Help with some numbers please

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
smockb
Posts: 16
Joined: Mon Aug 21, 2006 3:34 pm
Location: OHIO

Help with some numbers please

Post by smockb » Mon Sep 18, 2006 8:54 am

Resmed S8 vantage auto
Ultra Mirage Full Face Mask with Headgear
Diagnosed with Severe obstructed sleep apnea

Been using now for 3 months, Doctor just upgraded me to Auto Cpap. started with pressure of 15 and was bumped up to 16, I have had a terrible time getting masks to fit, I do have to have a full face mask, I lasted about 1 hour with the nose mask and my nose closed up- After reading all the posts on Cpap alone, I understand you pretty much have to fight for your self- sleep dock , set me up for tests (2) and all I ever heard from him was what I owed him and my results from the lab which I never got explained- Ends up I kept pestering him with faxes and emails till I got some answers, that was when his nurse called me and said they would change out my machine and see how that worked. Very flustrating, If someone could let me know what the results from my machine mean I would really appreciate it-

Also I was wondering if it were proper to ask on the board if any one would be interested in trading a- gel nose mask for any other type of full face mask that they do not or can not use? I wore this one for about 1 hour- just curious

pressure is set between 14-19

Numbers- Pres 18.4
leak=0.36 L/S
AHI=13.2
AI=0.5
HI=12.7

Thank you for any help!!! Blair


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GoofyUT
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Joined: Sun Apr 09, 2006 9:45 am

Numbers

Post by GoofyUT » Mon Sep 18, 2006 10:09 am

Blair-

Your numbers would generally indicate that you are NOT being successfully treated at this time. Your AHI (Apnea/Hypopnea Index) is considered to be normal ONLY when it is less than 5. Yours indicates that nearly fourteen times an hour (on average) you are continuing to have some sleep-disorderd breathing (SDB) event. That is not acceptable, in most opinions.

Your maks leak is high but acceptable (anything less than 0.40L/s on that machine permits the machine to operate the way that it is designed to).

But most importantly, you are requiring pressures that most folks would find to be difficult to exhale against. And, your particular brand and model of machine does not have the features that some others do of briefly reducing pressure while you're exhaling to make it easier and more comfortable for you.

Actually, many people who require pressures as high as yours to keep your airway open usually discuss the use of a Bi-level PAP with their doctors. this type of machine allows you to set you inhalation pressure (IPAP) and your exhalation pressure (EPAP) separately, and this allows you to experience much greater comfort when requiring the kinds of pressures that you apparently require. BTW, the pressure you require is NOT an indication of how BAD your sleep disorderd breathing is. So, a higher number doesn't mean that you have a worse case. It is just a reflection of how much pressure your body requires to keep your upper airway open.

I'd certainly talk to your doctor about switching you to a bi-level PAP a soon as you could manage this.

Hope this helps.

Chuck

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