With File Explorer, locate the file, left click on it, hold, and then you can drag the file into a post you are composing here. Thank you!!! 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. Whats most important a low AHI score (Events/hr) or a low leakage score (L/min)? Also, please be sure that there arent any holes in your hose. Chronic obstructive pulmonary disease (COPD) and asthma are the two typical examples of obstructive lung disease. My machine says Settling 4.0 what that means. The full face mask is causing a red rash on my upper lip, chin and cheeks. Each event type in the Event Flags graph will have a corresponding entry in the sidebar summary area. Many xPAP user complain about the "high" pressures involved. AHI stands for Apnea Hypopnea Index. My readings have dropped to between 4 and 5 ! If it was 120 L/min then I would be concerned. We wish you continued success with your CPAP Therapy. OSCAR - the Open Source CPAP Analysis Reporter. Also, I had high blood pressure and that went completely away after CPAP treatment! http://www.cpaptalk.com/viewtopic/t37748/What-is-a-normal-leak-rate-and-AHI-rate.html. At the bottom of the report it refers to the 95th percentile. 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. 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. Thanks everyone. What can I do? If not you may benefit from adding one. For further questions, or concerns, we can be reached at: 1-800-356-5221, or e-mail: cpap@cpap.com. Note that although this is used to calculate the time asleep, the CPAP machine has no way of knowing if you were actually asleep or not. It does not mean that you do not have issues related to pressure. However, I have readings that are all over the place. This is an important chart. A CA (Clear Airway) and a OA (Obstructive) apneas occured during this pressure interval. During REM sleep, there is generalized hypotonia of all respiratory muscles, except for the diaphragm, and a healthy person becomes diaphragm dependent. All Periodic Breathing should be viewed in a zoomed view to identify its properties. Its important to understand and monitor your CPAP machine readings. To assist in understanding your devices responses. As a result, alveolar overdistension and lung injury might occur. A bookmark stating the time and date will be created. I used to have it early on in my therapy but I learned how to shut the back door so that air can't enter my mouth. Login or Create an Account Apnea Board Forum - CPAP | Sleep Apnea / Public Area / Main Apnea Board Forum / Understanding OSCAR Data How am I supposed to do that? My AHI is .4 which is very good but my Leak number says 120 ml/min? Then make sure to move the switch back to the write position so that your CPAP machine can write to the SD card. Empower Yourself TheLankyLefty27 60.7K subscribers Join 16K views 2 years ago As an Amazon Associate, I earn on. I recently spent a night at a sleep clinic and it was suggested that I change to a full face mask, try to sleep more on my side, use fixed pressure and that I try a Resmed machine. Oscar requires that data is collected on an SD card which MUST be inserted into the PAP machine during use to record detailed data. Maximal Tidal Volume = 8 ml/kg * IBW. 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. However it tells me the leak rate is high at 37 litres/min. That is great! Is that AHI score likely to be inaccurate with a high leak rate? After a month using average 7-8 hours at night day time when I sleep in the afternoon it napped more than 2hours. Basically, anything less than 5 events per hour is considered normal. Also, please click the link below to see what other CPAP users are saying about having to gasp for air. Hi! 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. You can compare your leaks during the night to that red line. Your upper airway anatomy and the nature of your airway obstruction play the biggest role in figuring out the required pressure setting. I thought the CPAP machine was to help with that. Hi Im a new user of CPAP machine. Didn't think so. I just want an oral device. / Im sorry I couldnt be of better assistance. Logo and Content 2017 US Expediters Inc, cpaptalk.com, how to read Oscar - so confused and overwhelmed, AirStart 10 Auto CPAP with HumidAir Heated Humidifier, Re: how to read Oscar - so confused and overwhelmed, Ultra Mirage Full Face CPAP Mask with Headgear, viewtopic/t158560/How-to-post-images-for-review.html, AirCurve 10 VAuto BiLevel Machine with HumidAir Heated Humidifier, http://cpaptalk.com/wiki/index.php/Oscar:organize, Additional Comments:Mask Bleep Eclipse https://bleepsleep.com/the-eclipse/. The 'blowing' stops immediately after you put the mask on as the blower speed returns to normal. by Julie Sun May 16, 2021 2:51 pm, Post Hi Jim, The normal tidal volume is 6 to 8 ml/kg. Hello from Australia. The least severe of these events are flow limits followed by hypopnea and then obstructive apnea. Last night I got an EPH of 8.0, and AHI 2.0. Also, an Apnea Index Score under 5 is considered to be normal so yes, 0.9 is normal. I suspect I will always need treatment but having CPAP treatment nightly has changed my life! Our experts know CPAP inside and out. 2. https://www.cpap.com/cpap-faq/CPAP-and-Sleep-Apnea-Definitions#ahi-apnea-hypopnea-index. by Julie Sun May 16, 2021 12:30 pm, Post In this example, an AHI of 57 falls into the severe sleep apnea category. Resmed machines show a single trace indicating the additional leak. Waking with headaches could be an indication that your pressure is too high, or maybe a sinus problem. If you sleep right through the night, that is a single session. 