Zero apneas?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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Pugsy
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Re: Zero apneas?

Post by Pugsy » Wed Oct 14, 2009 5:14 pm

Lou Cypher wrote:So this Oximeter can be read by my S8 II and then downloaded to the card and read by my software???
No. The Oximeters have to use their own software to generate reports.

You cannot interface the O2 data with your ResMed software or any other software for that matter.

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ozij
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Re: Zero apneas?

Post by ozij » Wed Oct 14, 2009 10:00 pm

ResMed has an additional, very expensive ,hardware module that you can add to your S8 machine. When you do, it will have more breathing data, and integrate its own oximeter data into ResScan as well.

If you don't buy the additional hardware module, then it is as Pugsy says.

O.

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Pugsy
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Re: Zero apneas?

Post by Pugsy » Wed Oct 14, 2009 10:51 pm

ozij wrote:ResMed has an additional, very expensive ,hardware module that you can add to your S8 machine. When you do, it will have more breathing data, and integrate its own oximeter data into ResScan as well.

If you don't buy the additional hardware module, then it is as Pugsy says
Ozij, is the other thing needed that to be use is ResLink module thing that I have seen in passing being mentioned every now and then? Plus did I understand correctly that ResMed has to use their own oximeter also....
This experient is quite price isn't it???

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TXLadybug
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Re: Zero apneas?

Post by TXLadybug » Wed Oct 14, 2009 11:21 pm

I have had 0 apneas and 3.8 and 3.4 HI respectively for the past 2 nights. I have frequently had AI's of 0.1 to 0.3 ever since I got the right combination of machine settings, masks, humidity, and meds.

Note: The past two nights I have been trying out a new mask... that's why I can't believe the numbers are so great. I am using the Sleep Weaver Advanced mask- the entirely cloth mask. Unbelievable. The leak rate is a little higher than I am used to, but within the proper range for my pressure settings, I think it's mostly that the air circulates differently and it feels like it may be leaking when it really is not.

I'm going to keep using it and see if I continue to get these kind of great results and see if I get less sensitive about the air flow. By the way, this is data from a ResMed machine, which supposedly scores more sensitively, so that really impresses me.

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Re: Zero apneas?

Post by ozij » Thu Oct 15, 2009 6:20 am

Yes, its the Reslink
Features & Benefits

Effectiveness data includes oximetry, pressure response, leak, apneas/hypopneas, minute ventilation, flow limitation, snore, SpO2, and pulse rate.
Oximetry data provides an objective measurement that positive airway pressure treatment is resolving O2 desaturation. Oximetry may carry reimbursement benefits.

And its updated user guide
RESLINK AND S8™ RESLINK
The RESLINK device is available in two different mechanical forms (RESLINK and S8
RESLINK) to fit different families of flow generators.
The RESLINK and the S8 RESLINK function in the same way, but they attach to and
detach from the flow generator in different ways. When the word ‘RESLINK’ is used in
a general sense, it applies to both RESLINK and S8 RESLINK. See “Compatible flow
generators” on page 18 to see which device is used with each flow generator.
Note: The S8 ResLink may not be available in all regions.
The Reslink contain an oximeter and has an oximeter port.
WARNING
• Only the NONIN Model 3012 Pulse Oximeter and Models 8000J or 8000AA
Sensors are compatible with the ResLink. Connecting other oximeters may
cause personal injury or damage to the flow generator or the ResLink.
• Check the oximeter cables and the oximeter sensor before use. If there is any
sign of damage or wear contact your equipment supplier.
O.

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Autopapdude
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Re: Zero apneas?

Post by Autopapdude » Thu Oct 15, 2009 8:37 am

How about some common sense here? If your pressure settings are pretty accurate and you are sleeping well, what difference does it make if your AHI index is zero, close to zero, or still low (around 1-3)? I would bet that most of the machines standard error of measurement isn't as accurate as most people think. While the software is very good, it isn't infallible---we are talking about home computers, people. If your treatment plan is working, why get all bent out of shape of you get a night or two with a few apneas? The idea of Cpap therapy as I understand it is to improve a medical condition, and to be proactive on avoiding more serious issues. It isn't about individual one- time, or fluctuating scores. Probably the most important number of all is compliance. Are you using your xpap as prescribed, and do you feel better? If so, who cares if your AHI index averages 0.8 or 2.1. I'd seriously doubt that there would be a clinical significance, and I think people are getting "score envy" and obsession over one number in a long term therapy plan.

