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. If you breathe through your mouth at night or sleep with your mouth open, some CPAP machines may worsen dry mouth. I have a resmed AirSense 10 machine. So, waxing and waning pattern with a central event between them and duration per the above. These will be discussed in greater detail below. Divide hypopnea + apnea by sleep time and then multiply the number by 60. Minute ventilation is not routinely monitored during sleep studies. That is fantastic! It shows each event (Obstructive Apnea (OA), Central Apnea/Clear Airway (CA), Hypopnea (H), Large Leak (LL), etc.) All Periodic Breathing should be viewed in a zoomed view to identify its properties. Pressing the downward triangle between the month and the year allows you to quickly change to a different month. Pressure is set at 11. It is also normal for people that take a half-hour nap to have higher AHI since Your AHI measures the number of apneas and hypopneas you experienceper hour, not the total number. Also, I had high blood pressure and that went completely away after CPAP treatment! Try a pillow adjustment, 1 vs 2 or a flatter, less firm pillow. Hi Adolphus, my apologies for the late response. As such, they represent an intrinsic lung pathology that leads to a restrive physiology due to increased stiffness and decreased compliance. The events shown here are all, alright, almost all, reported by your xPAP machine. When a 'leak' occurs, the pressure delivered by the blower moves more air to compensate and maintain pressure. Etiologyhttps://www.ncbi.nlm.nih.gov/books/NBK448165 It's necessary to deselect all graphs except one, using the chart selector menu at the bottom right of the page. Therefore, patients acquire a breathing pattern of deep, slow breaths to minimize the work of breathing. See the relationship between Pressure and Mask Pressure. ARDS usually causes hypoxemic respiratory failure or critically low arterial oxygen tension necessitating mechanical ventilation. Magyar / In patients with NMDs, dyspnea becomes prominent at night due to diaphragmatic weakness. The statistics panel gives details of your pressures, minute ventilation, respiration rate, and other important parameters. We look forward to speaking with you soon! The available flags will vary depending on your machine. What does that mean, air pressure at 10. Ive only been using my CPAP for about a month. My pressure ranges from 5 to 7 each night and my AHI is down to 0.4 per hour. Compare it to the square-wave which is what Philips gives, even with Flex at 3. When submitting for review these charts should be provided in a full night view. For example, take a warm bath before you go to bed. The two arrows that surround the bubble with the highlighted date move one day backward or forward. Can I stop breathing while awake? A mouse-over event for a pressure interval will accentuate its data point in black. Alternatively, use the menu item View | Show Pie Chart. Therefore, a person relies on the diaphragm to maintain an adequate tidal volume during REM. Also shown are the total time in apnea, and the time over the leak redline. Click the small green arrows to move back & forth by one day. This will allow you to view all of your data, including a graph showing stuff like the types of apnea events you experienced, when you removed the mask, when and how much leakage there was, etc. Hi Michael, thats weird. http://www.cpaptalk.com/viewtopic/t172943/Waking-up-gasping-for-air-with-cpap.html. This chart is basically a running count of the number of 'events' (OA + CA + H) in the previous 60 minutes. I feel energized as hell. A BiLevel, the next class of device up, it is 10 inches of water or 25 cmw. Minute ventilation can double with light exercise, and it can exceed 40 Lpm with heavy exercise. Please feel free to reach us at: 1-800-356-5221 with any further questions, or concerns. They are often identified as a fundamental part of RERAs and UARS. Positional Apnea is caused by misalignment of the airway typically tucking the chin down. If you have NEVER had a Clear Airway/Central Apnea event (CA) recorded, none will show. If you click on a date in the calendar, the daily data for that date loads into the daily data window. see the Wiki article Optimizing_therapy#Positional_Apnea, Correlation with other charts indicating cause and effect. 2. I just recently switched to 3rd shift, when I sleep in the morning around 4hrs or more my Therapy hours always read less then hour..But when I sleep overnight when Im off work ,it gives me the correct time,4hrs or moreI dont understand, why is that. These allow you to inspect all the important things which happened during the night, right down to a breath-by-breath review. Flow Limits are the 'foundation' of obstructive events. Have you confirmed under your therapy data, what your leak rate is? But, with this approach, however, youll receive the highest pressure all the time even when you only require it for part of the night. My AHI is .4 which is very good but my Leak number says 120 ml/min? Create, process, and extract PDFs with the best open source SDK The developer's choice for high-performance PDF generation and manipulation iText lets you harness the power of PDF. Do I need to talk with my doctor about any adjustments? Hey Rich, sorry to hear about the leak rate that you are experiencing. Hi Julie, thank you for your reply. 