Dream Station

[Wookies1]

I have been using the dream station since the 11th of august. honestly can say I'm even more tired using the machine than when I didn't my AHI hasn't been bellow a 3.71 yet and the highest has been 12.57. Tried calling the company the machine came from but they never returned my call... Tuesday I will be meeting with a representative of the company that administered my home sleep test maybe then I can get answers. these are results from last night. Machine is locked down can't make any adjustments to pressures

AHIApnea Hypopnea Index 6.61
Philips Respironics DreamStation
Auto CPAPModel 500X110 - J155804047D13
PAP Mode: APAP (Variable)
Min 5 Max 15 (cmH2O)
Date Sleep Wake Hours
9/2/2016 23:15:14 08:58:17 04:23:12
Periodic Breathing 2.19%
Large Leak 0.00%
Clear Airway 0.23
Obstructive 1.14
Hypopnea 5.24
Flow Limitation 0.46
RERA 0.23
Vibratory Snore 0.00
Vibratory Snore (VS2) 0.23
Pressure Pulse 1.82
Breathing Not Detected 0.00%

Event Breakdown

Statistics
Channel Min Med 95% Max
PressureTherapy Pressure (cmH2O)
W-Avg: 6.18 5.00 6.00 8.00 9.40
EPAPExpiratory Pressure (cmH2O)
W-Avg: 5.65 4.50 5.40 7.70 8.90
Minute Vent.Amount of air displaced per minute (L/min)
W-Avg: 6.11 0.12 5.62 11.50 91.88
Resp. RateRate of breaths per minute (Breaths/min)
W-Avg: 16.03 6.67 14.60 23.00 30.17
Leak RateRate of detected mask leakage (L/min)
W-Avg: 13.63 0.00 11.00 31.00 36.00
Total LeaksDetected mask leakage including natural Mask leakages (L/min)
W-Avg: 37.81 19.00 35.00 58.00 62.00
SnoreGraph displaying snore volume (?)
W-Avg: 0.01 0.00 0.00 0.00 1.00
Insp. TimeTime taken to breathe in (Seconds)
W-Avg: 2.32 0.70 2.30 3.60 8.30
Exp. TimeTime taken to breathe out (Seconds)
W-Avg: 1.56 0.30 1.50 2.54 3.74
Tidal VolumeAmount of air displaced per breath (ml)
W-Avg: 392.15 13.33 380.00 740.00 6406.67

Time over leak redline 23.556%
Machine Settings

PAP ModePAP Device Mode APAP (Variable)
Pressure MinMinimum Therapy Pressure 5.00 cmH2O
Pressure MaxMaximum Therapy Pressure 15.00 cmH2O
Session Information



CPAP Sessions
On Date Start End Duration
PRS1 Session #00000066
Click to disable this session. 9/2/2016 23:15:14 02:20:52 03h 05m 38s
PRS1 Session #00000067
Click to disable this session. 9/3/2016 07:40:01 08:38:45 00h 58m 44s
PRS1 Session #00000068
Click to disable this session. 9/3/2016 08:39:27 08:58:17 00h 18m 50s

[D. H.]

Your stats are not bad.

The strangest thing I see if the wide variation between the minimum and maximum pressure. I suggest getting the minimum raised.

Note that some people (such as myself) feel very immediate relief, and some feel very gradual relief.

[Wulfman...]

I have been using the dream station since the 11th of august. honestly can say I'm even more tired using the machine than when I didn't my AHI hasn't been bellow a 3.71 yet and the highest has been 12.57. Tried calling the company the machine came from but they never returned my call... Tuesday I will be meeting with a representative of the company that administered my home sleep test maybe then I can get answers. these are results from last night. Machine is locked down can't make any adjustments to pressures

AHIApnea Hypopnea Index 6.61
Philips Respironics DreamStation
Auto CPAPModel 500X110 - J155804047D13
PAP Mode: APAP (Variable)
Min 5 Max 15 (cmH2O)
Date Sleep Wake Hours
9/2/2016 23:15:14 08:58:17 04:23:12
Periodic Breathing 2.19%
Large Leak 0.00%
Clear Airway 0.23
Obstructive 1.14
Hypopnea 5.24
Flow Limitation 0.46
RERA 0.23
Vibratory Snore 0.00
Vibratory Snore (VS2) 0.23
Pressure Pulse 1.82
Breathing Not Detected 0.00%

