oximeter people! I got mine, what do these graphs mean?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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elena88
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oximeter people! I got mine, what do these graphs mean?

Post by elena88 » Thu Sep 09, 2010 5:18 pm

I got a new cms50f from kevin cooper, (coopermedicalsupplies) gosh, what a nice and very helpful guy..
talk about customer service! (over and aboard the usual)
Very pleasant experience, and he was sooooooooooo willing to help.. that is
why I can post these suckers!

Okay, here are three shots of three images. I dont know what any of it means.
I was trying to get an idea of a baseline of what goes on when I sleep on my side and tummy
without my apap.. to see if I really needed it.. I DID not sleep on my back at any time, as I just
cant do it anymore, as I know its a disaster.
So, can anyone tell me about what these graphs mean? thanks!

p.s the unregistered version wording is from the Gadwin print screen website.

Image

Image

Image

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: sleep study: slept 66 min in stage 2 AHI 43.3 had 86 spontaneous arousals I changed pressure from 11 to 4cm now no apap tummy sleeping solved apnea
Last edited by elena88 on Thu Sep 09, 2010 6:14 pm, edited 1 time in total.

slaaplekker
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I had Similar results on XPAP

Post by slaaplekker » Thu Sep 09, 2010 6:00 pm

I had similar results and ended up having to add supplemental O2 to my CPAP hose at 2 liters. You don't mention what your elevation is which can be a factor but in general spending any amount of time under 90% is not healthy and you should take the reports to your Doctor. I'm always amazed that Dr's don't order a follow up overnight oximetery after the patient has adjusted to CPAP to spot check how well the therapy is really going.

The whole point of CPAP therapy is to stop these desaturations/apnea events from occurring. With out follow up they are only guessing that it is working correctly. Good thing you bought your own Oximeter and did your own check. You can try adjusting your CPAP to a higher pressure, mine was an APAP which was in an range of 9-15 and it didn't matter what the pressure was I was still having desat events low enough to warrant the addition of supplemental O2. You should get in to see the Dr with these as soon as possible. If your Dr was like mine they had to order and official overnight Oximetery and get the recommendation from the Sleep Lab to add the O2.

Good Luck
john

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elena88
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Re: oximeter people! I got mine, what do these graphs mean?

Post by elena88 » Thu Sep 09, 2010 6:19 pm

Hi John,
THIS report is WITHOUT MY APAP..
i made the font bigger up there so its more noticable..

I was sleeping on my side and tummy, so I was hoping I could find a way not to have to wear it.

I know on my back, things are not good, but I hoped that I would be in a safe enough range with my oxygren levels, maybe I woulndt need
the apap anymore..

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: sleep study: slept 66 min in stage 2 AHI 43.3 had 86 spontaneous arousals I changed pressure from 11 to 4cm now no apap tummy sleeping solved apnea

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brain_cloud
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Re: oximeter people! I got mine, what do these graphs mean?

Post by brain_cloud » Thu Sep 09, 2010 6:28 pm

Those are the characteristic sawtooth patterns of apneas. Sorry, it looks like your SDB is not merely positional.

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elena88
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Re: oximeter people! I got mine, what do these graphs mean?

Post by elena88 » Thu Sep 09, 2010 6:48 pm

oh come on, its my birthday! give me some good news!

I only got to eighty one percent in stage two sleep in my study, so doc thought it would be worse in REM, but I was ON MY BACK

in the study the whole hour I slept..

this isnt that bad????


My husband said that it didnt matter if my oxygen was looking okay in the graphs, I still had to wear the apap, but isnt that the entire
reason why people wear cpaps?

If I was above ninety the whole time, I wouldnt need an apap correct? or is that apples and oranges..

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: sleep study: slept 66 min in stage 2 AHI 43.3 had 86 spontaneous arousals I changed pressure from 11 to 4cm now no apap tummy sleeping solved apnea

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brain_cloud
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Re: oximeter people! I got mine, what do these graphs mean?

Post by brain_cloud » Thu Sep 09, 2010 8:18 pm

elena88 wrote:oh come on, its my birthday! give me some good news!