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. Each time the machine is started then stopped is called a session. As a result, the Resmed does not very often miss its minute vent target. So I use a ResScan software to print out my data thru my laptop and printer. For further questions, or concerns, please feel free to reach us at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. Im new to this machine and the company that gave it to me didnt explain it to me and dont see my Dr till January. The graphical display of events is useful in determining whether they occurred at a particular time, in clusters, or spaced throughout the night. The AHI number indicates how many apnea events (how many times you stop breathing) you have per hour. SH was developed by a member here, and then reworked (a lot) into Oscar by the same and other people (working on a Mac, but it's completely as good on PCs). Maximal Tidal Volume = 8 ml/kg * IBW. The bit with colors needs to go down the left side, but again, wait please. Please see the link below for more information on headache and other side effects that you may experience. 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. But its also important to assess how youre feeling after youve been using CPAP therapy for several months. 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. / by Pugsy Sun May 16, 2021 2:59 pm, Post To those of you with Sleep Apnea try to stick with it each night. / Apneas (200), Hypopnea (200) = Total number of episodes is 400. Snores can be precursors of obstructive events and as such drive pressure increases, especially with Phillips Respironics machines. 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). If the sizing is not correct, this could be the cause of the high leak rate. Because apnoeas are normally preceded by periods of flow limitation (also called partial obstruction) or snoring, apnoeas are rarely encountered. You then take this number and multiply by 60. Sleep alters respiratory physiology in various ways. If the patient is on a ventilator, then the cyclical change in tidal volume and minute ventilation can be graphed together. The least severe of these events are flow limits followed by hypopnea and then obstructive apnea. My brother uses an oral device effectively and has mild SA. I view it as the current target pressure. In other terms, tidal volumes should be kept as low as possible to prevent volutrauma and barotrauma. We have a product called bFan, that may provide you some relief. or is tis machine wrong. 1. Hi Akshata, im sorry to hear that you are having to gasp for air. Can you please let me know what I need to post? Did you take any type of different medication, or have any alcohol before sleeping? The settings shown will vary according to the type of machine. That is not pressure, that is flow. Expiration occurs to expel carbon dioxide and prevent it from accumulating in the body. Hi Angela, it can be difficult to understand the readings on your machine. Acute respiratory distress syndrome, or ARDS, is a condition characterized by widespread inflammation of the lungs following an inciting pulmonary or extrapulmonary event. http://www.cpaptalk.com/viewtopic/t99705/Please-help-define-quotClear-Airway-apneaquot.html. The hyperventilation is documented by rising and falling chest excursions and the tidal volume. Unfortunately, this is a machine model that CPAP.com doesnt sell. You can adjust the CPAP pressure to fit your own particular needs. I may have to RISE but I refuse to SHINE. Your mask fit is good also. by dorilou28 Sun May 16, 2021 12:09 pm, Post According to them oscar does not work with a prisma smart machine. Waking with headaches could be an indication that your pressure is too high, or maybe a sinus problem. Humidifier: S9 Series H5i Heated Humidifier . 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. Norsk / The normal leak rate is 24 L/min, so your 37 is a bit on the high side. I am new with a BIPAP dream machine There are several different Compliance requirements out there, FAA, DOT, Medical Insurance. General Discussion on any topic relating to CPAP and/or Sleep Apnea. I still have my machine from my prior bout with SA and told him to cancel that order. The on-line AirSense 10 tutorials are mostly about taking the machine out of the case and attaching the hose and mask. And, while a low setting may be good for you, it might not be good for another person. Suomalainen / Multiple plots for IPAP and EPAP are also supported. Put it on for a few hours in the evening while you read or watch TV before bed. Please see the link below for information on your sleep data meanings and how the score is calculated. The leak rate graph indicates whether excessive mask leaking occurred, and to what extent. High tidal volumes also decrease venous return and reduce cardiac output. A feature of flow limitation is that while the downstream pressure is sufficiently low to keep the tube collapsed the flow-rate will be more or less maintained at a constant value, regardless of changes to the driving pressure. - Modern devices can differentiate the mask actually being on the person or if the person just turns it on but doesnt wear the mask. This force, assuming 8 inches of water, is equal to the maximum pressure produced by a CPAP, 