Third Night S8 Autoset II

[Liddelbrook]

My third night on the hose. (Woke up early at 4 )

I raised the minimum pressure to 11 and max of course still is 20.

My pulse oximeter report has a first time nothing below 88%:

http://www.tsjeep.net/oxi/oxi-rep-okt-8.png

But its not a straight line yet

The Resmed Report still shows a lot of Apnea's but the AHI is 13.7 AI is 7.4 and HI 6.3

While there is still a forest of red trees on the graph... ?!?

http://www.tsjeep.net/oximed/oxi-resmed ... t-2009.png

Now, what to do? Raise pressure again, to 12, or would there be benefit of keeping it at 11?

[harry33]

I suggest you be patient and dont expect too much too soon
theres a slight risk for some new users to pay too much attention to the data and to become self obsessed
you are doing better than many new users with tollerance of your machine

[cflame1]

Fix your leaks first. Give this a day or two at this pressure.

[Liddelbrook]

This means keep it at this pressure ?

There are high leaks because I wear the mask over a chinstrap. I wore the mask without, and leaks were minimal. See: http://www.tsjeep.net/oximed/oxi-resmed ... t-2009.png

I guess little leaks as possible is the best, but do you think the leaks of last night are unacceptable? They are somewhat below the red line....

[cflame1]

because it is possible for a Resmed to get zeroes for leaks... your leaks are too high.

[artpenjr]

Can I please ask you what brand of recording pulse Oximeter you are using? Also, are you connecting it directly to the ResMed S8 Autoset II and reading it along with the ResScan software?

I have seen the Oximeter tab in my software, but cannot figure out what gear I need to get this up and running. I would love to have the O2 data along with my other info.

Thanks,

Art

[Liddelbrook]

because it is possible for a Resmed to get zeroes for leaks... your leaks are too high.

Even if you wear a chinstrap??

And I has simple mind. If leaks are below red line, can do chinstrap. If many over redline, chinstrap must go, machine cannot put up with leakage.

Am I too simple?

The above is with Quattro Full Face

Today got my Respironics Total Face Mask. Is also not able to keep mouth shut in total relaxation. Seems to work with chinstrap as well.

Next to try will be the 432 Flexifit. Maybe this doesn't need a chinstrap to shutup.

[Liddelbrook]

Can I please ask you what brand of recording pulse Oximeter you are using?
Art

This one:

http://cgi.ebay.com/ws/eBayISAPI.dll?Vi ... 0383290034

And I just do some photoshopping so the scale fits to the Resmed output. No ingenious cable connects, just a cut paste and resize....

[ozij]

because it is possible for a Resmed to get zeroes for leaks... your leaks are too high.

Even if you wear a chinstrap??

You're using a full face mask -- why do you put a chinstrap beneath it?
The aim of a full face mask it to make sure the machine's pressure is delivered to you airway and not blown into the room through your mouth. A chinstrap is only necessary for people who do not have their mouths covered by a mask -- that is, those who use nasal masks or pillows masks.

And I has simple mind. If leaks are below red line, can do chinstrap. If many over redline, chinstrap must go, machine cannot put up with leakage.

Am I too simple?

Yes. You cross the red line part of the time -- and some people's breathing is more sensitive even to milder leaks.

Today got my Respironics Total Face Mask. Is also not able to keep mouth shut in total relaxation.

A full face mask is there to let you sleep with your mouth as open and relaxed as you want/need. You do not have to attemtp to shut your mouth if you have a full face mask.

I'm usually for more conservative, gradual changes in pressure.
However, your data clearly shows two things: your have apneas and hypopneas coming together at pressures above 10, but otherwise, your machine will go as low as you let it. It rarely seems to be driven up before that. In order to preempt the apnea clusters above a pressure of 10 the Autoset need one of the following indicators to drive it up: snores, or flow limitations. If you're using the chinstrap to keep from snoring, you're hobbling the Autoset's ability to raise pressure in a timely way.

The bottom line: drop the chinstrap, control your leaks, let your full face mask do its job, and see what happens for a night or two. Look at the time spent in apnea - if that doesn't improve with start pushing your minimum pressure higher. I think your minimum it too low.

Can I please ask you what brand of recording pulse Oximeter you are using? Also, are you connecting it directly to the ResMed S8 Autoset II and reading it along with the ResScan software?

I have seen the Oximeter tab in my software, but cannot figure out what gear I need to get this up and running. I would love to have the O2 data along with my other info.

Thanks,

Art

In order to see snores, flow limitation, and integrated oxygen data, ResScan need a hardware module called ResLink -- extremely expensive.

O.

[Liddelbrook]

Ok. no chinstrap tonight.

Thanks.