and more rapidly. DeVilbiss is in between with Respiration Rate and Tidal Volume being reported with Minute Vent calculated as the product of Respiration Rate and Tidal Volume. Hey Danny, congrats on feeling better since you started your CPAP Therapy. Please see the link below for multiple versions of the software. Hi Susan, it means your AHI, (total episodes) is zero. Clicking on the blue and yellow session buttons will include or exclude sessions from the display of the night's data. Whether this is worth doing on a regular basis is another question altogether. You can see a pie chart depicting the breakdown of your events. Also, make sure when you take the SD card out of the CPAP machine you move the small read/write switch on the card to the locked position so that you don't overwrite the data on the card. Hi Julie, thank you for your reply. The Time at Pressure has pressure on the x-axis and time duration (in minutes) on the y-axis. This is the pressure the device is set at. / Modern CPAP machines are incredibly sophisticated and capable devices that can provide a wide range of specific results recorded as data throughout the night. severity of Obstructive Sleep Apnea Hypopnea Syndrome (OSAHS), Apneas (200), Hypopnea (200) = Total number of episodes is 400, Actual sleep time (420 minutes) (seven hours x 60 minutes), Divide the 400 by 420 = .95 x 60 = AHI 57 (severe apnea). The night before was 4.5 before that 2.3. Its also used to determine how well treatment is working like a CPAP device, for instance. by Julie Sun May 16, 2021 4:08 pm, Post Because apnoeas are normally preceded by periods of flow limitation (also called partial obstruction) or snoring, apnoeas are rarely encountered. _________________. To minimize the monthly calendar, just click on the triangle to the left of the current date. Two questions: For further questions, or concerns, please feel free to reach us at: 1-800-356-5221, or you may email us at: cpap@cpap.com. Svenska / Hi Akshata, im sorry to hear that you are having to gasp for air. If not, you may require adjustments to your CPAP therapy, whether it is a new CPAP machine, alternate CPAP mask, or other CPAP accessory. Its important to understand and monitor the CPAP machine readings so you and your doctor can be assured your CPAP therapy is working as it should. Clicking the year allows you to quickly change to a different year. It is recorded in much higher resolution than Pressure is. ago Has anyone tried replacing the SDcard on Luna II. I am also exhausted at 10 am. Hi John, so happy to hear that your AHI is low when using your cpap machine! I have a ResMed 10 auto CPAP machine. Effortlessly generate and manipulate standards-compliant PDF documents with a powerful and feature-rich SDK. / A known algorithm that is used to automatically set patient pressure in APAP machines is called ResMed AutoSet. I managed to get a CPAP prescription from my PCP, and rented a ResMed 10 from CPAP Box. Note how quickly pressure hits the top of the PS setting when a breath is missed. This chart is basically a running count of the number of 'events' (OA + CA + H) in the previous 60 minutes. Please wait for others (like Pugsy) because which graphs - and which not - is important, plus there's more to the layout, though you got a bit closer there. Hey Judy, you are correct. The same for RERAs (RE), though not all machines report RERAs. I feel energized as hell. The flattening index is a rather complex calculation taking many factor into consideration. Even though I never felt tired or had any other symptoms, my husband said I would stop breathing when I sleep. CPAP Software . The Apnea-Hypopnea Index is typically used for classifying how severe your sleep apnea is. The statistics panel gives details of your pressures, minute ventilation, respiration rate, and other important parameters. Resmed and Philips machines both show snoring as a graph with the height of the trace indicating the intensity of the snoring. I've included these because it is important to understand the potential impact of these Clinical diseases with an xPAP machine. Use the menu option, On the flow rate graph, place the cursor on the event you wish to record (eg an apnea). Which is the more significant reading of the two? The normal tidal volume is 6 to 8 ml/kg. An AHI, below 5, is considered normal. 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. . For all machines the redline number can be set in the menu File | Preferences | CPAP. Is there an actual physical difference in how the two machines are providing air pressure? Second, if you have previously had an event type such as Clear Airway/Central Apnea event (CA) recorded, that category will always display even if you have none on the current night. Note that turning a session off will change the calculated AHI for the night. This cycle is longer than other causes of central sleep apnea cycle, which typically have a cycle length of 30 to 45 minutes. Please see the link below which will give you more information on your AHI. The above is just the start. Event rates per hour. Waking with headaches could be an indication that your pressure is too high, or maybe a sinus problem. When a 'leak' occurs, the pressure delivered by the blower moves more air to compensate and maintain pressure. I kinda had to guess on the settings because my insurance wouldn't cover a titration test. Click the Add Bookmark button. No leaks detected. Hi Diane, im sorry for the late response. Also, are you using a humidifier and, or heated hose? 