Please comment on my ResScan data

[atab]

atab

[Pugsy]

I would say that your minimum is too low and you are having some pretty lengthy apnea events. While not a huge number of them, some are pretty nasty in the number of seconds involved.

I can't really tell by the way these graphs show pressure where you spend most of the time but it appears that minimum of 8 or most likely 9, might stand a better chance of warding off the events.

If the machine needs 10 or 11 cm to prevent the events, it doesn't have enough time to get high enough when you start at 6 cm. I would give the machine a better head start with 8 or 9 myself.
These auto units don't jump up immediately, they take their time and test the waters with each increase.
Same thing is going on with me but I have a higher minimum. I still have a few events sneak through the defenses, but not many.

[Muse-Inc]

...These auto units don't jump up immediately, they take their time and test the waters with each increase.

Pugsy, the Elite II is a CPAP not an Auto . Great explanation tho

ATAB, I think you should show these reports to your sleep doc as it seems like the current pressure setting isn't working as well as it could be (that is if these are typical reports for you).

[alexmihaila]

He's using S8 AutoSet right now; but agree with Pugsy about increasing minimum
Also apneeas might be centrals as i see few for lower pressures and a lot for pressures above 10.

[Pugsy]

Pugsy, the Elite II is a CPAP not an Auto . Great explanation tho

ATAB, I think you should show these reports to your sleep doc as it seems like the current pressure setting isn't working as well as it could be (that is if these are typical reports for you).

Muse, I had to do a double take when I first saw the reports because I saw the Elite in his profile but the pressure was obviously not a straight line. So then I looked further and saw that he is currently trying the AutoSet. I am assuming (don't remember past posts) that something doesn't seem to be working at his original 6 cm pressure titration.

I don't remember if ATAB has ever mentioned centrals or not. If not, then I would increase the pressure and see if some of the events are eliminated. This report is not all that different from some of mine. No events for a while then boom, a bunch of nasty events. Mine are REM stage related. Some of these may be for ATAB also. Can't stop REM so all that is left is to increase pressure to see if we can prevent them from occurring whether they are REM related or not.

If there is a history of centrals and/or increasing the minimum to 9 doesn't help, then yes time to have a visit with the doctor post haste. If this were my report, I would increase the minimum pressure to 9 and see how many events sneak through.

[DuaneCox2003]

I'm a newby and have been setup with the S8 Autoset II. Where does one find the ResScan software?

[atab]

Thanks Pugsy and Muse. I appreciate your taking time to comment.

Yes. This data is from AutoSet II. My regular machine is Elite II but I have been given a AutoSet as my initial titration pressure was not effective. My AutoSet pressure is set to 6-12. My main complaint at the time is headaches. As Pugsy pointed out this may be due to lengthy events.

I am having a sleep clinic appointment on Friday. Initial plan was for them to set the Elite II to a pressure determined by this titration on that day. I hope they will let me try again with a pressure range like 9-14 for another couple of weeks. By the way, last night was pretty good, less events and less duration. Hopefully, that will continue. But I still have a headache in the morning.

What is that redline in the middle? The one without a boxed number on top? Is that a long event which overflows the frame?

Atab.

[PST]

What is that redline in the middle? The one without a boxed number on top? Is that a long event which overflows the frame?

Yes, which means it's longer than 50 seconds. It could be an error of some kind by the machine, but if it's what it purports to be, that's a long one.

On the bright side, your control of leakage is fantastic.

[jdm2857]

I'm a newby and have been setup with the S8 Autoset II. Where does one find the ResScan software?

The sale of ResScan 3.7 has been halted in the US by ResMed for legal reasons. You can order it from http://www.cpapaustralia.com. You also need a card reader. You might find that it is cheaper at https://www.cpap.com.

[atab]

I have another question: Why is that, at one time, AutoSet pressure is showing zero? My latest graph has zero for about 20 minutes continuously. I did not take the mask off. Also there are two "beyond scale" ( > 50 ) events on the latest graph. Is there any way to read their duration?

Thanks.

atab

[Pugsy]

I have another question: Why is that, at one time, AutoSet pressure is showing zero? My latest graph has zero for about 20 minutes continuously. I did not take the mask off. Also there are two "beyond scale" ( > 50 ) events on the latest graph. Is there any way to read their duration?

I do not have a ResMed machine. I don't know why it would show zero pressure. It does appear to be at the end of the reporting cycle though. Seems like I read something about odd occurrences with data when number of sleep hours gets close to maxing the graphs out, but I do not remember exactly what it was that I read.

I have read that if you hover your mouse over the large event that is off the chart that it will flash the number of seconds for you to read. It just won't show it on the graph.

[jdm2857]

As usual, Pugsley is correct.

If you place your pointer just a hair to the left of the red bar (not directly on it for some weird Australian reason) a tool tip appears with the length of the apnea.

[alexmihaila]

You might increase the range for events (select Tools:Options:Graphs and on Detailed Graph Ranges change the range for Events upper to 90). you'll have better formated graph that way.

[atab]

Hovering mouse over the vertical line works. I managed to change scales the Alex pointed out. Thank you both. Here is the last night graph on improved scale:

[Pugsy]

Boy that second really nasty grouping looks a lot like a REM cluster grouping. My thoughts are that the 6 cm minimum is not high enough and thus the machine can't rise quickly enough to prevent them. I know you have an appointment tomorrow to discuss this with the powers that be. Please share with us what they say.

PS: I think I read in another post that you are feeling not so hot... I forget your exact words. I would expect that with this data and the length of your events that you would indeed be feeling awful. I would be money that you desat something fierce during that nasty cluster.

I sure hope that they can get you steered in a better direction where you can see some improvement.