ADVICE NEEDED ON GRAPHS: UARS, or artifacts? [Sleepyhead]

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
mellabella
Posts: 326
Joined: Wed Dec 26, 2007 10:57 am

ADVICE NEEDED ON GRAPHS: UARS, or artifacts? [Sleepyhead]

Post by mellabella » Mon Feb 03, 2014 2:55 pm

Hi. As someone with UARS (low AHI even during diagnostic sleep study, but 40+ RERAs/hr) I've decided to take a closer look at waveform graphs, in terms of sleuthing out what kind of interventions may or may not be working. I have long periods of time that are very obviously upper airway resistance at work, per several pulmonology resources I've looked at, but I'm wondering whether other shapes I'm getting are signs of resistance, or just reflect noise from the PR1/Sleepyhead algorithms, biflex, bipaps in general, etc.

Disclaimer: I already know that even healthy breathers show resistance patterns on and off through the night, and breathing necessarily goes from regular to...rough...throughout the night as part of normal sleep stage cycling.

The graphs below are from different nights, and are not always scaled to the exact epoch length.

Rare for me is the "asleep but regular and smooth" shape, which is pretty textbook:

Image

Here are the "toothy" oddities I'm wondering about--machine/flex settings/normal variation/sleepyhead artifacts, or flow resistance? I get this the majority of the evening when breathing is regular--I didn't just hunt and peck for the below examples:

Image

And here's what definite flow limitations look like on the PR1 for me (the "molars"):
Image

And here's a guide to waveform shapes published in a study evaluating what UARS might look like on inspiration. Class 1 and 4 are considered normal:
Image

Image

From this article: http://journal.publications.chestnet.or ... id=1079416


Disclaimer: yes, these shapes are based on lab equipment, not consumer-grade BiPap therapy machines, and only my doctor knows for sure. But I'm very new at looking at this kind of data (or even a data capable machine), and I'd love to compare notes with those who know more, even if this is just the equivalent of reading tea leaves.

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Mask: Mirage™ FX Nasal CPAP Mask with Headgear
Additional Comments: UARS; pressure 15/19

mellabella
Posts: 326
Joined: Wed Dec 26, 2007 10:57 am

Re: ADVICE NEEDED ON GRAPHS: UARS, or artifacts? [Sleepyhead]

Post by mellabella » Tue Feb 04, 2014 5:39 pm

*bump*

really hoping for any feedback at all from others who look at their own waveform graphs. Thanks so much in advance!

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Mask: Mirage™ FX Nasal CPAP Mask with Headgear
Additional Comments: UARS; pressure 15/19

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Sir NoddinOff
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Location: California

Re: ADVICE NEEDED ON GRAPHS: UARS, or artifacts? [Sleepyhead]

Post by Sir NoddinOff » Tue Feb 04, 2014 6:51 pm

I had many of the same concerns and this cleared things up:

viewtopic.php?f=1&t=95503&p=883638#p883531

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Mask: AirFit™ F10 Full Face Mask with Headgear
Additional Comments: Sleepyhead software v.0.9.8.1 Open GL and Encore Pro v2.2.
I like my ResMed AirFit F10 FFM - reasonably low leaks for my ASV therapy. I'm currently using a PR S1 AutoSV 960P Advanced. I also keep a ResMed S9 Adapt as backup. I use a heated Hibernite hose. Still rockin' with Win 7 by using GWX to stop Win 10.

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Setj
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Location: Rochester, NY

Re: ADVICE NEEDED ON GRAPHS: UARS, or artifacts? [Sleepyhead]

Post by Setj » Wed Feb 05, 2014 10:37 am

Mellabella,

Thanks for the information and questions you posted. I have used some of your info in this thread which may be of interest to you - viewtopic.php?f=1&t=95503&p=884406#p884406

Best of luck,
Seth

(I made a typo when I registered the user name. :oops: )

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Sludge
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Re: ADVICE NEEDED ON GRAPHS: UARS, or artifacts? [Sleepyhead]

Post by Sludge » Thu Feb 06, 2014 4:48 am

mellabella wrote:Disclaimer: yes, these shapes are based on lab equipment, not consumer-grade BiPap therapy machines...
Not exactly:
...connected to a pressure transducer inside a CPAP device (Sullivan Autoset; Resmed; Sydney, Australia)...
You Kids Have Fun!!

mellabella
Posts: 326
Joined: Wed Dec 26, 2007 10:57 am

Re: ADVICE NEEDED ON GRAPHS: UARS, or artifacts? [Sleepyhead]

Post by mellabella » Thu Feb 06, 2014 10:00 am

Sludge wrote:
mellabella wrote:Disclaimer: yes, these shapes are based on lab equipment, not consumer-grade BiPap therapy machines...
Not exactly:
...connected to a pressure transducer inside a CPAP device (Sullivan Autoset; Resmed; Sydney, Australia)...
Thank you--good catch. So it's not too off base to be comparing my shapes (as recorded by Sleepyhead and Encore from my PR1 60) to these.

_________________
Mask: Mirage™ FX Nasal CPAP Mask with Headgear
Additional Comments: UARS; pressure 15/19