Enore Data

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
GoodGuy
Posts: 24
Joined: Sat Sep 02, 2006 4:33 pm

Enore Data

Post by GoodGuy » Fri Oct 27, 2006 6:52 pm

I need help analyzing a couple of nights data in deciding what's causing my OA to shoot up so high and raise my AHI. I would welcome any insights and suggestions. Thanks.

My auto is set 7-12 pressure,Cflex at 2,titration was 11, My average leak for both nights was 25 (no large leaks) which is very good for the mask. Was always a back sleeper including during my sleep study but recently trying to go to mostly side sleeping which has improved my numbers to these below:


10/25 10/26
90% AutoCPAP =8.4 8.4
Avg AutoCPAP =7.6 7.5
OA =2.0 1.5
H =2.1 2.6
VS =4.6 3.0

AHI =4.1 4.2

The OAs for various pressures was:
10/25 10/26

7 =1.2 1.1
8 =1.2 .5
9 =6.0 4.8
10 =17.1 30.0
11 = 8.3 0
12 = 0 0

Thanks again.


GoodGuy
Posts: 24
Joined: Sat Sep 02, 2006 4:33 pm

Encore Data

Post by GoodGuy » Fri Oct 27, 2006 6:59 pm

Sorry,that's Encore ! That's Enordinate spelling !

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curtcurt46
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Location: Retired US Army

Post by curtcurt46 » Fri Oct 27, 2006 7:33 pm

Where did you get the second set of data? The numbers just don't look correct. Your pressure may be to low. A good start point from titration of 11 is +/- 3 (8-14cm). These are my opinions and you must decide what is best for you. How do you feel each morning at wake-up.
curtcurt46


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Wulfman
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Post by Wulfman » Fri Oct 27, 2006 7:49 pm

How many hours of sleep?

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

GoodGuy
Posts: 24
Joined: Sat Sep 02, 2006 4:33 pm

Encore Data

Post by GoodGuy » Fri Oct 27, 2006 8:02 pm

The two sets of data are for 2 nights.. 10/25/06 and 10/26/06.. the columns just didn't line up too well. I checked the numbers and they are correct. In the mornings I don't feel great but I feel a heck of a lot better than I have felt before CPAP. Each night I slept approximately 7 hours with 2 awakenings each night.

What got my attention was the OA of 30.0 at a pressure of 10 on 10/26 and the OA of 17.1 at a pressure of 10 on 10/25.


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Wulfman
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Post by Wulfman » Fri Oct 27, 2006 8:22 pm

This is what I would do......
Set the machine up in CFLE mode (single pressure) at 8 cm. and try that for a few nights. If that isn't lowering the numbers, try 9 for a few nights.....and so forth till the right pressure is determined.
It may be the pressure changes that are waking you up.

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

Guest

Post by Guest » Sat Oct 28, 2006 1:35 am

I agree with Wulfman, set it to 8.5cm, I would avoid 10cm.

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curtcurt46
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Post by curtcurt46 » Sat Oct 28, 2006 8:33 am

GoodGuy,
Please help me and tell me where in the Detailed Encore report you are getting an OA reading for a specific pressure. I am very familiar with Encore and have never seen this reported.

GoodGuy
Posts: 24
Joined: Sat Sep 02, 2006 4:33 pm

Encore Data

Post by GoodGuy » Sat Oct 28, 2006 2:03 pm

Thanks for the feedback abd suggestions. I think you are right I need to raise the min pressure and am going to 8 and see the effect although I may initially leave it on auto and go from there.

On my printout for 10/26/06 there is a table at the bottom of the page with pressures across the top ranging from 4 to 20. On the left hand side of the table going down the column is minutes,minutes as a % of night,flow limitation,WS,NR Apnea and Hypops,OA,Hypop, and AHi.
Reading the OA line across the table to a pressure of ten indicates 30.0. Conversely,the time at that pressure was 4.0 minutes( .8%) versus 334(66.0%) minutes at 7 and 117(23.2%) at 8.

Any other suggestions based on the additional info?

Thanks for your help.