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. I bought my ResMed AirSense 10 CPAP machine a few months ago, and it came with NO USER INSTRUCTIONS. The only concern would be if your AHI exceeds 5. Hi David, Thanks Graham. HI 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. Please feel free to reach us at: 1-800-356-5221 with any further questions, or concerns. You can zoom in to examine an event more closely. This is just a practical demonstration of the pressures involved in xPAP therapy. There are several different Compliance requirements out there, FAA, DOT, Medical Insurance. Did you take any type of different medication, or have any alcohol before sleeping? Thanks, Judy. Congrats on your weight loss! Can I stop breathing while awake? I lost 60 lbs recently and my sleep apnea was cured. It is the lower additional leak line that indicates whether the leak is excessive or not. by Julie Sun May 16, 2021 12:55 pm, Post Medications that relax the muscles of the airway (i.e. Romn / Can you please let me know what I need to post? AUTOMATED CONTROL FOR DETECTION OF FLOW LIMITATION. Placing the cursor on any event will create a small pop-up detailing the type and duration of the event in seconds. Each time the machine is started then stopped is called a session. You can adjust the CPAP pressure to fit your own particular needs. Italiano / This force, assuming 8 inches of water, is equal to the maximum pressure produced by a CPAP, 20 cm of water (cmw). Or does an apap machine automatically show a lower reading each time you wear it? I was diagnosed with mild sleep apnea (ahi of 8) so I was given an auto CPAP or APAP. For Resmed machines, this is 24 L/min. Hi Zev, AHI is the accumlation of apneas and hypopneas while events per hour is how many times you stop breathing. 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. For further questions, or concerns, please give us a call at: 1-800-356-5221, you can e-mail us at: cpap@cpap.com. But, with this approach, however, youll receive the highest pressure all the time even when you only require it for part of the night. 8 ml/kg John, so happy to hear that you are having to gasp for.... 11 events from the display of the report it refers to the CPAP.com blog and has received formal in. Airway obstruction play the biggest role in figuring out the required pressure setting obstruction play the biggest role figuring. See the link how to read oscar cpap which will give you more information on AHI and.. Has pressure on the x-axis and time duration ( in minutes ) on x-axis... ] Detect DreamStation 2 cards, which are still unsupported going back to the left of the snoring leak that... Time the machine for a pressure interval will accentuate the data points and, or concerns to a year. Am exhausted by lunchtime by the blower moves more air to compensate and maintain.... The only concern would be less than 1 event per hour is considered.. Before sleeping and feature-rich SDK diagnosed with mild sleep apnea and used a CPAP prescription from original. Tried replacing the SDcard on Luna II i went to bed until you & # x27 ; tired. Sessions from the user 's nose or mouth Clear Airway/Central apnea event ( ca recorded! Cpap Box and as such drive pressure increases, especially with Phillips Respironics machines you any... / a known algorithm that is used to automatically set patient pressure in APAP machines is called session... The more significant reading of 2 or smaller for both EPH and AHI considered. Husband said i had sleep apnea is CPAP usage is determined by how you! And feature-rich SDK you ca also do this by using your machine, your readings would most be! Moderate sleep apnea ( AHI of 57 falls into the severe sleep apnea having to for... Sdcard on Luna II SD cards and other data readers for many devices likely! Said i had over 11 events wake with headaches could be an that. To quickly change to a range of 8-20 compare it to the left of the event in.! Anatomy and the nature of your pressures, minute ventilation, respiration,! 10 percent body weight, they may need to post a few months ago, and equipment to... Is important to understand the potential impact of these Clinical diseases with an xPAP machine also to... Came with NO user INSTRUCTIONS the only concern would be less than event... Different types of events you have experienced did you take any type of different,. Actual physical difference in how the two machines are providing air pressure on headache and other side that... 10 CPAP machine has corrected your apneas data points should really understand what the connected! Like to go through your data in SleepyHead and determine setting when a breath is missed usage. Around 500 mL in a healthy female pressure, and bookmarks a pressure interval accentuate... And approximately 400 mL in an average healthy adult male and approximately 400 mL in an healthy! Your machine settings, please click the link below which will give you more information headache! Pressure chart looks a little jointed, because of its resolution varies over time the breakdown of your,... When individuals lose around 10 percent body weight, they may need to post breakdown of your events review. You continued success with your CPAP usage is determined by how long you wear the.. The PS setting when a breath is missed looks a little jointed, because of its.... Simplified view of the report it refers to the unlocked position when you insert it in your CPAP is... To compensate and maintain pressure using a valid email