Event Breakdown

Statistics
Channel Min Med 95% Max
PressureTherapy Pressure (cmH2O)
W-Avg: 6.18 5.00 6.00 8.00 9.40
EPAPExpiratory Pressure (cmH2O)
W-Avg: 5.65 4.50 5.40 7.70 8.90
Minute Vent.Amount of air displaced per minute (L/min)
W-Avg: 6.11 0.12 5.62 11.50 91.88
Resp. RateRate of breaths per minute (Breaths/min)
W-Avg: 16.03 6.67 14.60 23.00 30.17
Leak RateRate of detected mask leakage (L/min)
W-Avg: 13.63 0.00 11.00 31.00 36.00
Total LeaksDetected mask leakage including natural Mask leakages (L/min)
W-Avg: 37.81 19.00 35.00 58.00 62.00
SnoreGraph displaying snore volume (?)
W-Avg: 0.01 0.00 0.00 0.00 1.00
Insp. TimeTime taken to breathe in (Seconds)
W-Avg: 2.32 0.70 2.30 3.60 8.30
Exp. TimeTime taken to breathe out (Seconds)
W-Avg: 1.56 0.30 1.50 2.54 3.74
Tidal VolumeAmount of air displaced per breath (ml)
W-Avg: 392.15 13.33 380.00 740.00 6406.67

Time over leak redline 23.556%
Machine Settings

PAP ModePAP Device Mode APAP (Variable)
Pressure MinMinimum Therapy Pressure 5.00 cmH2O
Pressure MaxMaximum Therapy Pressure 15.00 cmH2O
Session Information



CPAP Sessions
On Date Start End Duration
PRS1 Session #00000066
Click to disable this session. 9/2/2016 23:15:14 02:20:52 03h 05m 38s
PRS1 Session #00000067
Click to disable this session. 9/3/2016 07:40:01 08:38:45 00h 58m 44s
PRS1 Session #00000068
Click to disable this session. 9/3/2016 08:39:27 08:58:17 00h 18m 50s

Of course you can make adjustments. There's no way they can lock you out of the setup menu.

As was previously suggested, your minimum pressure is too low and too many events are happening before the machine can respond or get the pressure to a therapeutic setting. Your pressures are probably bouncing all over that range through the night. For some people, the pressure changes leave them feeling unrested. For other people, they handle it just fine. If you possibly suspect that is the problem, set your minimum and maximum pressures to the same setting (something in the vicinity between your average and 90% pressures).

Are you getting these figures from the LCD screen or from some software?


Edit to add:

You can download the provider manual with this link......if you hurry. (sometimes it works and sometimes it's restricted)

http://incenter.medical.philips.com/doc ... Id%3d1.DAD


Den

.

[Wookies1]

Results came from sleepy head software

[Pugsy]

Time over leak redline 23.556%

This is probably incorrect.

Based on these numbers

Leak RateRate of detected mask leakage (L/min)
W-Avg: 13.63 0.00 11.00 31.00 36.00
Total LeaksDetected mask leakage including natural Mask leakages (L/min)
W-Avg: 37.81 19.00 35.00 58.00 62.00

It's not that bad.

Let's fix SleepyHead so the time over leak red line is more accurate with your machine.

SleepyHead defaults to the ResMed red leak line threshold of 24 L/min and that won't work for the DreamStation due to the way your machine reports leak.
Go to Preferences in SleepyHead...then CPAP tab and on the right side change the 24 L/min to something around 70 L/min which is more in tune with where large leak would be with your machine.
We can't get it exact due to the vent rate changing with the pressure changes in auto mode.

Large Leaks will be flagged by the machine and show up on the Events graph on the LL line. I doubt that 1/4 your night was in large leak. If you had any large leak flags I imagine they would be very brief.

[palerider]

or, better yet, just uncheck the box of "flag leaks over threshold', since there is no fixed threshold with your machine.