I only got to eighty one percent in stage two sleep in my study, so doc thought it would be worse in REM, but I was ON MY BACK

in the study the whole hour I slept..

this isnt that bad????


My husband said that it didnt matter if my oxygen was looking okay in the graphs, I still had to wear the apap, but isnt that the entire
reason why people wear cpaps?

If I was above ninety the whole time, I wouldnt need an apap correct? or is that apples and oranges..
That's not all there is to it. Even if it stayed above 90 all the time, it is still fragmenting your sleep, amongst other things (like releasing nasty cortisol all night long).

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elena88
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Re: oximeter people! I got mine, what do these graphs mean?

Post by elena88 » Thu Sep 09, 2010 8:28 pm

......................

RATS!

but thanks for the input, I really appreciate it..

coritsol, my enemy!

I was so hoping to get away from that issue..

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: sleep study: slept 66 min in stage 2 AHI 43.3 had 86 spontaneous arousals I changed pressure from 11 to 4cm now no apap tummy sleeping solved apnea

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Goofproof
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Re: oximeter people! I got mine, what do these graphs mean?

Post by Goofproof » Thu Sep 09, 2010 9:37 pm

elena88 wrote:oh come on, its my birthday! give me some good news!

I only got to eighty one percent in stage two sleep in my study, so doc thought it would be worse in REM, but I was ON MY BACK

in the study the whole hour I slept..

this isn't that bad????


My husband said that it didnt matter if my oxygen was looking okay in the graphs, I still had to wear the apap, but isn't that the entire
reason why people wear cpaps?

If I was above ninety the whole time, I wouldnt need an apap correct? or is that apples and oranges..
"Birthday Good News", if you embrace your XPAP treatment, you will have many more.... "The Bad News", The longer it takes to Embrace the XPAP Treatment, the less Birthday Good News you will have. Along with the Pulse ox you need your XPAP software to match the results to in real time.

You still had destats, under 88, I also have a couple of short ones with XPAP, the bad part is when it happens it stresses the heart, (notice the rapid rise in heart rate), the body is in panic, because it can't get enough O2, and tries to pump more blood, to get more O2, this strains your heart. If your airway is closed, it can't get the O2 it needs, but your brain keeps telling your heart and lungs to try harder. Jim
Use data to optimize your xPAP treatment!

"The art of medicine consists in amusing the patient while nature cures the disease." Voltaire

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elena88
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Location: california

Re: oximeter people! I got mine, what do these graphs mean?

Post by elena88 » Fri Sep 10, 2010 12:07 am

Goofproof wrote:
elena88 wrote:oh come on, its my birthday! give me some good news!

I only got to eighty one percent in stage two sleep in my study, so doc thought it would be worse in REM, but I was ON MY BACK

in the study the whole hour I slept..

this isn't that bad????


My husband said that it didnt matter if my oxygen was looking okay in the graphs, I still had to wear the apap, but isn't that the entire
reason why people wear cpaps?

If I was above ninety the whole time, I wouldnt need an apap correct? or is that apples and oranges..
"Birthday Good News", if you embrace your XPAP treatment, you will have many more.... "The Bad News", The longer it takes to Embrace the XPAP Treatment, the less Birthday Good News you will have. Along with the Pulse ox you need your XPAP software to match the results to in real time.

You still had destats, under 88, I also have a couple of short ones with XPAP, the bad part is when it happens it stresses the heart, (notice the rapid rise in heart rate), the body is in panic, because it can't get enough O2, and tries to pump more blood, to get more O2, this strains your heart. If your airway is closed, it can't get the O2 it needs, but your brain keeps telling your heart and lungs to try harder. Jim

Thanks Jim..
So, one of these days I will embrace my apap.. right now I want to kill it. You have a few short events while on your apap? Im going to wear the
oximeter tonite, and I will wear my apap tonite too, then I can compare them. I didnt want to wear it last night too, cuz I wanted to have a nice day
on my birthday, which I did!
WEll, here is a graph where I am way over ninety percent (goody for me) It will be interesting to see what happens tonight and how smooth
my lines will be tomorrow..
This is a cool little device, this I think is a ten minute graph, and you can print summarys, individual pages, or the entire report!

