Encore Pro 2 data

Here are my numbers from night 1 with my new machine. How do they look?

CA: 2.6
OA: 5.5
H: 2.8
FL: 0.0
VS: 102.3
RE: 1.5
AHI: 10.9

Hmmm. Not so good. AHI is twice what we would like to see as a maximum. Average leak? Pressure settings?

Could you please post the report that shows the daily detailed graphs? Not the summaries.

Don't know how to post a report?
This is how I do it.
Open the image to full size so it is easily read.
I use Vista snipping tool to create a screen shot and crop the image at the same time.
Prt/scr key will also take a screen shot if using XP. If laptop is used sometimes the Fn key has to be pushed at the same time as the prt/scr key
I think windows 7 Home Premium has the snipping tool, Basic may not.
Once the screen shot is created save it in jpg format.
Upload the image to a host site. I use Photobucket it is free, there are others.
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Use the preview button. If you can't see the image try again because if you can't see it we can't.

Some questions... Pressure of 9, I assume this was the prescribed pressure?
Do you have copies of your sleep studies? If not, I would suggest you request them. Both initial and titration if you had 2 nights.
If you have the sleep studies copies does either one mention centrals or instances where events may occur in greater numbers like on your back or in REM sleep?

How long have you been on the machine? Just recent isn't it? DME supplied machine? Insurance compliance requirements involved?

Your leak is great. No issues there. I am concerned about the OA and Hyponeas. Those are more than we would like to see. Acceptable AHI is less than 5. The elevated OA, H and VS leads me to think that your pressure is not quite sufficient. Sometimes people have more events in REM stage sleep and often when sleeping on their back.

There is one large grouping of OAs when you turned the machine back on after turning it off shortly after the 3 hour mark. Seems to have happened during ramp. You also had a few during ramp time when you first went to bed. Did you go right to sleep or were you awake during most of the ramps times? If so would it be possible to decrease ramp time or not use it at all? Or start with higher ramp pressure?

Was the wake up a bathroom break?

This is one night? If this continues I would consider a slight increase in pressure but keep a close eye on those centrals. I would try to limit ramp or turn ramp off to see what impact it had because some of your AHI happened while ramp was being used and obviously not enough pressure. Your AHI might improve with simply not using ramp or decreasing the time. I don't suggest changing pressures after one night of data like this when ramp could be a factor. Or some of the events scored could reported but actually you were awake. You might also try sleeping on your side if you think you were on your back for some of the night.

I am ultra conservative with suggestions for brand new users. If you aren't brand new, then maybe a different discussion and not so conservative. But I don't want to suggest anything that might create problems with doctor, DME or insurance till all facts are known.

Did you notice any difference in how you felt? If your untreated OSA was severe it is still significantly better at 10 AHI. Just has room for improvement.

Yes 9 was the prescribed pressure.
Sleep Study was one night split. I do not have copies of it. I do have a copy of my prescription.
The Tech said during my sleep study I had 50 episodes an hour and my o2 dropped to 79%
On machine 2 weeks now and it was DME supplied. No insurance involved.
Ramp is set at 4 and is 25 minutes long. I usually go to sleep within a few minutes so a decrease in time will not hurt anything. I could bump the ramp pressure to 5 and see what happens. When I wake up the 9 doesn't feel like much of anything guess I'm used to it by then.
3AM was a bathroom break.
This was one night of data, I just got this particular machine Thursday so last night was the 1st night with this one after exchanging a plus machine for it.
I sleep mostly on my back but trying the side is no problem.
I have not yet slept through the night. Some days I feel pretty good all day and some days I don't.
Last couple of days have been pretty rough and I am having horrible sinus blockage on one side or another every day.
I fell asleep in my truck for a bit this afternoon which the last time that happened was before going on CPAP.

Okay, see what you can do about staying on your side for a couple of night along with shortening ramps.

If no real change in data I am thinking a nice conservative increase to 9.5 for a few nights.

How you say you feel pretty much is what I expected. There are surely enough events on that report to make a person feel bad.

Is one pee break usual or is it less than before cpap?

Your leak line very good though. The other stuff needs just a little tweaking. Are you comfortable doing it yourself or do you feel that you have to run things through DMD and doc?

Pugsy wrote:Are you comfortable doing it yourself or do you feel that you have to run things through DMD and doc?

On the side then shouldn't be a problem.
Doctor? Doctor? we don't need no stinking Doctor. Seriously I have no problem changing a few things myself. Besides I already know how to do it. I will set the ramp @ 12 minutes what you think?
The break... less than before CPAP but it was also the 1st one since starting CPAP and here I sit drinking Mt. Dew.

The ramp doesn't work unless you press that button, right?

So set the time for 5 min pressure for 6 or 7. If you need more time then press the button again. If your asleep after 5 min all the better. If you can tolerate the full pressure even better.

fwiw -It took me about 1 month to sleep thru the nite. That is no standard by any means. Sleep as long as you can then try it again either later in the nite after the break or the next nite. No shame, it is the 1st big hurdle well besides getting off the ramp

OK don't need no stinking doctor either.

You have been at this for couple of weeks; so reduce ramp time for couple of nights. It may help a little with AHI but it probably won't cut the AHI in half.
I would start with 0.5 cm increase in pressure to start with. Watch the CA index, we don't want more of them. A few now and then is normal.

Hi all,

A newbie with a cpap machine. Here's the last 5 days average using a Remstar Auto with A Flex/System one

The main problem I have is most nights I wake up gasping since using a cpap machine, like I am getting too much air?? This never occurred before using a CPAP.

Any comments on this or my results below would be really appreciated. Thanks in advance

CA: 2.4
CSR: .06
OA: 3.9
Hypopnea : 2.5/RERA 2.7
AHI = 8.8
FL: 1.6
VS: 20.9

Average 90% pressure 13.2%
Average CPAP pressure 9.2%

radioboy104 wrote:The main problem I have is most nights I wake up gasping since using a cpap machine, like I am getting too much air?? This never occurred before using a CPAP.

radioboy104 wrote:AHI = 8.8

radioboy104 wrote:AHI: 10.9

Gasping with elevated AHI ....Leaks? Are you using Flex setting? If so what? Ramp? Minimum and maximum pressure?
Same suggestion as above, please post report for review

This is the best I could do Flex is on 2 (so mid range). Machine is set to min 4, max 20. AHI is 8.8, sorry I was looking at a report for one day, but 8.8 is the average over 5 days.

radioboy104 wrote:This is the best I could do

That is a summary page. Pretty much useless. Do you not see a "daily detail" page?
If not, perhaps you have not made the choice to show details. On the therapy tab the default is for summary (lower left). Put the bullet in "details" then choose view. You should get more pages to look at like the one the OP posted.

No, detailed option comes up with a blank page and back on therapy screen it says to contact Encore support

How come this happens? Is there some setting I am missing somewhere?

I set my ramp to 10 minutes and pressure to 5.5
Slept on my side all night AFAIK
Much better?