Sleep aid & Apap?

I have actually asked alot of questions but have been getting very few answers..I was not told about any centrals, but here is everything I got from the machine I wrote them down so I would get them right.

robysue is right on the leak 0.0 L/s, Ahi is 9, AI is 3.0, HI is 6.0....still have no clue what it all adds up to.

kaiya2465 wrote:Ahi is 9, AI is 3.0, HI is 6.0....still have no clue what it all adds up to.

Over the night (however many hours) you averaged having 3 apnea events per hour and 6 Hyponeas per hour.
Without seeing the reports we don't know if you had these all grouped together in maybe a couple or 3 hours or evenly space out over the night. Often they come in groups or clusters and you might have an hour or so with nothing happening. These clusters will surely mess with your sleep and how you feel.

Also the S8 machines were notorious for reporting higher Hyponeas... So we have to keep that in mind.
Not for everyone enough to discount the Hyponea number but enough to keep it in mind. Even if we discount that hyponea number 50 %....still a bit higher with the apnea number that I would want if it were me.

Do you understand the difference between apneas and hyponeas? and how they impact your body?

My thoughts about the minimum pressure still remain the same unless you have a strong history of centrals pop up.

I know this is all a huge learning curve for you to comprehend. Soak it up the best you can and we will keep dumping information on you It is needed so that you can fully understand all this and with that understanding be able to see how each thing impacts the next. We don't expect you to understand it all immediately.

Pugsy wrote:

kaiya2465 wrote:Ahi is 9, AI is 3.0, HI is 6.0....still have no clue what it all adds up to.

...

Do you understand the difference between apneas and hyponeas? and how they impact your body?

Kaiya, along with Pugsy's question comes this one: Do you have a copy of your sleep studies and do you understand all the numbers in them? Although your machine can't tell when you are asleep and when you are awake, the basic principal in how the machine computes an AHI or AI is the same as the way the lab does it. It's just that the machine has to count all events (since it can't tell which ones occured when you were awake) in the top of the fraction, and it has to use the time the machine ran over night to approximate the total sleep time (since it can't tell when you were actually asleep).

If you keep those thoughts in mind, then my blog entry Understanding the data in your sleep test report make help you make some sense of the AHI, AI, HI numbers.

In an earlier post, you wrote:

kaiya2465 wrote:I am on Apap now, Ahi is still @ 7, leak is 3.0, & pressure is now @ range 9 - 12. Pressure may be going up to 10 low range number.

Is this data accurately recorded from a different night? If so, then you really do have an intermittent leaking going on.

A suggestion: If you are NOT writing the overnight data from the S8's LCD down on paper each morning, start doing so. That's the only way you'll be able to keep straight what's happening with all the numbers over time. If the leak really is bouncing between 0.0 L/s some nights and 3.0 on others, you need to know that.

pugsy wrote:My thoughts about the minimum pressure still remain the same unless you have a strong history of centrals pop up.

I tend to agree with pugsy here. If your sleep study didn't mention a strong history of centrals, a modest increase in min pressure may be in order.

That is what I was tinking. I will be trying low range pressure of 10 tonight. I will also be writing all the numbers down each morning. Is there anything else from the machine that I need to be checking?

Thanks

kaiya2465 wrote:That is what I was tinking. I will be trying low range pressure of 10 tonight. I will also be writing all the numbers down each morning. Is there anything else from the machine that I need to be checking?

Thanks

I'd write down the following every morning off the machine's LCD:

Usage
AHI
AI
HI
95% Leak rate (in L/sec)
95% Pressure setting (in cm H20)

And I'd jot down a brief impression of how well you think you slept, how long you think you slept, how many wakes you remember, and how you feel when you first awake in the morning.

Machine is set @low range pressure of 10 high range of 12, don't know if I should change the high range. Wrote down everything I need to keep track of & set it by the machine so hopefully I remember with a sleepy brain....

Thanks everyone

kaiya2465 wrote:Machine is set @low range pressure of 10 high range of 12, don't know if I should change the high range. Wrote down everything I need to keep track of & set it by the machine so hopefully I remember with a sleepy brain....

Will know more about that upper range when you can post the 95% pressure number. It should be available on the LCD screen.

I got back into the Clinical but did not see a 95% area, am I doing something wrong?

kaiya2465 wrote:I got back into the Clinical but did not see a 95% area, am I doing something wrong?

In the morning, after you turn the ResMed S8 machine off, hold down the left/right arrow buttons together to bring up the word "Results" in the LCD window. When you see the word "Results", push the left arrow button under the word "enter."

You'll then see the words "Efficacy Data."

Press the left arrow button under the word "enter."

That will bring up these words in the little window:

PRESS: (and there'll be a number, like "10.2" )
day... exit

"PRESS" in the window stands for the word Pressure.
The "PRESS" (pressure) number for "day" is the 95% pressure number, even though it doesn't mention "95%" in the window...it just says "PRESS."

The "day" pressure (which is the 95% pressure) means the machine used that pressure AND pressures below that pressure, during 95% of the previous session... during last night's sleep session, if you're looking at the results in the morning. You have to look for the Results before noon -- the machine resets itself at noon, to be ready to collect data again during the next sleep session.

You can use the down-arrow button...to look at the "day" AHI, AI, HI, and Leak info. Just press the down-arrow button to go to each of those.

If you push the button under "day" to switch to looking at "week" or "month" numbers, the PRESS (pressure) number is not the 95% number any more. For "week" and "month", the PRESS (pressure) number is the median pressure for the week or the month.

If you accidentally get into the "week" or "month" results and want to go back to "day" results, just push the right-arrow button under the word "exit." "Exit" acts like the back arrow on a web browser and takes you back to the window(s) you were looking at previously.

Only the "day" result gives the 95% pressure number...even though it doesn't "say" 95%" in the little window. It says only "PRESS" (for "pressure.")

Personally, all I look at in the little window are the "day" numbers. All I want to see is what happened last night. And it's a good idea, as robysue mentioned, to write all the "day" data numbers down...keep a list with the date and the "day" numbers for PRESS, AHI, AI, HI, and Leak each morning when you look at them in the little window.

my two edits -- to fix the bold brackets around some words.

That is where those numbers came from... did I put the wrong numbers up?

kaiya2465 wrote:That is where those numbers came from... did I put the wrong numbers up?

If you were using the "day" numbers, you didn't do anything wrong.

You had asked where the "95%" pressure number area is. I was just explaining where it is -- it's the "day" Pressure number.

Ok I was actually looking for a 95% area, wow can you say sleepy brain...I promise I will get it right hopefully sooner than later