Still trying to understand ResScan data.

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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joeattardi
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Still trying to understand ResScan data.

Post by joeattardi » Thu Aug 12, 2010 10:24 pm

Hi everybody! I still haven't been sleeping that great, but my raw numbers from last night were a lot better:

HI=1.0, AHI=1.5
Leak: Median 2.4, 95th percentile 19.2, max 25.2.

I'm still trying to make sense of the data so I can analyze it better. Can some ResScan experts give me a hand here?

The biggest mystery to me is the Flow graph. What does this represent? What kinds of trends am I looking for in the graph? What do those high peaks mean vs. the middle ones?
Image

Thanks again as always! You guys rule!
Diagnosed with OSA 2/19/10
Started CPAP therapy 7/6/10 @ 9 cm H2O

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jdm2857
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Re: Still trying to understand ResScan data.

Post by jdm2857 » Thu Aug 12, 2010 10:58 pm

The graph, as presented, is pretty meaningless. It's all squished together.

You should adjust the scale of the time (X) axis using the drop-down boxes labelled "View". Typically, the top graph is adjusted so that the entire sleep session just fits across the page. The bottom graph should be set to a much shorter period of time, maybe one hour or less.

Then, clicking anywhere in the top graph will cause the time selected to the center of the bottom graph. The bottom graph shows the detail; the top graph provides navigation.

Spread out, your flow graph can be analyzed.
jeff

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KatieW
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Re: Still trying to understand ResScan data.

Post by KatieW » Thu Aug 12, 2010 11:12 pm

I don't pretend to understand it either, but for Flow Information to be meaningful, you need to look at a much smaller frame of time, eg, 5 minutes or less. There's some good info here:

http://www.osahelp.com/

Here's a link to the ResMed Data Management Guide:

http://www.resmed.com/uk/assets/documen ... ow_eng.pdf

I only ook at Flow in context with what my leak rate is at that moment, or if there is an apnea or hypopnea happening.

When I look at my data I look for:

- Leaks--liter/minute. My leaks are generally 0-4 liters/minute at the 95th percentile. You may have read already, that anything approaching 24 liters/minute affects accuracy of data, and the ability of the cpap to compensate. Also, leaks can disturb your sleep, so you don't get restful sleep.

- Nature of leaks, and whether they're sporadic (occasional adjusting mask for leaks), or continuous (long period of mask leak), and whether they coincide with any events, and how can I prevent those.

- Obstructive apneas, and what my pressure was, immediately prior to it, and how the apap responded by raising the pressure. I get a few central apneas during the night, but don't worry about them.

- Clusters of obstructive apneas, and whether they were positional--if I recall waking up in supine position. Or if obstructive apneas are during REM sleep, usually 1 1/2 hours after sleep onset (or longer as the night goes one).

I think it's all good information, but really, you're looking for trends, ie are your leak rates going down as you become more used to therapy, are you sleeping for longer periods with less wake-ups, is your AHI consistent or getting lower. Keep in mind that there will always be the occasional bad night due to stress or poor sleep hygiene.

_________________
Mask: Pico Nasal CPAP Mask with Headgear
Additional Comments: Resmed AirCurve 10 ASV and Humidifier, Oscar for Mac
KatieW

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joeattardi
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Re: Still trying to understand ResScan data.

Post by joeattardi » Thu Aug 12, 2010 11:13 pm

Thanks, guys! That osahelp.com was just what I was looking for!
Diagnosed with OSA 2/19/10
Started CPAP therapy 7/6/10 @ 9 cm H2O

lktnky
Posts: 248
Joined: Tue Jun 17, 2008 7:10 pm
Location: Northern Kentucky

Re: Still trying to understand ResScan data.

Post by lktnky » Fri Aug 13, 2010 6:44 am

KatieW wrote:
Here's a link to the ResMed Data Management Guide:

http://www.resmed.com/uk/assets/documen ... ow_eng.pdf
Katie, is there a document like you posted for the (S8) VPAP Auto 25?

Thanks for those links....very helpful.

lktnky
Posts: 248
Joined: Tue Jun 17, 2008 7:10 pm
Location: Northern Kentucky

Re: Still trying to understand ResScan data.

Post by lktnky » Fri Aug 13, 2010 4:12 pm

KatieW wrote:I don't pretend to understand it either, but for Flow Information to be meaningful, you need to look at a much smaller frame of time, eg, 5 minutes or less. There's some good info here:

http://www.osahelp.com/

Here's a link to the ResMed Data Management Guide:

http://www.resmed.com/uk/assets/documen ... ow_eng.pdf

I only ook at Flow in context with what my leak rate is at that moment, or if there is an apnea or hypopnea happening.

When I look at my data I look for:

- Leaks--liter/minute. My leaks are generally 0-4 liters/minute at the 95th percentile. You may have read already, that anything approaching 24 liters/minute affects accuracy of data, and the ability of the cpap to compensate. Also, leaks can disturb your sleep, so you don't get restful sleep.

- Nature of leaks, and whether they're sporadic (occasional adjusting mask for leaks), or continuous (long period of mask leak), and whether they coincide with any events, and how can I prevent those.

- Obstructive apneas, and what my pressure was, immediately prior to it, and how the apap responded by raising the pressure. I get a few central apneas during the night, but don't worry about them.

- Clusters of obstructive apneas, and whether they were positional--if I recall waking up in supine position. Or if obstructive apneas are during REM sleep, usually 1 1/2 hours after sleep onset (or longer as the night goes one).

I think it's all good information, but really, you're looking for trends, ie are your leak rates going down as you become more used to therapy, are you sleeping for longer periods with less wake-ups, is your AHI consistent or getting lower. Keep in mind that there will always be the occasional bad night due to stress or poor sleep hygiene.

KatieW, I couldn't send a PM & have another ??

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KatieW
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Re: Still trying to understand ResScan data.

Post by KatieW » Fri Aug 13, 2010 5:00 pm

KatieW, I couldn't send a PM & have another ??
I have disabled my PM, so please ask your questions here. I did this for several reasons, the most important which is, then others can benefit from discussions that may help them. The other reason is that if I give a wrong or incomplete answer, then others can correct me.

_________________
Mask: Pico Nasal CPAP Mask with Headgear
Additional Comments: Resmed AirCurve 10 ASV and Humidifier, Oscar for Mac
KatieW

lktnky
Posts: 248
Joined: Tue Jun 17, 2008 7:10 pm
Location: Northern Kentucky

Re: Still trying to understand ResScan data.

Post by lktnky » Sat Aug 14, 2010 4:29 am

I think I wanted to ask if the manual was the location of the information you'd posted.
If so, then the same info will be available in my VPAP manual, but I don't remember!!!