id="Mask Bright" style="width:728px;margin:auto;float:center";z-index:8"> Free CPAP Advice and Sleep Apnea Treatment Help Board • View topic - Sleep Report question
FAQ
It is currently Thu Oct 28, 2021 3:46 am

As an Amazon Associate, I earn from qualifying purchases.
Please consider a small PayPal donation to FreeCPAPAdvice.com above.Thank you so much for your support!



Author Message
mike5775
Unread post  Post subject: Re: Sleep Report question  |  Posted: Tue Jul 07, 2020 11:29 am

Joined: Mon Jun 22, 2020 12:13 pm
Posts: 25
PAP Mask: Res Med Dreamwear nasal
PAP Machine: Res Med Air Sense 10
Pressure Setting: 7-15

Offline
So last night I switched to the Phillips Respironics dreamwear full face mask and my mask leaking went down by a lot. I also changed my pillow to a softer one and think that may have helped improve the leaking as well. Last night I had 1 obstructive event and I had some hypopneas but I think I was awake during most, if not all of the hypopneas. Is anyone else seeing the same thing I am? I was also wondering if my obstructive event was when I was awake or asleep? Can anyone tell? Thanks!


Attachments:
Screen Shot 2020-07-07 at 1.20.50 PM.png
Screen Shot 2020-07-07 at 1.20.50 PM.png [ 588.59 KiB | Viewed 3362 times ]
Screen Shot 2020-07-07 at 1.21.05 PM.png
Screen Shot 2020-07-07 at 1.21.05 PM.png [ 592.51 KiB | Viewed 3362 times ]
Screen Shot 2020-07-07 at 1.22.43 PM.png
Screen Shot 2020-07-07 at 1.22.43 PM.png [ 552.68 KiB | Viewed 3362 times ]
Top
Pugsy
Unread post  Post subject: Re: Sleep Report question  |  Posted: Tue Jul 07, 2020 12:13 pm
User avatar

Joined: Wed Aug 02, 2017 8:01 pm
Posts: 2468
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirCurve 10 VAuto

Offline
The flow rate or breathing pattern immediately prior to the OA flag isn't an asleep pattern. Looks to me like at least arousal...you may or may not remember an awakening but that's what it looks like to me.

If I saw that on my report I would shrug my shoulders and chalk it up to being maybe half awake and move on.

Now if I saw asleep breathing up to the point of the flag and then I saw that irregular breathing after the flag ....I would assume I was asleep and it was the real deal. Even if it was real I wouldn't be alarmed about random rare lone events like that.

_________________
I may have to rise but I refuse to shine.


Top
DeltaBravo3.8
Unread post  Post subject: Re: Sleep Report question  |  Posted: Tue Jul 07, 2020 12:17 pm
User avatar

Joined: Sat Jul 04, 2020 8:38 am
Posts: 595
Location: Waynesboro, Pennsylvania, USA
PAP Mask: F&P Vitera & Simplus, ResMed F20 N/P30i & old Amara View
PAP Machine: Required to start over on ResMed AirSense 10 AutoSet.
Humidifier: HumidAir and Heated hose
Pressure Setting: Auto PAP 7-14, EPR full time 3

Offline
I have looked at OSCAR charts, mine and others, on another apnea forum for a few years now. I can interpret my chart info very well, in large part because I experienced what's seen. It is difficult for me to see your charts and say yes he was sleeping or not during any segment. I just haven't picked up on the tell for it, as in various breath patterns and so on. To be absolutely certain, you'd need the EEG as in an actual sleep study, but I for one am not volunteering to go through that torture each night.

OK after all that idle chatter, respectfully, it may not matter on this chart. The overall AHI was about 1.8, far better than Dr. DoALittle and the insurance bean counters expect so they can stamp it a successful PAP therapy. The mask leaks aren't bad, and should not have hindered much in therapy by the chart. I'd say overall it looks good. Here's the real test. How do you feel after this sleep session? Well rested? If so, IMO case closed, and the assignment would be produce great results again.

