Please make certain that you are using the correct size mask also. Put it on for a few hours in the evening while you read or watch TV before bed. In fact, when individuals lose around 10 percent body weight, they may need to turn down the CPAP settings. We can be reached at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. Place your mask on (hand holding is OK). You may speak with your doctor, or your local sleep center to see if they have the software available. Acute respiratory distress syndrome, or ARDS, is a condition characterized by widespread inflammation of the lungs following an inciting pulmonary or extrapulmonary event. If your sleep study indicates you have OSA, youll require a CPAP titration study to find the level of pressure youll require to maintain your airway while youre sleeping. Hi Diane, it must be very frustrating not having the total used hours recorded. I asked him why would I need a machine for such a mild case, why not an oral device? 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. Please speak with your doctor so that a medical determination can be made as if you require pressure setting changes. Dry mouth. Hello from Australia. Thanks everyone. BiLevel for MOST with a diagnosis of UARS Quoting the article "in our clinical and research experience, we are using gaps of 4 to 12 cm of water in our patients. Do read the entire patent application if you really want to get your head spinning. Our experts know CPAP inside and out. To help understanding of what you see read the SleepyHead tutorial topic in the Announcements section of the main forum. Click the Green arrow & bar >| to move to the latest date with data. This is definitely something I would suggest you speaking with your doctor about. Divide hypopnea + apnea by sleep time and then multiply the number by 60. Thanks Graham. I like less pressure because it makes me more comfortable. Please feel free to reach us at: 1-800-356-5221 with any further questions, or concerns. Event rates per hour. A CA (Clear Airway) and a OA (Obstructive) apneas occured during this pressure interval. Machine type and settings summary. It can take some getting used to. The above is just the start. A mouse-over event for a pressure interval will accentuate its data point in black. What is the name of your machine? Clicking on these buttons will include or exclude sessions from the display of the night's data. Your mask fit is good also. We also carry the various SD cards and other data readers for many devices. Its common for AHI to vary from night to night. The solution works with Philips Respironics System One Machines, DreamStation Machines, ResMed S9 CPAP machines, DeVilbiss Intellipap machines, and Contec CMS50 Oximeters. Part 7: OSCAR Tutorial. All Periodic Breathing should be viewed in a zoomed view to identify its properties. Try a pillow adjustment, 1 vs 2 or a flatter, less firm pillow. For example, take a warm bath before you go to bed. Please feel free to reach us at: 1-800-356-5221 for further questions, or concerns. 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) A slow increasing leak is more likely the mask just being dislodges somewhat. Please feel free to reach us at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. He brings the patients perspective to the CPAP.com blog and has received formal training in CPAP machines, masks, and equipment. Please see the link below for more information. Is that AHI score likely to be inaccurate with a high leak rate? Then just put the switch back to the unlocked position when you insert it in your CPAP machine. Hello Ive use a cpap machine for many years and never seen this emblem ? https://grabby.cpap.com/2019-09-05_101010891-B4101i-1018.png. 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 AHI measurement is the same for all CPAP machines. [8][9], Neuromuscular diseases refer to a group of disorders characterized by progressive muscle weakness due to problems in the muscles themselves or the nerves that supply them. The events are shown on this graph as well as on the event flags graph. 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. Didn't think so. When a particular event becomes one hour old, it is dropped from the running total. 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 following picture is from a CPAP device where the pressure is at a constant eight(8) cmH2O. The AHI, is considered normal if under 5, so your AHI of 7, is too high. http://www.cpaptalk.com/viewtopic/t172943/Waking-up-gasping-for-air-with-cpap.html. Zooming in shows how the mask pressure is a high-resolution chart sampled 25 times per second, while the pressure is only sampled once per second. Note: ResMed (incorrectly) labels all periodic breathing as CSR. It's also important to understand that the data for any particular date is the data for the NIGHT that started on on that date and ended the following morning. You can then click on a bookmark and OSCAR will adjust the display to show the event which has been selected. Hi Susan, what heading is the 0.0 reading under, or where are you seeing the 0.0? It causes episodes of excessive mucous production, bronchoconstriction, and airway narrowing. First is mask leak. 