Please help cpap friends

Friendly wrote: ↑

Sat May 19, 2018 4:53 pm

Not the same person.

Not the same person, but you just happen to both have identical results...including serial number and recommended pressures?.....BS

Someone said the PDFs were difficult to read, so I provided a typed version, which is why the post begins with "this should be easier to read." I typed up Sadman's numbers.

So does does anyone actually have any insight looking a my data? Like I said, I was diagnosed with a sleep breathing disorder, but four months on the cpap with a nasal mask didn't alleviate my symptoms--the main one being brain fog.

Here are my two sleep studies followed by some data from when I used the machine.

Impression:
1. CPAP setting of 6cmH2O effectively improved sleep disordered breathing during REM sleep and in the lateral position and stabilized oxygen saturation at 97%.

2. The patient slept 2.7 hours out of a total 7.1 hours bedtime monitored, yielding reduced sleep efficiency of 38%.
Latency to sleep onset was 34.5 minutes, which was prolonged.

3. EKG, EEG, and EMG were normal.


Diagnosis:

Axis I: Obstrctive sleep apnea (adult) (G47.33)
Axis II: CPAP Titration study, 95811


Recommendation:

1) Suggest a CPAP setting of 6-9 cm H2O
2) The patient preference was ResMed Mirage FX- standard nasal mask.
3) The UCLA Sleep Disorders Center offers mask-fitting consultations and positive pressure acclimation (PAP Nap) studies. Orders may be placed through CareConnect or faxed to the sleep center at (310) 267-1062
4) The patient should be advised not to drive when sleepy.
5) The patient should avoid long acting sedatives and alcohol close to bedtime.



The patient was referred for sleep testing only. Patient should return to the referring physician for follow up and management including prescribing Nasal CPAP for home use. For formal consultations with sleep specialist, please call 310-825-2631.

Electronically signed by

Karen Lee, M.D.
Diplomate, American Academy of Sleep Medicine




The following data based on technologist observation – subject to physician interpretation


A. GENERAL PARAMETERS MEASURED

Left and Right EOG EKG
Chin EMG Anterior Tibialis EMG
Abdominal Movement Thoracic Chest Movement
C-Flow Oximetry
EEG (F4-M1, C4-M1, and O2-M1) Snore Sound
Body Position



B. SLEEP SCORING DATA

1. Lights Out: 10:49 PM
2. Lights On: 5:54 AM
3. Total sleep time: 160 minutes (2.7 hrs)
4. Total recording time: 425 minutes (7.1 hrs)
5. Sleep Efficiency Index: 38%
6. Wake time: 265 minutes (Normal is equal or less than 20 minutes)
Stage N1: 22 minutes (14% of total sleep time. Normal: 5-15%)
Stage N2: 105 minutes (66% of total sleep time. Normal: 45-80%)
Stage N3: 12 minutes (8% of total sleep time. Normal: 0-15%)
Stage R: 20 minutes (13% of total sleep time. Normal: 12-20%)


7. Latency to sleep onset: 34.5 minutes (normal 10-20 minutes)
8. Wake after sleep onset: 231.0 minutes (Normal is equal or less than 20 minutes)
9. Latency to REM onset: 41.5 minutes (Normal is equal or greater than 90 minutes)

C. AROUSAL EVENTS
1. Total number of arousals: 64
2. Arousal index: 24/hr (Normal is less than 10/hr)

D. CARDIAC SUMMARY
Heart Rate Summary
Average heart rate during sleep: 51 bpm. Highest during sleep: 64 bpm. Highest of awake: 62 bpm

Cardiac Events:

(None)

Other Arrhythmia: Tech did not observe any arrhythmias during the study.


E. MOVEMENT EVENTS

LMs Index
PLMS 37 14/hr
PLMS with Arousal 16 6/hr



F. RESPIRATORY EVENTS

Respiratory Rate: 12-14 breaths per minute

The patient did not have Cheyne-Stokes breathing. CPAP was utilized at pressures ranging from 5 to 8 cm H2O. During the study, ResMed Mirage FX standard nasal mask was used.

CPAP (cmH2O) 5-8
Position Supine, Lateral
Sleep State REM, NREM
Baseline O2 Level 96-97%
Supplemental O2 None LPM
Minimum O2 Saturation 92.0%
Recorded Sleep Time 2.7 Hours
Apnea-Hypopnea Index (AHI) 1/hr
Apnea Index (AI) 0.7/hr
Hypopnea Index (HI) 0.0/hr
AHI on supine position 1/hr
AHI during REM sleep 3/hr




Pressure CPAP 05 06 07 08
Time TRT 221.5m 132.0m 44.0m 28.0m
TST 68.5m 42.0m 43.0m 7.0m
Total Events 1 0 0 1
Obs. Apn. 0 0 0 0
Mixed Apn 0 0 0 0
Resp. Central Apn. 1 0 0 1
Obs Hyp. 0 0 0 0
Cen Hyp. 0 0 0 0
AHI 0.88 0.00 0.00 8.57
Supine AHI 0.88 0.00 N/A N/A
Side AHI 0.00 0.00 0.00 120.0

Apnea/Hypopneas Index (AHI): Number of apnea/hopopnea episides per hour of sleep (Normal less than 5).
Hypopnea definition (AASM Rule 1B): A decrease in the nasal pressure signal amplitude of 30% or greater, lasting 10- seconds, with a 4% or greater oxygen desaturation from baseline
Respiratory Disturbance Index (RDI): Number of apnea, hypopnea, and respiratory effort related arousal (RERA)episodes per hour of sleep.

G. OXIMETRY SUMMARY

Percent time and time in minutes for each oxygen saturation range during sleep:


Oxygen Saturation Range Sleep time in minutes Percent of total sleep time
89-100% 160 100%
81-88% 0 0%
71-80% 0 0%
61-70% 0 0%
Artifact 0 0%

Equipment:
AirSense 10 AutoSet

Serial Number 23171718078
Mode: AutoSet
Min Pressure 6cm H20
Max Pressure 9cm H20
EPR Fulltime
EPR level 3
Response Standard

Data for weeks seven through nine with cap:

Pressure: cmH2O
Median 6.8 95th percentile 8.3
Leaks
Median 0.4 95th percentile 105
Events per hour
AI: 2.2 HI: 0.1
Apnea Index:
Central 1.2 Obstructive : 0.8

How old are you?

Do you take any medications of any kind? If so, what?

How many hours of sleep do you normally get?
Are those hours fragmented with a lot of wake ups and if so, approx how many and any idea why?

Any other physical or mental health conditions going on?

I'm 32 years old and totally healthy according to doctors, but I definitely feel off. The only thing they could find is this sleep breathing disorder. I take 0 medications and usually get 7-8 hours of sleep per night.