_________________
Duct tape carrying K9; the tape helps quiet stupid.
Dave K9DWB 73s


https://www.sleepfiles.com/OSCAR
http://www.apneaboard.com/wiki/index.php/OSCAR_Help
http://www.apneaboard.com/wiki/index.php/OSCAR_Chart_Organization


Top
optimalsleep
Unread post  Post subject: Re: Sleep Report question  |  Posted: Tue Jul 07, 2020 12:21 pm

Joined: Wed Jun 10, 2020 5:47 am
Posts: 133
PAP Mask: have a couple.... resmed p30i
PAP Machine: ResMed Aircurve 10 Vauto on S
Humidifier: HumidAir
Pressure Setting: IPAP 12 EPAP 11

Offline
normal breathing .... before and after a normal breathing pattern is an event.

erratic oscillation before and after event is an event is not an event.


Top
mike5775
Unread post  Post subject: Re: Sleep Report question  |  Posted: Tue Aug 04, 2020 8:07 am

Joined: Mon Jun 22, 2020 12:13 pm
Posts: 25
PAP Mask: Res Med Dreamwear nasal
PAP Machine: Res Med Air Sense 10
Pressure Setting: 7-15

Offline
Can anyone tell me what these squiggly lines on my OSCAR report mean? I circled some of them in red.


Attachments:
Screen Shot 2020-08-04 at 10.01.41 AM.png
Screen Shot 2020-08-04 at 10.01.41 AM.png [ 516.46 KiB | Viewed 3244 times ]
Top
Pugsy
Unread post  Post subject: Re: Sleep Report question  |  Posted: Tue Aug 04, 2020 9:11 am
User avatar

Joined: Wed Aug 02, 2017 8:01 pm
Posts: 2468
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirCurve 10 VAuto

Offline
That looks like the cardiac echo artifact to me.

https://en.wikipedia.org/wiki/Ballistocardiography

Cardiobalistic artifact where the echo of the heart beat gets misinterpreted on the flow rate graph as an inspiration and expiration and counted as a breath.
If you look at your respiration rate max...it looks high and that's because the breaths get counted twice because of the echo.

Often discuss on another forum I frequent
http://www.cpaptalk.com/viewtopic.php?f ... c#p1346334

http://www.cpaptalk.com/viewtopic.php?f ... c#p1335560

You can just ignore it. Nothing you can do about it and it doesn't mean much of anything.

_________________
I may have to rise but I refuse to shine.


Top
mike5775
Unread post  Post subject: Re: Sleep Report question  |  Posted: Wed Aug 12, 2020 5:34 pm

Joined: Mon Jun 22, 2020 12:13 pm
Posts: 25
PAP Mask: Res Med Dreamwear nasal
PAP Machine: Res Med Air Sense 10
Pressure Setting: 7-15

Offline
Does anyone have a good recommendation for a CPAP pillow for stomach sleepers?


Top
mike5775
Unread post  Post subject: Re: Sleep Report question  |  Posted: Wed Dec 23, 2020 7:12 am

Joined: Mon Jun 22, 2020 12:13 pm
Posts: 25
PAP Mask: Res Med Dreamwear nasal
PAP Machine: Res Med Air Sense 10
Pressure Setting: 7-15

Offline
Can someone please help me with my OSCAR report? I use a Philips Resperonics dreamwear full face mask and I sometimes wonder if it causes more issues for me. I have adjusted it so many times that nothing works. The big issue I am having with the facemask is I feel so much suction on my face, mainly around my mouth that I almost feel like it pulling my mouth off of my face. I have tightened it, I have loosened it and nothing seems to work. No matter how I adjust it I have bad leakage with this mask. The strange thing is this is not always the case. Some nights I will sleep with this mask and it works just fine with no issues.

My pressure is set from 7-15. I don't know if that is helping. I never used to get RERA on my OSCAR report and now they are showing up.

