Sorry But I don't understand

tmbarber4 wrote:Okay I have the #''s off the machine for last night I think they look much better. As per Den I moved the pressure up to 11. And w/chin strap
Pressure 11
Leak .08 L/S
AHI 3.6
AI .04
HI 3.2
Now could you also tell me what these #'s should be if he is doing very well. I want to write down what I should be getting so I have something to compare it to
Thankyou

OH, YES! MUCH, MUCH BETTER!

Den

leak is much better appearing,

however did you change the mask setting? and if so what is it now?

each time with the resmed machine when you post leaks and pressure etc., you need to also indicate what mask setting you used (it will be a slight difference in the numbers)

jules wrote:leak is much better appearing,

however did you change the mask setting? and if so what is it now?

each time with the resmed machine when you post leaks and pressure etc., you need to also indicate what mask setting you used (it will be a slight difference in the numbers)

No as per


' by Slinky on 04 Feb 2009 21:33

I'm not all that familiar w/the S7s. I've had the S8 Elite and AutoSet Vantage. However, LEAVE your Mask Selection at Standard. That is the proper setting for ANY non-Resmed mask. The Standard setting automatically deducts 24 L/M when reporting the Leak rate.

The intentional Leak rate for the OptiLife at 10 cms of pressure looks to be 27-28 L/M (I really do dislike these mask literature leak rate table charts, they just are NOT clear or easy to read). "

I left the mask setting at standard. Is that where it needs to be? What numbers am I looking to get to? What is good and what is best?

There is a difference when you use "standard" from the 2 sources of our information. Slinky indicates one thing but that post from Bob than Den linked to mentions another. In order to comment much more on how good or poor leaks are, I need to know which one is correct. If a mask other than standard is put in, there isn't this problem of conflicting information I believe.

I think the AI part of the AHI went up and the HI part went down in what you posted. You want them both to go down in time. However you had him make two changes last night - add the chin strap I assume and up the pressure. Let's not make more changes for a week in the actual therapy unless something bad is going on.

I would prefer to have a mask setting without conflicting information. Let's see what Den has to say too.

jules wrote:There is a difference when you use "standard" from the 2 sources of our information. Slinky indicates one thing but that post from Bob than Den linked to mentions another. In order to comment much more on how good or poor leaks are, I need to know which one is correct. If a mask other than standard is put in, there isn't this problem of conflicting information I believe.

I think the AI part of the AHI went up and the HI part went down in what you posted. You want them both to go down in time. However you had him make two changes last night - add the chin strap I assume and up the pressure. Let's not make more changes for a week in the actual therapy unless something bad is going on.

I would prefer to have a mask setting without conflicting information. Let's see what Den has to say too.

I dunno. Seems to me that even if the pressure/leak is only off by a teeny bit from the mask selection, those numbers are probably pretty darned good. If nothing else, it gives a "benchmark" to go by from here forward.

Den

jules wrote:There is a difference when you use "standard" from the 2 sources of our information. Slinky indicates one thing but that post from Bob than Den linked to mentions another. In order to comment much more on how good or poor leaks are, I need to know which one is correct. If a mask other than standard is put in, there isn't this problem of conflicting information I believe.

I think the AI part of the AHI went up and the HI part went down in what you posted. You want them both to go down in time. However you had him make two changes last night - add the chin strap I assume and up the pressure.

Let's not make more changes for a week in the actual therapy unless something bad is going on

.

I would prefer to have a mask setting without conflicting information. Let's see what Den has to say too.

One more question, on the machine there is a place to "erase data" should I do this so the old info doesn't mix with the new settings?

Regarding erasure, I don't know. I don't know if you can reset the averages. I am sure someone knows but I own Remstars not Resmeds.

What I understand is if you get into the machine before noon, you get the previous nights numbers. You will want to keep a log of this so get out that sheet of paper and put some column markings on it.

Okay new #'s for last night
Pressure 11
Mask set at standard
Hours 5.49
Leak .04
AHI 6.1
AI .5
HI 5.6
I think were going backwards??? Is this common to have these numbers to change so much?

tmbarber4 wrote:Okay new #'s for last night
Pressure 11
Mask set at standard
Hours 5.49
Leak .04
AHI 6.1
AI .5
HI 5.6
I think were going backwards??? Is this common to have these numbers to change so much?

Yes.

Still looking good.
ResMed machines tend to score higher hypopnea numbers (HI) because they count Flow Limitations in that number.
Flow Limitations are partial hypopneas.

Den

Yes, it's common to have the numbers change.
O.

this is good leak rate - give him an extra hug from us

jules wrote:this is good leak rate - give him an extra hug from us

He is using the chin strap and it must be working, I know you don't like his mask but for him he seems to like it. Its only the 7th day using it. Will the AHI's come down in time or should we just be happy with what we have.

I didn't like that mask for me. It might be the best for him.

The pressure is a notch higher than his titrated pressure. The A part of the AHI isn't bad. Again, you have to give everything more time and be patient. It might be a long experimentation to find out what pressure he needs and someone might in time ask you to put the machine in APAP mode and see what you can come up with. For now let things be and give this a week total before any changes (no mask changes, keep pressure same, keep chin strap on).

jules wrote:I didn't like that mask for me. It might be the best for him.

The pressure is a notch higher than his titrated pressure. The A part of the AHI isn't bad. Again, you have to give everything more time and be patient. It might be a long experimentation to find out what pressure he needs and someone might in time ask you to put the machine in APAP mode and see what you can come up with. For now let things be and give this a week total before any changes (no mask changes, keep pressure same, keep chin strap on).

I was going to wait a few days to a week to post But the #'s last night were so good I just had to share. I am so excited
Hours 5.55
Pressure 11
leak 0.00
AHI 3.3
AI 0.0
HI 3.3
Mask set at standard

It's good to see you're making progress.

Hopefully, you're also "feeling" the results of the better numbers.

Den