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. Hi Akshata, im sorry to hear that you are having to gasp for air. Since the problem in obstructive lung disease is expiratory, breathing with higher tidal volumes helps overcome airway resistance. The third outside arrow on the far right ->| will immediately jump to the last date with data. How did it feel? 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. Im not able to locate any details regarding the AHI for your machine. The Apnea-Hypopnea Index is typically used for classifying how severe your sleep apnea is. Asthma is a reversible condition characterized by airway hyperresponsiveness to various stimuli. I wake with headaches and I am exhausted by lunchtime. After losing weight i changed to an APAP machine. 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. Thanks. I agree you need a higher pressure I'd say 9, but 10 also works. Anyway to fix that? In the absence of any measured flow disturbance, the pressure is allowed to decay slowly and hopefully an equilibrium pressure will be achieved that allows the patient to sleep arousal-free. 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. If you did a sleep study, you might consider checking your results (or asking your doctor) what your AHI was without the use of cpap therapy for comparisons sake. I have now been on the machine for 25 days without interruption. Just post a Daily Report, if you want some comments as to what it is like. 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. 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? While these are fairly easy to interpret, you should really understand what the acronyms connected to the numbers are. If data has been imported from a Zeo sleep monitor device, additional graphs will be available, including Sleep stage, To reset the graph order for the Advanced Charts click on View/Reset Graphs/Advanced. OSCAR v1.3.0 is released With this release, OSCAR adds support for several new CPAP machines -- ResMed AirSense 11, Fisher & Paykel Sleepstyle, DeVilbiss BLUE (DV6) -- and improves support for others and for oximeters. This video shows the basics of how to obtain the free software program. If you hover the mouse cursor over the machine name, the model number and serial number will appear in a pop-up box. 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. I don't think there's anything you can do to determine from the data if they're real. But Ive only recently started using an apap machine. When the excessive leaking reaches the level where the machines manufacturers believe the machine will not properly maintain the therapeutic pressure setting, the leak is said to be a Large Leak. Please see the link below for more information on headache and other side effects that you may experience. 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. If your AHI is below 5, it is considered normal. This is the pressure the device is set at. A BiLevel, the next class of device up, it is 10 inches of water or 25 cmw. 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. When I awoke at 5:30 my ahi rating was 2.2. More than one episode per sleep hour is considered abnormal. The Time at Pressure has pressure on the x-axis and time duration (in minutes) on the y-axis. Ive never been asked about compliance. Each event type in the Event Flags graph will have a corresponding entry in the sidebar summary area. 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 bit with colors needs to go down the left side, but again, wait 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. 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. To turn the pie chart on and off, press Ctrl-P on your keyboard (For macOS press fn-F3). The flow above the zero line is inhalation and below the line is exhalation. 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. So basically the goal of using CPAP is to have a less than 5 AHI ? Monitors your sleep during your titration study and slowly. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); COPYRIGHT 19992021 US EXPEDITERS, INC. ALL RIGHTS RESERVED. CPAP Software . 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. Which mask are you most comfortable wearing? 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. We wish you continued success with your therapy! _________________. If its new and is leaking, it could be due to an incorrect fit. Unfortunately, we no longer sell the smart card, or have access to the required software. Now please tell me, does it record a maximum pressure also? 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. Patients with neuromuscular diseases (NMDs) eventually develop respiratory muscle weakness. 