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millich
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Re: Zero apneas?

Post by millich » Thu Oct 15, 2009 9:03 am

Autopapdude wrote: If so, who cares if your AHI index averages 0.8 or 2.1.
I do.

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Autopapdude
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Re: Zero apneas?

Post by Autopapdude » Thu Oct 15, 2009 9:07 am

Autopapdude wrote:
If so, who cares if your AHI index averages 0.8 or 2.1.


I do.
You're missing the point. It is the quality of therapy, not one single number that probably isn't all that accurate anyway. OH well.

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briank
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Re: Zero apneas?

Post by briank » Thu Oct 15, 2009 12:20 pm

Autopapdude wrote:How about some common sense here? If your pressure settings are pretty accurate and you are sleeping well, what difference does it make if your AHI index is zero, close to zero, or still low (around 1-3)? I would bet that most of the machines standard error of measurement isn't as accurate as most people think. While the software is very good, it isn't infallible---we are talking about home computers, people. If your treatment plan is working, why get all bent out of shape of you get a night or two with a few apneas? The idea of Cpap therapy as I understand it is to improve a medical condition, and to be proactive on avoiding more serious issues. It isn't about individual one- time, or fluctuating scores. Probably the most important number of all is compliance. Are you using your xpap as prescribed, and do you feel better? If so, who cares if your AHI index averages 0.8 or 2.1. I'd seriously doubt that there would be a clinical significance, and I think people are getting "score envy" and obsession over one number in a long term therapy plan.
If we're closer to 11 weeks, or even 11 months, of xPAP use rather than 11 years, obsessing over our AHI makes many of us "feel better".

I'm still close enough to my titration that I'm curious to see if minor tweaking in my real-life sleeping environment can make any improvement over the results from the sleep lab. I'm not necessarily trying to achieve and maintain 0, or any other number, for that matter, I'm just experimenting to see what works best, and some of the results happen to be "0".

And I'm not motivated by anybody else's scores, I'm just looking for a personal best.

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Re: Zero apneas?

Post by qjosea » Thu Oct 15, 2009 1:02 pm

What would you consider reasonable AHI? I currently have a AHI 28.5 I halved my leak 22.5 to 11.5 just by adjusting my straps. Now my AHI's is another matter. I started on cpap on 10/2007, then 08/2009 was put on bipap auto by my doctor. I have a DS700HS w/swift lt mask.

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Re: Zero apneas?

Post by Hawthorne » Thu Oct 15, 2009 1:57 pm

I have had 0 apneas and 0 AHI, from time to time but I don't expect it. I almost always have an AHI under 2. I do have sleep apnea after all. I am trying to have the best therapy I can get. I just want to be awake and alert in the daytime and to ward of the medical problems of untreated sleep apnea.

I also have Rheumatoid arthritis and take meds to control the pain. I still have Rheumatoid arthritis though and don't expect to be totally pain free. I just want the pain and the joint damage controlled well enough so that I can do what I need and want to do fairly well.

There is no cure for either condition yet. I just want the best treatment for both.

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Re: Zero apneas?

Post by Autopapdude » Thu Oct 15, 2009 2:22 pm

I have had 0 apneas and 0 AHI, from time to time but I don't expect it. I almost always have an AHI under 2. I do have sleep apnea after all. I am trying to have the best therapy I can get. I just want to be awake and alert in the daytime and to ward of the medical problems of untreated sleep apnea.

I also have Rheumatoid arthritis and take meds to control the pain. I still have Rheumatoid arthritis though and don't expect to be totally pain free. I just want the pain and the joint damage controlled well enough so that I can do what I need and want to do fairly well.

There is no cure for either condition yet. I just want the best treatment for both.
FABULOUS! I think this post sums up all that is relevant about the treatment of OSA. You summed it up in three short paragraphs. It isn't about numbers, equipment, or horror stories. It is about treatment and a positive attitude towards therapy. THis got a tremendous smile on my face, as I feel it sums up all that is relevant about our condition.