This is a good graph above ninety percent right?
Image

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: sleep study: slept 66 min in stage 2 AHI 43.3 had 86 spontaneous arousals I changed pressure from 11 to 4cm now no apap tummy sleeping solved apnea

slaaplekker
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Re: oximeter people! I got mine, what do these graphs mean?

Post by slaaplekker » Fri Sep 10, 2010 1:12 am

elena88 wrote:Hi John,
THIS report is WITHOUT MY APAP..
i made the font bigger up there so its more noticable..

I was sleeping on my side and tummy, so I was hoping I could find a way not to have to wear it.

I know on my back, things are not good, but I hoped that I would be in a safe enough range with my oxygren levels, maybe I woulndt need
the apap anymore..

Sorry I should read closer. But to be honest it never crossed my mind that it was without your APAP but I see you explained your reasoning. An Oximeter all by itself probably doesn't give you enough information to decide on REM/Positional etc which is why they hook up all of those other sensors along with having a camera on you to see if you are on your side or not But I'm all for learning. My first clue that APAP was working even though I can only make it a few hours after 100+ days was that I wasn't getting up to dump the water my kidneys were processing because my BP skyrocketing. Still not getting quality sleep do to RLS and PLMD among other things but my heart rate and O2 are much improved which improves my BP and has me skipping the every 60-90 minute bathroom trips.

Though I can't blame you for hoping to not need the machine.

And hope you had a great birthday even if the news wasn't what you hoped for.

regards
John

ZQuest
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Re: oximeter people! I got mine, what do these graphs mean?

Post by ZQuest » Fri Sep 10, 2010 1:47 am

Hi: Elena


Congrats on your new acquisition i like the 50F,i notice that you are only showing your graphs, have you read your O2 reports? you have to click on the bottom printer Icon to be able to review them i believed that there are 4 different reviews.The 02 report will show the amount of desats that you had at what % and for how long..I'm just wondering if you had a chance to check these reports out...



Phil

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Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: ResScan 3.11 / Mirage Quattro FF Mask / 8cm/11cm /CMS 50F OXIMETER/ Backup Equip/ Remstar Pro2 Cpap

gpk111
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Re: oximeter people! I got mine, what do these graphs mean?

Post by gpk111 » Fri Sep 10, 2010 6:36 am

Elena (and others),
Check out this thread for creating and interpreting CMS50 data

viewtopic.php?f=1&t=50672&st=0&sk=t&sd=a

Gerry

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Additional Comments: ResScan v3.10, Contec CMS50-F wrist oximeter
Gerry in Florida

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elena88
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Re: oximeter people! I got mine, what do these graphs mean?

Post by elena88 » Fri Sep 10, 2010 5:05 pm

Hi there, I want to thank you all for your help, responses are below the graphs...
This is the first time I have seen these oxi graph summarys so Im a real newbie with this..
Please forgive me if I ask some ignorant questions.
Here are my summary graphs. The first is from the night before last WITHOUT APAP..
The one below it is WITH APAP..
My questions:
1. It doesnt look like I had too many bad desats on my side and stomach, could I have mild apnea in those positions and severe on my back?
2. I only had a few graphs before, but NOW looking at the summary, does it still look like I need to wear the apap all the time?
3. is my pulse rate pretty normal on both the graphs? ..what does pulse 173 mean?
4. I have been trying to make apap work for me for six months, but I am whipped after every night with it, and not whipped
when I dont wear it if i sleep on side or stomach.....It does not appear that m oxygren levels drop very low without my apap..
(p.s. I was NEVER tired before cpap)

I have my rescan graphs and stats for the second night too..