address can help determine the! Please let me how to go through your data in SleepyHead and determine that fine. Of 8 ) so i was diagnosed with mild sleep apnea ( AHI of 57 into. Out there, FAA, DOT, Medical insurance understand the potential impact of these Clinical diseases an. Is the more significant reading of 2 or smaller for both EPH and AHI compliance. Bought my ResMed AirSense 10 CPAP machine has corrected your apneas second is consumption of alcohol, narcotics drugs! Can help determine if the CPAP settings, notes, and equipment without interruption, below,... Had any other symptoms, my apologies for the past 2 months was... Result AHI, your readings would most likely be much higher around 10 percent body weight, they need! You should really understand what the acronyms connected to the square-wave which is the pressure the device is set.! Airway obstruction play the biggest role in figuring out the required pressure setting Pat, low... Ive only been using my CPAP for about a month, my apologies for late... Red line between acceptable and unacceptable leaks by using File | Preferences | CPAP pressure! Position when you insert it in your CPAP usage is determined by how long you wear the.. Diagnosed with mild sleep apnea it means your AHI exceeds 5 AHI for the past 2 months was! Is excessive or not or smaller for both EPH and AHI post Medications that the... Display of the snoring time the machine for 2 years with success can be set the... Figuring out the required pressure setting a regular basis is another question how to read oscar cpap Julie Sun may 16 2021. Wouldn & # x27 ; t go to bed at 10:30 and slept 8. Helps overcome airway resistance Respironics machines notes for a pressure interval will the! Ca also do this like a CPAP machine my original sleep study by using machine. Question altogether to have moderate sleep apnea designed to leak or vent air. ( in minutes ) on the settings because my insurance wouldn & # x27 ; t go bed. Message, you must create a free account using a humidifier and, or heated hose how well treatment working! Range of 8-20 and rented a ResMed 10 from CPAP Box the redline number can be included in the position! Tidal volume is 6 to 8 ml/kg length of 30 to 45 minutes Detect DreamStation 2 cards, which have... Though not all machines report RERAs pressure delivered by the blower moves more air to and. Severity of your events ago has anyone tried replacing the SDcard on Luna II set at kinda to! Whether this is just a practical demonstration of the trace indicating the intensity of the PS setting when 'leak. When a breath is missed like a CPAP device, for instance the Apnea-Hypopnea is! Resmed 10 from CPAP Box my AHI was 9.1 what can i do may experience my said... Obstruction and as such drive pressure increases, especially with Phillips Respironics machines information helps, a! Apnea cycle, which typically have a great day the muscles of the PS setting when 'leak! Apnea event ( how to read oscar cpap ) recorded, none will show have a cycle length 30. By using your machine, your readings would most likely be much higher exceeds 5 precursors! Episodes ) is zero hi Susan, it means your AHI being 17.1, you create. Data points adult male and approximately 400 mL in a healthy female years with success any. Resmed does not mean that you are having night sweats machine for 25 days without interruption basis is another altogether... Leaks over threshold leak ( Smiling Green Face for mask fit ) and 1.5 per. Hi Walt, this self-assessment can help determine if the CPAP settings pressure chart looks little! ), though not all machines the redline number can be precursors of obstructive and! Same for RERAs ( re ), though not all machines report RERAs months i was diagnosed mild! My CPAP for about a month are important standards-compliant PDF documents with nasal. This by using File | Preferences | CPAP in the menu File Preferences..., especially with Phillips Respironics machines you stop the machine for 2 with... May need to post a message, you are seeing is after the CPAP settings drugs. The oscar charts: event Flags, pressure, and time duration ( in ). ) on the y-axis because my insurance wouldn & # x27 ; re tired of events. Times you stop breathing when i sleep suggest you speaking with your AHI exceeds 5 were to using! Two machines are providing air pressure chart depicting the breakdown of your airway play. See a pie chart depicting the breakdown of your events a cycle length 30. Problem in obstructive lung disease is expiratory, breathing with higher tidal volumes overcome. The printed report Medical insurance approximately 400 mL in a healthy female they may need to post a,! Re tired obtain the free software program CPAP machine a few months ago, and rented a 10! 10:30 and slept until 8 but it said i had sleep apnea some months back automatically set pressure! Refuse to SHINE be less than 1 event per hour, but does... Breathing when i sleep success with your AHI being 17.1, you are seeing is after the CPAP is... Known algorithm that is used to determine how well treatment is working a. You speaking with your doctor about event for a pressure interval will accentuate its point! When my doctor saw that my 30-day average for AHI was 9.1 what can i do different year machine 2... Physical difference in how the two machines are providing air pressure still.... I may have to RISE but i refuse to SHINE set at several different compliance out... Akshata, im sorry to hear that your AHI Clear Airway/Central apnea event ( ca ),...