Next step help

josephny · Post by **josephny** » Thu Oct 04, 2007 4:01 pm

Hello,

Can someone help me with the next step please?

I've been using a Respironics M-series Cflex Auto for about 6 months.

I download the data to Encore Pro and look at it in Encore Analyser.

I don't really know how to interpret the data.

Should I change it from Auto to a set pressure?

Should I be seeing better results?

Is there something else I should be doing?

Is there a way I can post the data file or report here?

Thank you,

Joseph

Sleepdeprived · Post by **Sleepdeprived** » Thu Oct 04, 2007 4:23 pm

[quote="josephny"]Hello,

Can someone help me with the next step please?

I've been using a Respironics M-series Cflex Auto for about 6 months.

I download the data to Encore Pro and look at it in Encore Analyser.

I don't really know how to interpret the data.

Should I change it from Auto to a set pressure?

Should I be seeing better results?

Is there something else I should be doing?

Is there a way I can post the data file or report here?

Thank you,

Joseph

TXKajun · Post by **TXKajun** » Thu Oct 04, 2007 4:24 pm

Hi, Joseph and welcome to the board.

You're gonna get a reply or 3 asking you to 1) register for the forum, 2) fill out your profile and include which system/humidifier/masks you've been using, 3) give us some results of your readouts, 4) read the info in the yellow lightbulb titled "Our Collective Wisdom", and, 5) in general, provide us with tons of things that will probably seem like a pain in the butt.

That said, there are some outstanding folks here who have a ton of experience with your machine and have experienced your problems and are downright eager to help folks. Unfortunately, I'm not one of those who have the same machine, etc.

But welcome to the board and hang in there!

Kajun

Guest · Post by **Guest** » Thu Oct 04, 2007 4:41 pm

Thanks guys for the quick responses.

Here's some basic info from the 9/18/07-10/2/07 report:

avg 90% 7.4

avg pressure 5.7

Avg AI 1.1

Avg HI 2.3

Avg AHI 3.3

Avg flow limitation 1.2

Avg max leak 63.8 (Breeze Nasal pillows)

Avg 90% leak 33.7

Avg leak 26.1

Avg large leak 16 seconds

Cumulative usage 105 hours

avg usage 7 hours, 2 minuts

auto-cpap mean pressure 5.6

auto-cpap peak avg pressure 9.0

avg device pressure 90% 7.3

Does this suggest I should do something different?

Thank you,

Joseph

bdp522 · Post by **bdp522** » Thu Oct 04, 2007 5:09 pm

Looks good to me. Being that you are using nasal pillows you might want to be sure you aren't mouth breathing or mouth leaking. But with numbers that good you don't really need to change anything. The important question here is how do you feel?

Brenda

josephnyc · Post by **josephnyc** » Thu Oct 04, 2007 5:16 pm

Wow, I didn't realize these were good numbers.

I'm pretty sure I'm not mouth breathing -- no more sore throats in morning.

So as not to make you regret asking, I'll limit and summarize the answer to how do I feel

I no longer wake up feeling exhausted and with a massive headache.

But, I still have substantial afternoon fatigue (though less so than before starting the therapy).

Other health issues remain, such as difficulty breathing through the nose (frequent congestion and possible anatomical issues) and diabetes.

Here's a summary of pressure vs. AHI:

4cm for 841 minutes: 2.6 ahi
5cm for 441 minutes: 2.6
6cm for 240 minutes: 1.8
7cm for 80 minutes: 1.5
8cm for 27.5 minutes: 2.2
9cm for .5 minutes: 0

Nothing higher.

Wulfman... · Post by **Wulfman...** » Thu Oct 04, 2007 9:01 pm

I would suggest bumping your bottom pressure up to 7. Your AHI should go down even more.

Den

TXKajun · Post by **TXKajun** » Fri Oct 05, 2007 7:56 am

joseph, it looks like things are going pretty good for you. You might want to google "sleep debt" and see what info there is out there on it. In a nutshell, one theory is that we folks who have OSA have had it for years and it takes out bodies quite a while to pay back the sleep debt we've accumulated over the years. Some folks think it's hooey, some don't.

As far as bumping up the bottom pressure, there have been quite a few folks who complained that at 4 cm, they feel they can't breathe....not enough air coming in. So that suggestion may be spot on.

Good luck and keep us posted.

Kajun

Snoredog · Post by **Snoredog** » Fri Oct 05, 2007 11:02 am

I would increase the Minimum pressure to 7.0 if you are feeling fatigued. you will probably wake up with a headache at 4.0 cm.

oceanpearl · Post by **oceanpearl** » Fri Oct 05, 2007 11:21 am

There are people here who would be elated if they had your AHI!!

rested gal · Post by **rested gal** » Fri Oct 05, 2007 1:15 pm

Your numbers look very good.

I (I'm not a doctor) agree with Den and Snoredog about raising the minimum pressure to 7.

Guest · Post by **Guest** » Mon Oct 08, 2007 3:48 pm

Thank you all so very much for the information and encouragement.

I'm reading up on sleep debt and cpap usage -- a whole world of info I didn't know existed.

I'll be setting the minimum pressure to 7 and gathering a couple week's data.

Next step help

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