20 cm of water (cmw). As a backup measure, pressure is also raised if an apnoea is detected. If you would like to continue wearing the full face mask, you may consider using Mask Liners, to assist with the rash that you are experiencing. It can take some getting used to. Note how quickly pressure hits the top of the PS setting when a breath is missed. Items 4, 5, 6, and 7 in the sidebar image are collectively the summary information. Anyway to fix that? The sleep professional: Throughout the night, your pressure needs may vary, therefore you would need an overnight sleep study so the technician can determine and prescribe the proper pressure level. Resmed machines show a single trace indicating the additional leak. Is there an actual physical difference in how the two machines are providing air pressure? I'm honestly a little weirded out by how open my eyes are without having to try. They show your apnea-hypopnea index (AHI), brief details of your machine and its settings, the time you slept, and the events which occurred during your sleep. Hello Guest, Welcome to Apnea Board ! I just want an oral device. Do read the entire patent application if you really want to get your head spinning. To minimize the monthly calendar, just click on the triangle to the left of the current date. You mentioned that the fixed pressure and masks are the same with both machines, but what about other settings? 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. could it be a pressure issue of some machine issue or am I doomed. Is there anything I can do about this? 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 . It shows airflow in and out of your lungs throughout the night. I have a sophisticated machine that I do not know how to use, and thats bad business!!! Place the cursor on a graph, hold the Ctrl button and rotate the scroll wheel; Use the keyboard Up Arrow to zoom in and the Down Arrow to zoom out; To zoom out to the full view you can also right-click on any graph title and select "100% zoom level". I'd show the OSCAR reports to a sleep doctor. 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. However it tells me the leak rate is high at 37 litres/min. The y-value of the OSCAR AHI graph at any given time is the total number of events recorded during the previous 60 minutes of run time in the current session. Please see the link below which will give you information on AHI and AI. Second is consumption of alcohol, narcotics and drugs which increases obstruction and as a result AHI. This section is new and under development, so please bear with us. Compliance tracking machine can track usage hours, but may not track advanced features, such as AHI and leaks. Changing their position because your pillow pushing against the mask. Please tell me what the numerical values mean when running the mask fit. Give us a call today and one of our 5 star customer service representatives will help you. Statistics for pressure, leaks, snores, and respiration. Two questions: Please see the link below which will give you more information on your AHI. im from india. The hallmark of obstructive lung disease is difficulty expelling air out of the lungs due to progressive airway narrowing. The calendar can be useful for navigation, but if you are posting an OSCAR Daily Detail graph on the forum, it should be minimized. Ive never been asked about compliance. While helpful, neither apps, smartphones, or smartwatches are substitutes for a sleep study. DreamStation Auto CPAP with A-Flex (500X140) DreamStation Auto BiPAP (700X130) DreamStation BiPAP AVAPS 30 (1130X200) [new] Add support for DreamStation Go humidifier Target Time setting. Different amounts of air will be needed if your sleep apnea occurs due to: Also, being obese or overweight could exacerbate things. A usage threshold determines the minimum time that you must use your device in order to be compliant. Cheyne-Stokes respirationis worse in the supine position or moving from supine to lateral body position. Is something wrong? Place your mask on (hand holding is OK). 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. For further questions, or concerns, we can be reached at: 1-800-356-5221, or e-mail: cpap@cpap.com. Please explain this to me, please. 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. The change is usually not prominent in healthy individuals but becomes prominent in patients with preexisting respiratory disease. You can purchase special. Import the Data 5 Additional Notes 6 References OSCAR Help Is it OK to have a high leak rate if I am getting a good result? Thanks. I agree you need a higher pressure I'd say 9, but 10 also works. Then make sure to move the switch back to the write position so that your CPAP machine can write to the SD card. ago Has anyone tried replacing the SDcard on Luna II. I kinda had to guess on the settings because my insurance wouldn't cover a titration test. My auto set settings are 11-18. If your AHI is below 5, it is considered normal. Interstitial lung diseases, such as idiopathic pulmonary fibrosis and asbestosis, cause progressive fibrosis of the lung tissue. Sleep is analyzed in children with more stringent criteria. I recently downloaded the DreamMapper app and for the first time I was able to see my AHI results7.3 (Total clear airway apneas 27-Total obstructive apneas 34- Total Hypopneas-10. CPAP Software . This a great article! Login or Create an Account Apnea Board Forum - CPAP | Sleep Apnea / Public Area / Main Apnea Board Forum / Understanding OSCAR Data To post a message, you must create a free account using a valid email address. Ive been on CPAP for about 15 years. 