Here is the link to a video i made of my OSCAR report.

https://screencast-o-matic.com/watch/cYl02V8Je1


Top
Pugsy
Unread post  Post subject: Re: Sleep Report question  |  Posted: Wed Dec 23, 2020 1:17 pm
User avatar

Joined: Wed Aug 02, 2017 8:01 pm
Posts: 2468
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirCurve 10 VAuto

Offline
Sorry...I can't do videos with my internet connection but RERAs usually mean you are waking up (may or may not remember it) and if you are having mask fit or comfort or whatever issues and fiddling with the mask a lot during the night then it doesn't surprise me that you are seeing more RERAs. You are probably just waking more often.

RERAs are simply a symptom of poor sleep quality...arousals. They aren't the cause of a problem but instead a symptom of a problem.
It just means that your breathing looks like arousal breathing. Now why the arousal...million dollar question.

_________________
I may have to rise but I refuse to shine.


Top
mike5775
Unread post  Post subject: Re: Sleep Report question  |  Posted: Fri Jan 08, 2021 10:41 am

Joined: Mon Jun 22, 2020 12:13 pm
Posts: 25
PAP Mask: Res Med Dreamwear nasal
PAP Machine: Res Med Air Sense 10
Pressure Setting: 7-15

Offline
Can someone tell me the difference between an obstructive event and a clear airway event? I have posted pictures to show and also was I awake when these events occured?
I have more pictures if you would like to see them. Thanks!


Attachments:
jan 7 sleep 5 oa.png
jan 7 sleep 5 oa.png [ 422.51 KiB | Viewed 2400 times ]
jan 7 sleep 4 oa.png
jan 7 sleep 4 oa.png [ 418.62 KiB | Viewed 2400 times ]
jan 7 sleep 3 ca.png
jan 7 sleep 3 ca.png [ 417.31 KiB | Viewed 2400 times ]
jan 7 SLEEP 1.png
jan 7 SLEEP 1.png [ 431.39 KiB | Viewed 2400 times ]
Top
Pugsy
Unread post  Post subject: Re: Sleep Report question  |  Posted: Fri Jan 08, 2021 12:36 pm
User avatar

Joined: Wed Aug 02, 2017 8:01 pm
Posts: 2468
PAP Mask: Bleep/DreamPort nasal mask
PAP Machine: ResMed AirCurve 10 VAuto

Offline
Obstructive apnea.....80 to 100% reduction in air flow due to soft tissues blocking the airway and lasts at least 10 seconds...the key part is the soft tissues in the airway are causing the blockage of air movement.

Central apnea/ Clear airway apnea....you just don't breathe for at least 10 seconds. There is no airway obstruction from soft tissue collapse. The air way is open. Hold your breath for 10 seconds...that's essentially a central apnea/clear airway apnea. You aren't even trying to breathe.

2 out of 3 zoomed in images look awake/arousal related to me.
The 02:52 flagged OA....looks weird because it looks like your asleep breathing gradually trails off before the flag instead of abruptly changing like we would expect. Flow rate after the flag is definitely awake breathing. So I don't know for sure what it looks like but it doesn't look like fully asleep breathing prior to the flag. It's "iffy".

_________________
I may have to rise but I refuse to shine.


Top
mike5775
Unread post  Post subject: Re: Sleep Report question  |  Posted: Fri Jan 08, 2021 2:27 pm

Joined: Mon Jun 22, 2020 12:13 pm
Posts: 25
PAP Mask: Res Med Dreamwear nasal
PAP Machine: Res Med Air Sense 10
Pressure Setting: 7-15

Offline
Thank you


Top
Display posts from previous:  Sort by  
Print view

Who is online
Users browsing this forum: No registered users and 5 guests
You cannot post new topics in this forum
You cannot reply to topics in this forum
You cannot edit your posts in this forum
You cannot delete your posts in this forum
You cannot post attachments in this forum
Jump to:  
cron

Delete all board cookies | The team | All times are UTC - 8 hours [ DST ]

Powered by phpBB © 2000, 2002, 2005, 2007 phpBB Group
DAJ Glass 2 template created by Dustin Baccetti
id="Mask Bright" style="width:728px;margin:auto;float:center";z-index:8">