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. In patients with NMDs, dyspnea becomes prominent at night due to diaphragmatic weakness. OSCAR is based on SleepyHead so it will get you heading in the right direction. by palerider Sun May 16, 2021 3:40 pm, Post https://try.sleephq.com/ is my online cpap support community & cpap reporting platform. Here there are two plots, the top red one is IPAP or inhale pressure, the bottom green one is EPAP or Exhale pressure, the difference is the intended Pressure Support (or EPR with an AirSense) For our purposes, Pressure Support and EPR may be considered the same, with that provided by a BiLevel having the capability of a much higher value and can be applied in smaller increments. My pressure ranges from 5 to 7 each night and my AHI is down to 0.4 per hour. What does all this mean. A usage threshold determines the minimum time that you must use your device in order to be compliant. 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. They are often identified as a fundamental part of RERAs and UARS. Hi - would like to help you but could you possibly look again at Oscar re posting what and what not? Mask: Mirage SoftGel Nasal CPAP Mask with Headgear. After using CPAP last night I want to take a look on the data. 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. Note that turning a session off will change the calculated AHI for the night. The main part of the daily page is given over to the detailed graphs. as a vertical bar. Polskie / Designed to help improve therapy, enhance efficacy and support long-term compliance, ResScan allows for easy review and tracking of long-term clinical indices and trends via easy . In central sleep apnea, the brain is not telling your body to breathe. Does the leak rate effect your AHI number. We wish you continued success with your CPAP therapy! Trke For further questions, or concerns, please give us a call at: 1-800-356-5221, you can e-mail us at: cpap@cpap.com. Hi, I am from India. By default (in accordance with Resmed guidelines), Oscar flags any additional leak over 24 L/min as an excessive or "large leak". I have started using vent med Ds-6 cpap machine.its sleep report doesnt say anything about AHI.AM I LOOKING AT RIGHT PLACE. Each individual is unique, therefore it seems sensible that CPAP therapy offers different pressure settings and not everyone would require the same setting for their obstructive sleep apnea (OSA). After going back to sleep my ahi was 9.1 Hi, How do I get the Oscar reading to show a full 8-`10 days? For further assistance, you may reach us at: 1-800-356-5221, or you can e-mail us at: cpap@cpap.com. Medications that relax the muscles of the airway (i.e. My questions are 1) is the AHI measurement standard on all machines the same or is perhaps the Respironics more sensitve to what it considers an event? Cheyne-Stokes respirationis worse in the supine position or moving from supine to lateral body position. When a session is off the button changes to black / red. The Time at Pressure is a companion graph of the Pressure graph, using the same data and configuration. It lets us see how the pressure is being delivered. Please see the link below for multiple versions of the software. For Resmed machines, this is 24 L/min. My prescription has it set to a range of 8-20. The available events will vary among different types of machines. For each parameter (referred to as a 'channel') the panel shows the minimum recorded, the median, 95th percentile and the maximum. I have a ResMed 10 auto CPAP machine. It causes episodes of excessive mucous production, bronchoconstriction, and airway narrowing. 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. It's necessary to deselect all graphs except one, using the chart selector menu at the bottom right of the page. My brother uses an oral device effectively and has mild SA. OSA is manageable through continuous positive airway pressure (CPAP) therapy. It measures around 500 mL in an average healthy adult male and approximately 400 mL in a healthy female. / The above is just the start. Is something wrong? Hi Melissa, it sounds like the machine is displaying your pressure setting. Humidifier: S9 Series H5i Heated Humidifier . 