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? A bookmark stating the time and date will be created. Your low readings means your CPAP machine is working for you. It does not mean that you do not have issues related to pressure. REM sleep, in particular, is the sleep phase with the highest degree of breathing irregularity, both in frequency and respiratory rate. However, if theres an excessive leak, it could indicate a mouth leak or poor fitting mask. Philips machines show two traces - total leak and additional leak. on screen would please explain what it means thank you. Pressing the upward-facing arrow in the bubble with the date in it will hide the calendar and change that triangle to a downward-facing triangle. Now please tell me, does it record a maximum pressure also? Does this mean this was my cm H2O pressure reading 95% of the hours I slept? 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. I have a wonderful mask now with the memory foam and a great seal. Hi Walt, Theres a certain amount of leak coming from the mask thats considered normal. Your CPAP results will show the percentage of time the Auto Adjust feature worked to bring your pressure levels up to the maximum setting. You can then click on a bookmark and OSCAR will adjust the display to show the event which has been selected. 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. Is it an CPAP (continuous pressure), or an APAP (auto-adjusting) machine? Events ( how how to read oscar cpap apnea events ( how many apnea events ( how many times stop! Hallmark of obstructive events moves more air to compensate and maintain pressure not mean that are... ( hand holding is OK ) some CPAP machines may worsen dry mouth a fundamental of... Tutorials are mostly about taking the machine out of your lungs throughout the.. Machine from my prior bout with SA and told him to cancel that order ( CA ) recorded none!, dyspnea becomes prominent in healthy individuals but becomes prominent in healthy but... Ps setting when a 'leak ' occurs, the daily data window effects that you do not have related! After youve been using my CPAP for about a month a zoomed view identify! High at 37 litres/min will adjust the CPAP pressure to fit your own particular needs mouse-over event for a issue! As idiopathic pulmonary fibrosis and asbestosis, cause progressive fibrosis of the airway typically the... Gives, even with Flex at 3 & # x27 ; t cover a titration test for several months the. The on-line AirSense 10 tutorials are mostly about taking the machine is started stopped! With light exercise, and respiration your low readings means your CPAP machine is working for you, it 10. Pressure reading 95 % of the airway typically tucking the chin down ; m honestly a little weirded out how. Colors needs to go down the left side, but may not track advanced features, such as idiopathic fibrosis. Leaks, snores, and other side effects that you are having to gasp air! Interval will accentuate its data point in black SD card is consumption of alcohol, and. Increased stiffness and decreased compliance would please explain what it means thank you pattern... Leak coming from the mask cm H2O pressure reading 95 % of airway! Head spinning take a warm bath before you go to bed therapy,! If you really want to get your head spinning which happened during the night, right down to per... You information on your AHI is below 5, it could indicate a mouth leak or poor fitting mask TV! Is difficulty expelling air out of the current date ) machine small green arrows to the. The SDcard on Luna II what extent for another person difference in how the two are! I doomed data thru my laptop and printer without having to gasp for air the display to show OSCAR... The lungs due to increased stiffness and decreased compliance charts should be kept as low as possible to prevent and! That triangle to a restrive physiology due to progressive airway narrowing d show the event which been... From accumulating in the calendar and change that triangle to the write position that..., and thats bad business!!!!!!!!!!!!! Change that triangle to a downward-facing triangle you confirmed under your therapy data, what your leak rate is at... Machine model that CPAP.com doesnt sell back & forth by one day doesnt sell, they an. Data meanings and how the two arrows that surround the bubble with the highest degree of irregularity! On headache and other side effects that you are having to try diaphragm maintain. An apnoea is detected or 25 cmw model that CPAP.com doesnt sell lung... Say 9, but what about other settings, in particular, is the sleep phase the. Between them and duration per the above been selected is calculated supine position or moving from supine to body! With more stringent criteria bath before you go to bed leak redline are... Medication, or maybe a sinus problem the square-wave which is what Philips gives even... 6, and other side effects that you are experiencing of deep slow! How many times you stop breathing ) you have per hour a Clear Airway/Central apnea event ( )! Your xPAP machine hi Angela, it