SORRY FOR THE SMALL PRINT ON THE GRAPHS..
I retyped it so it would be easier to read.. WITHOUT APAP
.............................................spo2............................................................pulse
total events................................111..............................................................173
time in events min........................61.4............................................................66.8
avg evnt duration seconds..............33.2.............................................................23.2
index one hour...........................11.4..............................................................17.8
% artifact..................................1.0................................................................1.0
adjusted index one hour.................11.5............................................................17.9

%Sp02 data
basal spo2%................................94.4
time mine < 88%............................. 1.1
events < 88%................................4
minimum spo2%..............................79
avg. low spo2% ...............................92.0
avg low spo2< 88%...........................85.8

PULSE DATA
av pulse rate bpm.......................73.0
low bulse rate bpm.......................53



Image

WITH APAP: pressure 7 to 9.6 ahi was 2.8 this night


EVENT DATA...........................................SPO2.........................................PULSE
total events.............................................19..............................................87
time in event min.....................................12.5..........................................36.4
avg event duration seconds...........................39.5.........................................25.1
index one hour.........................................3.0............................................13.7
% artifact...............................................0.2...........................................0.2
adjusted index one hour..............................3.0...........................................13.7

%spo2 data
basal spo2%.............................................96.0
time min< 88%.........................................0.0
events < 88%..........................................0
minimum spo2%.........................................91
average low spo2 %......................................93.3
avg. low spo2<88%..........................................-*****

PULSE DATA
AVGE PULSE RATE BPM........................................69.7
LOW BULSE RATE BPM.........................................47



Image






gpk111 wrote:Elena (and others),
Check out this thread for creating and interpreting CMS50 data

viewtopic.php?f=1&t=50672&st=0&sk=t&sd=a

Gerry
THANKS! I figured out how to post my summarys now!
Congrats on your new acquisition i like the 50F,i notice that you are only showing your graphs, have you read your O2 reports? you have to click on the bottom printer Icon to be able to review them i believed that there are 4 different reviews.The 02 report will show the amount of desats that you had at what % and for how long..I'm just wondering if you had a chance to check these reports out...
Phil
I have them now, thank you! I have the one without the apap, and one with..
Sorry I should read closer. But to be honest it never crossed my mind that it was without your APAP but I see you explained your reasoning. An Oximeter all by itself probably doesn't give you enough information to decide on REM/Positional etc which is why they hook up all of those other sensors along with having a camera on you to see if you are on your side or not But I'm all for learning. My first clue that APAP was working even though I can only make it a few hours after 100+ days was that I wasn't getting up to dump the water my kidneys were processing because my BP skyrocketing. Still not getting quality sleep do to RLS and PLMD among other things but my heart rate and O2 are much improved which improves my BP and has me skipping the every 60-90 minute bathroom trips.

Though I can't blame you for hoping to not need the machine.

And hope you had a great birthday even if the news wasn't what you hoped for.

regards
John
HI John! I should have made that NOT on apap bigger to begin with.. The only thing I have noticed is nocturia is gone and the irregular
heart beats.. but Im beginning to wonder if all that mess was happening cuz I was sleeping on my back?


If there is enough data, click the button at the bottom that says, [M].

Then click the checkbox to include all data. Then it should display a single chart for the entire session.
OKAY, THANKS FOR ALL YOUR HELP!

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: sleep study: slept 66 min in stage 2 AHI 43.3 had 86 spontaneous arousals I changed pressure from 11 to 4cm now no apap tummy sleeping solved apnea

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elena88
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Re: oximeter people! I got mine, what do these graphs mean?

Post by elena88 » Fri Sep 10, 2010 5:19 pm

just in case... here are my rescan graphs and stats from my first night with my nifty oximeter.

I dont think I will be posting any more of these anytime soon, so thanks for your help...

all my eggs are in this thread basket!




Image



Image

_________________
Mask: Swift™ FX Nasal Pillow CPAP Mask with Headgear
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments: sleep study: slept 66 min in stage 2 AHI 43.3 had 86 spontaneous arousals I changed pressure from 11 to 4cm now no apap tummy sleeping solved apnea

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Re: oximeter people! I got mine, what do these graphs mean?

Post by Gadget_OSA » Fri Sep 10, 2010 6:25 pm

You may want to look out for gvz's application for adding your pulse/ox data into your rescan data - viewtopic.php?f=1&t=54794&st=0&sk=t&sd=a