95%

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
SheriT
Posts: 17
Joined: Wed Jun 20, 2012 7:45 am
Location: Georgia

95%

Post by SheriT » Wed Aug 01, 2012 6:18 pm

My APAP is set at 7 to 15.
SleepyHead shows my 95% averages 9.52
Does this mean my pressure should be set higher?

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sol
Posts: 457
Joined: Mon Dec 20, 2010 3:52 am

Re: 95%

Post by sol » Wed Aug 01, 2012 6:29 pm

SheriT wrote:My APAP is set at 7 to 15.
SleepyHead shows my 95% averages 9.52
Does this mean my pressure should be set higher?
I don,t know about SH but more likely lower not higher as the 95p is the pressure the machine been at and below for 95% of the time and 5% of the time higher. You can check whats the max pressure the machine used for the 5% of the time.

SheriT
Posts: 17
Joined: Wed Jun 20, 2012 7:45 am
Location: Georgia

Re: 95%

Post by SheriT » Wed Aug 01, 2012 6:38 pm

sol wrote:
SheriT wrote:My APAP is set at 7 to 15.
SleepyHead shows my 95% averages 9.52
Does this mean my pressure should be set higher?
I don,t know about SH but more likely lower not higher as the 95p is the pressure the machine been at and below for 95% of the time and 5% of the time higher. You can check whats the max pressure the machine used for the 5% of the time.
I'm very new to this so I'm sorry if this is a dumb question but were do you find 5%? Is pressure not what indicates how much pressure the APAP is using to force air into your lungs?

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sol
Posts: 457
Joined: Mon Dec 20, 2010 3:52 am

Re: 95%

Post by sol » Wed Aug 01, 2012 7:05 pm

I,m familiar with SH but on ResScan stats it include the median, 95P and maximum pressure the machine used during the night
The more we get relaxed and go in deeper sleep the more pressure needed to maintain the airways open and it can vary during the night.

SheriT
Posts: 17
Joined: Wed Jun 20, 2012 7:45 am
Location: Georgia

Re: 95%

Post by SheriT » Wed Aug 01, 2012 7:17 pm

I still don't understand it seems clear to me that the machine is pumping more air than the 7 I'm currently set at and I'm trying to figure out if I need to change my settings.

Thanks anyhow.

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Mask: Opus 360 Nasal Pillow CPAP Mask with Headgear
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Pugsy
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Location: Missouri, USA

Re: 95%

Post by Pugsy » Wed Aug 01, 2012 8:08 pm

95% pressure numbers just means that for 95% of the time you were AT OR BELOW that number. That's all it means right now. Especially for someone new to all this.
So for 5 % of the time you were above that number. We don't know how far above unless we see the rest of the report. If you want to get super technical you can figure up exactly how many minutes you used the machine total...then multiply that number by 95% and that is about how long you were at OR below that pressure. People tend to forget the OR BELOW part of things. It's kinda important though. With APAP pressure ranges of 7 to 15 and a 95% pressure number of 9.52 it actually points to what we would hope to see which would be pressures hovering not too far from the minimum pressure. If you ever went to your max of 15 you can see that on the report but if you did...you weren't there very long at all.

It does NOT mean that your pressures need to be set higher. It is just a number right now. Doesn't really mean a whole lot all by itself. With time and many nights under your belt then it might (stress might) be an indication of a pressure if you were wanting to go straight cpap mode. Right now all it means is that for 95% of the night your pressures didn't exceed 3 cm from your minimum and when using APAP that is an indication that the minimum pressure is pretty darn close and points to the machine being able to respond quickly enough to get the job done and that is the main goal of APAPs.

More important numbers to look at and try to educate yourself on and learn how they relate to each other would be your AHI, the event category breakdown of that AHI and your leak numbers and leak line. Learn how your machine calculates leak rate. Learn that 24 L/min is large leak territory for your machine. Don't want to go there if you can help it. Short spikes past 24 L/min aren't the end of the world though.

Now if you had reported your 95% pressure was 14 cm...we would be having a different discussion but even then we need to know the leak numbers and the AHI.

I have sort of a tutorial for some of the SleepyHead stuff in my signature line. Some of your questions might be answered if you read it.

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SheriT
Posts: 17
Joined: Wed Jun 20, 2012 7:45 am
Location: Georgia

Re: 95%

Post by SheriT » Thu Aug 02, 2012 8:26 am

Pugsy wrote:Learn how your machine calculates leak rate. Learn that 24 L/min is large leak territory for your machine. Don't want to go there if you can help it. Short spikes past 24 L/min aren't the end of the world though.
Thank you, Thank you, Thank you Pugsy!

I will start focussing more on my leaks. One thing I realized using this program is that my leak information so far is not very helpful because I have been turning on my machine before I put my mask on and leaving it run when I use the bathroom. So the machine is on a lot when the mask is not. Last night I put the mask on before starting it and turned it off when I got up.

My only concern about this is the ramp time. It dosn't take me 20 minutes to go back to sleep after a bathroom break. So won't that be a problem now?

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Mask: Opus 360 Nasal Pillow CPAP Mask with Headgear
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nanwilson
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Location: Southern Alberta

Re: 95%

Post by nanwilson » Thu Aug 02, 2012 8:35 am

Sheri
You can turn the ramp off if you like or you can set it for a different amount of time. I don't use ramp at all as I could not breath at such low pressures.
Started cpap in 2010.. still at it with great results.

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Pugsy
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Location: Missouri, USA

Re: 95%

Post by Pugsy » Thu Aug 02, 2012 8:49 am

20 minutes of ramp after bathroom break isn't really going to impact things all that much for the overall night.
If you feel you still need that much ramp time at the beginning of the night then don't worry about it. It is more important to get to sleep as quickly and easily as possible at the start of the night.
Later on when you are more used to things you can try shortening the ramp time or even turning it off.
We have to get the sleep first and foremost. If you have maybe a few minutes at sub optimal ramp pressures it isn't the end of the world. There is still some therapy value even at ramp's lower pressures.

Someone said something the other day that really stuck in my mind and I forget who it was but it was from a newbie.
"It isn't about perfection....it's about progression."

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