SleepyHead results

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
User avatar
Jasba64
Posts: 100
Joined: Sun Oct 30, 2016 4:22 pm
Contact:

SleepyHead results

Post by Jasba64 » Mon Apr 17, 2017 11:45 am

So here is my SleepyHead screen shot from last night. I am following the prescribed pressure of 9 and not using the Auto any longer. I know the results look very busy but I don't feel bad and got a restful 9 plus hours sleep last night. I used to worry about getting my AHI to zero but I don't these days. Is this typical for you, too? I have been using therapy since October.

http://imgur.com/a/R9bC2

_________________
MachineMaskHumidifier
Additional Comments: Heated Tubing, SleepyHead Software, Pressure 9-15

GoodGuysFinish

Re: SleepyHead results

Post by GoodGuysFinish » Mon Apr 17, 2017 1:09 pm

I don't get much lower after a couple years, and I messed with my settings a lot, as suggested by fellow forum'ers. I don't obsess about not being under 1, and if I get a night of 5 to 8, I also ignore. So, yes, you seem to have fine numbers.

Do you feel that you are having effective treatment?

Let me ask you this other question - do you remember 'that you were dreaming' once you woke up (either at night or in the morning)?

Do you feel less happy or more happy about how you slept on the nights you were dreaming?

Thanks for the info.

GGF

User avatar
Wulfman...
Posts: 6688
Joined: Mon Sep 01, 2014 6:41 pm
Location: Nearest fishing spot

Re: SleepyHead results

Post by Wulfman... » Mon Apr 17, 2017 1:25 pm

Jasba64 wrote:So here is my SleepyHead screen shot from last night. I am following the prescribed pressure of 9 and not using the Auto any longer. I know the results look very busy but I don't feel bad and got a restful 9 plus hours sleep last night. I used to worry about getting my AHI to zero but I don't these days. Is this typical for you, too? I have been using therapy since October.
From looking at your reports, if it were me, I'd move the pressure up to 10 and see how that works for about a week. If the numbers go down, you know you're going in the right direction. If they don't, you can always go back.
Your "numbers" are in the acceptable range, but they might get better with a little tweaking.


Den

.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05

User avatar
Okie bipap
Posts: 3550
Joined: Thu Oct 15, 2015 4:14 pm
Location: Central Oklahoma

Re: SleepyHead results

Post by Okie bipap » Mon Apr 17, 2017 1:42 pm

I played around with my pressure until I finally settled on 20 cm H2O with 3 cm pressure support. I stayed at 17 for several months, but my hypopnea rate was staying around 1.5 and my maximum flow limits were staying around 0.5. Now, my AHI is normally under 1 after I take out the sleep/wake junk, and my maximum flow limit seldom go over 0.25.

_________________
Machine: AirCurve™ 10 VAuto BiLevel Machine with HumidAir™ Heated Humidifier
Mask: Evora Full Face Mask - Fitpack
Additional Comments: IPAP 20-25, ps 4, OSCAR software
Growing old is mandatory, but growing up is optional.

User avatar
Jasba64
Posts: 100
Joined: Sun Oct 30, 2016 4:22 pm
Contact:

Re: SleepyHead results

Post by Jasba64 » Tue Apr 18, 2017 7:16 pm

I do dream some crazy stuff. Sometimes I remember and other times, not. I see my Sleep Doctor soon so I wanted some data at this pressure to show him. After that, I most likely will play with settings a little. I don't wake up near as often with this 9 pressure. I had my AHI very low prior to this but I woke up a lot throughout the night.

_________________
MachineMaskHumidifier
Additional Comments: Heated Tubing, SleepyHead Software, Pressure 9-15

krish
Posts: 4
Joined: Tue Apr 18, 2017 8:12 pm

Re: SleepyHead results

Post by krish » Tue Apr 18, 2017 8:14 pm

Hi, Since past year or so my other half and kids are complaining that I am snoring loud and they can't sleep. And there were incidents that my wife mentioned that I was gasping for air in the middle of night. So, I bought a Pulsoximeter to do overnight studies at home and generated a report using SpO2 Assistant but, not sure how to read it. Can someone help me understand if I have sleep apnea if so how bad, and do I need to see doc for this? Thanks for all help.

Here is my SpO2 Report for 04/17/2017
http://imgur.com/a/HCXYX

User avatar
robysue
Posts: 7520
Joined: Sat Sep 18, 2010 2:30 pm
Location: Buffalo, NY
Contact:

Re: SleepyHead results

Post by robysue » Thu Apr 20, 2017 8:41 pm

krish wrote:Hi, Since past year or so my other half and kids are complaining that I am snoring loud and they can't sleep. And there were incidents that my wife mentioned that I was gasping for air in the middle of night. So, I bought a Pulsoximeter to do overnight studies at home and generated a report using SpO2 Assistant but, not sure how to read it. Can someone help me understand if I have sleep apnea if so how bad, and do I need to see doc for this? Thanks for all help.

Here is my SpO2 Report for 04/17/2017
http://imgur.com/a/HCXYX
I'm not an expert at reading pulse-ox graphs, but here are the things that I notice in your pulsoximeter data:

1) The pulse-ox detected a total of 39 O2 desats in the 9 hours you slept with it. The pulse-ox you use defines an O2 desat as a drop in the SpO2 level of 4% or greater that lasts for at least 10 seconds. Each one of those 39 desats was most likely a real obstructive apnea or a real hypopnea.

2) The average length of your desat events is 41.3 seconds. In other words, when your O2 dropped by 4% it stayed low for an average of 41.3 seconds before returning to normal. That's on the long side---it's four times longer than the minimum time required to score an event.