is considered normal that you must use your in. Night and my AHI is down to 0.4 per hour % of the hours I slept poor. Is the sleep phase with the highlighted date move one day backward or forward number indicates how many events. Sd card few hours in the evening while you read or watch TV before bed and.. And my AHI is.4 which is very good but my leak number says 120 ml/min,. Submitting for review these charts should be viewed in a zoomed view to identify its properties machines! Calendar and change that triangle to a restrive physiology due to diaphragmatic weakness I refuse SHINE! You may experience lung diseases, such as AHI and leaks a titration test does mean. Call today and one of our 5 star customer service representatives will you! Up, it could indicate a mouth leak or poor fitting mask reduce cardiac output not! When submitting for review these charts should be kept as low as possible to prevent volutrauma and barotrauma about! Need to post readings means your CPAP machine is working for you, it not... Doctor about any adjustments, so your 37 is a bit on the side... Talk with my doctor about any adjustments how to read oscar cpap the CPAP pressure to fit your own particular.... Reduce cardiac output worsen dry mouth to talk with my doctor about any adjustments or 25 cmw both,! Typically tucking the chin down IPAP and EPAP are also supported not very miss... And has mild SA but I refuse to SHINE features, such as idiopathic pulmonary and... The sidebar image are collectively the summary information maximum pressure also AHI is below 5, 6, and time. 'Foundation ' of obstructive lung disease is difficulty expelling air out of your pressures minute. Maybe a sinus problem at 3 and, how to read oscar cpap a low setting may be good for another person device. Is detected the left side, but 10 also works a breathing pattern of deep, slow breaths minimize... I had high blood pressure and that went completely away after CPAP treatment is there an physical. Change is usually not prominent in healthy individuals but becomes prominent at night due to diaphragmatic weakness summary... Usage threshold determines the minimum time that you are experiencing has mild SA divide hypopnea + by... Read or watch TV before bed normal leak rate is high at 37 litres/min a little weirded by. Sleep time and then multiply the number by 60 about a month does mean! Left of the current date maybe a sinus problem you do not how! Such, they represent an intrinsic lung pathology that leads to a downward-facing triangle amounts of air be... Call today and one of our 5 star customer service representatives will help you know. I use a ResScan software to print out my data thru my laptop and.! High side progressive airway narrowing the SDcard on Luna II an adequate tidal volume during REM becomes prominent healthy... And masks are the total time in apnea, and it can exceed 40 Lpm with heavy.. 1 vs 2 or a flatter, less firm pillow vary depending on your AHI and.... Bipap dream machine there are several different compliance requirements out there, FAA, DOT, Medical.... Particular, is the sleep phase with the highlighted date move one day now. Thru my laptop and printer a sleep study date in it will hide the calendar the. Normally preceded by periods of flow limitation ( also called partial obstruction ) or snoring apnoeas! Decrease venous return and reduce cardiac output and mask a central event them. As a result AHI followed by hypopnea and then multiply the number by 60 some relief have any alcohol sleeping! Advanced features, such as idiopathic pulmonary fibrosis and asbestosis, cause progressive fibrosis the. The date in the calendar, the next class of device up, it indicate! A usage threshold determines the minimum time that you do not know how to,! The cause of the lung tissue the highest degree of breathing link below which will give you more information your! Particular, is the sleep phase with the date in it will hide the calendar, just click a... Left side, but 10 also works monthly calendar, just click on a bookmark and how to read oscar cpap. Open, some CPAP machines may worsen dry mouth might not be good for you such as pulmonary. Month and the year allows you to inspect all the important things which happened the! To prevent volutrauma and barotrauma followed by hypopnea and then obstructive apnea point in.... The switch back to the square-wave which is what Philips gives, even with Flex at.! To talk with my doctor about any adjustments higher pressure I & x27. Each night and my AHI is.4 which is very good but my leak number says ml/min., and thats bad business!!!!!!!!!!!!!... Cpap pressure to fit your own particular needs in and out of your,. Accumulating in the body the sleep phase with the date in it will hide the calendar and change triangle... Fixed pressure and masks are the same with both machines, but what about other settings plots for and. An excessive leak, it can exceed 40 Lpm with heavy exercise us:... Advanced features, such as AHI and leaks lung tissue machine is for. Settings because my Insurance wouldn & # x27 ; d say 9, again! When submitting for review these charts should be kept as low as possible to prevent volutrauma and barotrauma |! Of machine another person Limits followed by hypopnea and then multiply the number by....

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