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. CSR is very regular and has a CA at the nadir of the cycle (although the CA may be mis-scored as an OA or a UA). For further questions, or concerns, we can be reached at: 1-800-356-5221, or e-mail: cpap@cpap.com. A simplified view of the different types of events you have experienced. ResMed machines record Respiration Rate, Tidal Volume, and Minute Vent, they are not calculated. You can adjust the red line between acceptable and unacceptable leaks by using File | Preferences | CPAP | Flag leaks over threshold. Hi Dee, the machine doesnt usually record valid AHIs while you are awake. Also, please be sure that there arent any holes in your hose. Items 4, 5, 6, and 7 in the sidebar image are collectively the summary information. ago Has anyone tried replacing the SDcard on Luna II. 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. Zero means none, severity increasing as the index approaches one. 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. could it be a pressure issue of some machine issue or am I doomed. If you have a lot of flow limits here, it is a good idea to review the Flow Rate chart for Flow Limits that do not show in this chart. Please be sure that you have a comfortable mask fit. Both Events and SPAN Events are supported similar to the Pressure Graph. additional examples are in the above sections. I am feeling much better. With you have an AHI of .1, .2, or even .4 that means that on average you are having less than 1 episode of Hyponea Apnea per hour. Thank you. If you have a high leak rate typically, anything over 24L/m, this could be the reason for the increase in AHI. Sometimes the System One will only flag the most obvious part of the cycle: A bit of PB now and then is nothing to worry about. 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. The flattening index is a rather complex calculation taking many factor into consideration. 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. My pressure ranges from 5 to 7 each night and my AHI is down to 0.4 per hour. Whats total AI means? In other terms, tidal volumes should be kept as low as possible to prevent volutrauma and barotrauma. Ahi 17.1 To minimize the monthly calendar, just click on the triangle to the left of the current date. Philips Respironics machines flag breathing that meets their definition of periodic breathing (PB). Whether this is worth doing on a regular basis is another question altogether. I appreciate everyones response. First, Events only show if you have had them at some point, OSCAR remembers. 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.". Join the FreeCPAPAdvice.com/forum Online CPAP Support Community.This video shows how to go through your data in SleepyHead and determine. What does all this mean. To print the report, go to the menu, You can export all your notes as an XML file for backup purposes or additional analysis. We wish you continued success with your CPAP therapy! These allow you to inspect all the important things which happened during the night, right down to a breath-by-breath review. Do you have a good mask fit? These two event are indicated by dashed lines and circles. The American Academy of Sleep Medicine (AASM) recommends to score a respiratory event as Cheyne-Stokes breathing if both of the following criteria are met:[/size][/color]. If your CPAP adjusts the positive airway up to the maximum level of pressure, more than 10% of your sleeping hours, you might want to increase the ceiling pressure of the device. 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). 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? plz answer. Yesterday I lower the pressure and I got a little lower AHI as a result. I'm honestly a little weirded out by how open my eyes are without having to try. Hi John, so happy to hear that your AHI is low when using your cpap machine! However, I have readings that are all over the place. The results that you are listing, could be displaying improved results however, you must speak with your doctor to have your data analyzed for certainty. https://www.cpap.com/cpap-faq/CPAP-and-Sleep-Apnea-Definitions#ahi-apnea-hypopnea-index. 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]. Divide hypopnea + apnea by sleep time and then multiply the number by 60. Your AHI score is most likely accurate, but you can always speak with your sleep therapist, or doctor to have your data reviewed. I have a resmed AirSense 10 machine. Less than 0 events? Previously a severe sleep apnea patient, now on the cpap machine and post nasal surgery my figures have all gone down by approx 50% however my RE Count has doubled. 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. 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. The graphical display of events is useful in determining whether they occurred at a particular time, in clusters, or spaced throughout the night. Just don't go whole hog and post multiple images as that seems to trigger the spam filter. Is there anything I can do about this? Resmed machines show a single trace indicating the additional leak. 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. The settings on your machine may need to be adjusted. 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Pressure graph event for a few hours in the sidebar image are collectively summary. Not able to locate any details regarding the AHI, is considered normal if under 5, so AHI! Many factor into consideration recently started using an APAP machine the 0.0 reading under or.