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). Hi Pat, both low AHI and low Leak rate are important. In our prescriptions for bilevel, I would venture that the average gap is in the 5 to 6 range with tremendous variation, including some with a gap of only 2 or 3. / For further questions, or concerns, please reach us at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. Now, look at the little arrows in the calendar. https://www.cpap.com/cpap-faq/Common-Side-Effects#why-do-i-have-a-headache-when-i-wake-up. Hi Julie, thank you for your reply. Don't go to bed until you're tired. Below are instructions for how to access the provider menu on the Respironics M Series Pro CPAP machines. It sounds like your CPAP therapy is working well for you. Normal results typically range between 80% and 120% of the prediction. A simplified view of the different types of events you have experienced. OSCAR converts this data to graph form allowing the user to view this data down to a breath by breath level. / REM sleep, in particular, is the sleep phase with the highest degree of breathing irregularity, both in frequency and respiratory rate. Here is what OSCAR calculates, including the math behind it. Additionally, respiratory response to hypoxic and hypercapnic stimuli decreases, not to mention the decreased central respiratory drive, which, along with accessory muscle paralysis, leads to a slight decrease in tidal volume and minute ventilation. Is EVENTS PER HOUR and AHI measuring the same thing? It can take some getting used to. You can see a pie chart depicting the breakdown of your events. This is the pressure the device is set at. 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]. Leaks may sometimes be distinguished by a difference in volume between inhale and exhale. by Pugsy Sun May 16, 2021 8:59 pm. ResMed ASV maintains a constant Minute Volume to manage Central Sleep Apnea. / 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". Is there an actual physical difference in how the two machines are providing air pressure? If not please adjust the two machines to an exact match and see if there is still a difference in the AHIs. The two arrows on the blue bar with the month's name allow you to jump forward or backward by a month. Is the EPR and Humidifier settings the same for both machines? They may want to do an additional sleep test. He said just discuss that when we get the machine, oral appliances dont work. Even though, you dont feel like your therapy is benefiting you, from the numbers you listed, it is. I'm going to bump you up here now with this post. But its also important to assess how youre feeling after youve been using CPAP therapy for several months. Hey Dan, we are happy to hear that you found the article helpful. What is the difference between the two? 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. Detecting Periodic Breathing on other CPAPs. Please feel free to reach us at: 1-800-356-5221 for further questions, or concerns. Last night I had a reading of 21.8 apneas per hour. Flow Limits are the 'foundation' of obstructive events. The current date. David Repasky has been using CPAP treatment since 2017 and has first-hand experience with what its like to live with Sleep Apnea. The mask pressure graph shows the pressure at the mask on a breath-by-breath basis. If its new and is leaking, it could be due to an incorrect fit. Hi there my AHI is reading 0.9 and my pressure is 12 was wondering how many episodes is that? With your AHI being 17.1, you are considered to have moderate sleep apnea. The normal leak rate is 24 L/min, so your 37 is a bit on the high side. The Time at Pressure has pressure on the x-axis and time duration (in minutes) on the y-axis. A flattening index is a non-dimensional feature (e.g., a real number) calculated using a patient's inspiration waveform. These terms represent the following: The Apnea-Hypopnea Index (AHI) measurement is usually delivered within the setting of a sleep study report. With a nasal mask Im getting a 20 L/min leak (Smiling Green Face for mask fit) and 1.5 events per hour. Speak to your HME and verify what those numbers mean. 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. Note that on this chart flow limits are under-reported as compared to what we can visualize on the flow rate graph discussed above. by Pugsy Sun May 16, 2021 2:59 pm, Post Then you can put it in the reader and upload to OSCAR or Sleepyhead. Under the Pressure (cm H2O) header it records a 95th % reading. Double-click the words "Bookmark at xx:xx:xx" in the Notes column. Actual sleep time (420 minutes) (seven hours x 60 minutes) Divide the 400 by 420 = .95 x 60 = AHI 57 (severe apnea) In this example, an AHI of 57 falls into the severe sleep apnea category. Manufacturers designed compliance tracking machines to meet Medicares requirements mandating durable medical equipment providers show the equipment was used for Medicares set minimum number of hours. im from india. 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And my AHI is.4 which is very good but my leak number says ml/min. '' in the calendar blood pressure and that went completely away after CPAP since... Hi - would like to help you but could you possibly look at. ( CPAP ) therapy the y-axis this data to graph form allowing the user to view this to! Lip, chin and cheeks use your device in order to be compliant anything about AHI.AM LOOKING. The leak rate is 24 L/min, so your 37 is a bit on the y-axis, overdistension... Access the provider menu on the blue bar with the month 's allow... In the right direction versions of the airway ( i.e ) measurement is usually delivered the! Reading of 21.8 apneas per hour turning a session is off the button changes to black / red high rate. 1.5 events per hour with sleep apnea view this data to graph form allowing the to! Chin and cheeks EPR and Humidifier settings the same data and configuration, or you can compare leaks! 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