3) Your calculated O2 desat index is 4.3 = (39 events)/(9 hours of "sleep"). While that technically makes it look like you might not have OSA or might only have "mild" OSA, it's worth noting that some people with OSA have events that do NOT involve substantial O2 desats. The American Sleep Medicine Association has two different definitions of "hypopnea", and one of them does not require a desat of 4% or more---an EEG arousal combined with decreased airflow is enough to score a hypopnea. It's also possible to have a full obstructive apnea without an associated desat. So the fact that your O2 desat index is just below 5.0 is NOT enough (in my opinion) to rule out OSA.

4) In eight of your 39 events, the SpO2 dropped below 88%. That's serious enough to warrant being investigated with a real sleep test.

5) Your min SpO2 was 84%, which is very low. Low enough to warrant being properly investigated with a real sleep test.

In conclusion, I think your SpO2 data indicates that you need a real sleep test. It could be that you have "mild" OSA in terms of number of events, but many of your events are really severe events---in other words, a quarter of your events in this test lead to SpO2 levels below 88%, which is considered significant. It also is the case that the events you have that result in O2 desats are also prolonged---they last 41 seconds on average. Given that the Pulse-ox may not be catching all your events since some obstructive events do not have associated O2 desats and the reports of exceptionally loud snoring, I think a real sleep test is needed to determine the real severity of your sleep apnea.

_________________
Machine: DreamStation BiPAP® Auto Machine
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Additional Comments: PR System DreamStation and Humidifier. Max IPAP = 9, Min EPAP=4, Rise time setting = 3, minPS = 3, maxPS=5

ajack
Posts: 977
Joined: Thu Mar 02, 2017 2:54 am
Location: australia

Re: SleepyHead results

Post by ajack » Thu Apr 20, 2017 10:05 pm

I would get a sleep test with those numbers.
If you are self funded or out of pocket is too much, you could buy a used auto cpap with a sd data card and use sleepyhead to see if the cpap is doing the job. with the spo2 data as well, it will give a good idea as to what's going on.

_________________
Mask: ResMed AirFit™ F20 Full Face CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: S9 ST-A iVAPS and adapt ASV

User avatar
palerider
Posts: 32300
Joined: Wed Dec 16, 2009 5:43 pm
Location: Dallas(ish).

Re: SleepyHead results

Post by palerider » Thu Apr 20, 2017 10:33 pm

krish wrote:Hi, Since past year or so my other half and kids are complaining that I am snoring loud and they can't sleep. And there were incidents that my wife mentioned that I was gasping for air in the middle of night. So, I bought a Pulsoximeter to do overnight studies at home and generated a report using SpO2 Assistant but, not sure how to read it. Can someone help me understand if I have sleep apnea if so how bad, and do I need to see doc for this? Thanks for all help.
whether you have apnea or not, you have a problem, and that needs treatment.

heavy snoring is bad for everyone, it physiologically disturbs your sleep, and disturbs the sleep of everybody around you. that in and of itself is more than enough reason to either buy a machine and treat yourself, or go through the regular process of sleep studies.

_________________
Mask: Bleep DreamPort CPAP Mask Solution
Additional Comments: S9 VPAP Auto
Get OSCAR

Accounts to put on the foe list: dataq1, clownbell, gearchange, lynninnj, mper!?, DreamDiver, Geer1, almostadoctor, sleepgeek, ajack, stom, mogy, D.H., They often post misleading, timewasting stuff.

GoodGuysFinish

Re: SleepyHead results

Post by GoodGuysFinish » Sun Apr 23, 2017 4:51 am

To original poster -

The way you describe your dreaming, I gather it does not make you anxious or less-happy. In my opinion, your treatment sounds like it is just fine the way it is.

GGF

User avatar
LSAT
Posts: 13229
Joined: Sun Nov 16, 2008 10:11 am
Location: SE Wisconsin

Re: SleepyHead results

Post by LSAT » Sun Apr 23, 2017 5:35 am

Jasba64 wrote:So here is my SleepyHead screen shot from last night. I am following the prescribed pressure of 9 and not using the Auto any longer. I know the results look very busy but I don't feel bad and got a restful 9 plus hours sleep last night. I used to worry about getting my AHI to zero but I don't these days. Is this typical for you, too? I have been using therapy since October.

http://imgur.com/a/R9bC2
On the chart you are showing us, your machine is still set on Auto with min 11 and Max 17.

_________________
Machine: ResMed AirSense™ 10 AutoSet™ CPAP Machine with HumidAir™ Heated Humidifier
Mask: Fisher & Paykel Vitera Full Face Mask with Headgear (S, M, or L Cushion)
Additional Comments: Back up is S9 Autoset...... Buckwheat hull pillow

User avatar
Wulfman...
Posts: 6688
Joined: Mon Sep 01, 2014 6:41 pm
Location: Nearest fishing spot

Re: SleepyHead results

Post by Wulfman... » Sun Apr 23, 2017 12:37 pm

LSAT wrote:
Jasba64 wrote:So here is my SleepyHead screen shot from last night. I am following the prescribed pressure of 9 and not using the Auto any longer. I know the results look very busy but I don't feel bad and got a restful 9 plus hours sleep last night. I used to worry about getting my AHI to zero but I don't these days. Is this typical for you, too? I have been using therapy since October.

http://imgur.com/a/R9bC2
On the chart you are showing us, your machine is still set on Auto with min 11 and Max 17.
No. He's got 21 nights worth of data/reports posted with a variety of pressure settings.
I think he still needs a little more pressure, judging from the last few nights.


Den

.
(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
"Passover" Humidification - ResMed Ultra Mirage FF - Encore Pro w/Card Reader & MyEncore software - Chiroflow pillow
User since 05/14/05