What are ideal oximeter numbers?

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arthuref
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What are ideal oximeter numbers?

Post by arthuref » Tue May 28, 2019 2:01 pm

What would you consider the ideal pulse rate and sp02 numbers, in relation to OSA?

I'm using Oscar software with CMS50 oximeter. I know that there are limits to the accuracy and value of using this, but interested in getting a frame of reference of numbers to aim for.

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Jas_williams
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Re: What are ideal oximeter numbers?

Post by Jas_williams » Tue May 28, 2019 2:49 pm

I would look at o2 saturation and not dropping below 90%

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arthuref
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Re: What are ideal oximeter numbers?

Post by arthuref » Tue May 28, 2019 3:00 pm

Thanks for the response Jas. Trying to fine-tune a bit beyond that.

I'm attaching a recent screenshot. Wondering what ideal numbers would be.
Screen Shot 2019-05-28 at 1.55.11 PM.png
Screen Shot 2019-05-28 at 1.55.11 PM.png (477.21 KiB) Viewed 873 times

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palerider
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Re: What are ideal oximeter numbers?

Post by palerider » Tue May 28, 2019 3:25 pm

arthuref wrote:
Tue May 28, 2019 2:01 pm
What would you consider the ideal pulse rate and sp02 numbers, in relation to OSA?
There are no 'ideal' numbers.

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arthuref
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Re: What are ideal oximeter numbers?

Post by arthuref » Tue May 28, 2019 3:32 pm

palerider wrote:
Tue May 28, 2019 3:25 pm
arthuref wrote:
Tue May 28, 2019 2:01 pm
What would you consider the ideal pulse rate and sp02 numbers, in relation to OSA?
There are no 'ideal' numbers.
Ok, so how do people here use oximeters?

ETA: I know with Cpap, the goal is to get AHI below 5, ideal would be 0.

HoseCrusher
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Re: What are ideal oximeter numbers?

Post by HoseCrusher » Tue May 28, 2019 4:26 pm

You are basically looking at patterns and trends.

If your heart rate is always higher than 100, check in with your doctor.

The low end of heart rate is dependent upon your degree of physical fitness. Most will see a range around 60 - 80. If you are fit that can drop to as low as 30 and still be OK.

If your O2 levels are constantly below 90, check in with your doctor.

In general, as your sleep progresses your pulse rate will drop a little. If your O2 level drops low, your heart rate will increase to pump more blood through in an effort to increase the amount of O2 in your body and at the same time stimulate a waking response in an effort to get you moving so your O2 levels can come back up.

Once again in general, variability in both O2 levels and heart rate are normal. In contrast a person that is just about to die tends to loose variability.

Other areas of interest are heart rate variability and the amount of time needed for your pulse to recover from something like rolling over.

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Pugsy
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Re: What are ideal oximeter numbers?

Post by Pugsy » Tue May 28, 2019 4:48 pm

There are no certain set of numbers that are ideal for everyone.

What you look for is changes from a baseline while awake number to whatever happens when asleep number.

Someone with a baseline while awake pulse ox of 98% who has 90% when asleep...that's a significant drop and needs to be evaluated.
But someone with a baseline while awake pulse ox of 94%...that same drop to 90% isn't that big of a deal.

In other words my "normal" might not be the same as your "normal". You look for big changes in your normal....not my normal.
Same with pulse rate.

And it is normal for there to be a rather wide range variance in both.
Pulse obviously can change a lot just from maybe a bad dream.
Oxygen saturation...it's normal to see a 3 to 4 % drop just from being asleep. We just don't breathe as deeply and as often when we are asleep so the oxygen levels will drop a little and it's not abnormal.

If any numbers worry you though....talk to your doctor about them. He is the best one to know what is "normal" for you and what variance would cause him to worry.

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palerider
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Re: What are ideal oximeter numbers?

Post by palerider » Tue May 28, 2019 4:49 pm

arthuref wrote:
Tue May 28, 2019 3:32 pm
palerider wrote:
Tue May 28, 2019 3:25 pm
arthuref wrote:
Tue May 28, 2019 2:01 pm
What would you consider the ideal pulse rate and sp02 numbers, in relation to OSA?
There are no 'ideal' numbers.
Ok, so how do people here use oximeters?
They put them on their fingers and make sure that their SpO2 stays above 90% (88 for some) at night.
arthuref wrote:
Tue May 28, 2019 3:32 pm
ETA: I know with Cpap, the goal is to get AHI below 5, ideal would be 0.
Actually, the goal is to get below 2.. there is no "ideal", and chasing zero is an exercise in futility due to the diminishing returns that it offers.

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arthuref
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Re: What are ideal oximeter numbers?

Post by arthuref » Tue May 28, 2019 5:17 pm

Thanks for all of the responses.

palerider wrote:
Tue May 28, 2019 4:49 pm
Actually, the goal is to get below 2.. there is no "ideal", and chasing zero is an exercise in futility due to the diminishing returns that it offers.
IMHO, 0 AHI is ideal. But we don't live in an ideal world, and perfect is the enemy of good. So if I'm getting AHI 2 or 3 every night, I'm not going to set my CPAP so high that I get bad side effects in an effort to hit 0.

0 would be an ideal AHI, something to aim for, but not necessarily to hit every night. That's what I mean by ideal.

"They put them on their fingers and make sure that their SpO2 stays above 90% (88 for some) at night."

So higher than 90% isn't better/healthier?

arthuref
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Re: What are ideal oximeter numbers?

Post by arthuref » Tue May 28, 2019 5:24 pm

Thanks Hosecrusher and Pugsy; those responses were helpful.