See the relationship between Pressure and Mask Pressure. I like less pressure because it makes me more comfortable. They may want to do an additional sleep test. It an insurance scam, is all it is..talk about killing an ant with a sledgehammer! It measures around 500 mL in an average healthy adult male and approximately 400 mL in a healthy female. Please confirm with your doctor what the RE means and a possible explanation as to why it has doubled. by Julie Sun May 16, 2021 12:30 pm, Post Hi David, If you sleep right through the night, that is a single session. Note also that sessions can be turned on and off using the small green/black buttons in the section information panel. Interstitial lung diseases, such as idiopathic pulmonary fibrosis and asbestosis, cause progressive fibrosis of the lung tissue. Through sleep study I was diagnosed in the severe category at 31increasing to 65 in deep REM with O2 levels down to 80%. But Ive only recently started using an apap machine. The doctor prescribes the highest pressure in hopes of preventing as many sleep episodes as they can. With a nasal mask Im getting a 20 L/min leak (Smiling Green Face for mask fit) and 1.5 events per hour. Portugus / Your score, means your CPAP therapy is working for you. I hope this information helps, have a great day! Also the flow limits look like they may be positional, with you pushing your chin into your chest. The solution works with Philips Respironics System One Machines, DreamStation Machines, ResMed S9 CPAP machines, DeVilbiss Intellipap machines, and Contec CMS50 Oximeters. You did get some basics, but not quite the right set-up (can't really see graphs for instance) and we would like to help. OSCAR is based on SleepyHead so it will get you heading in the right direction. Thanks Graham. I understand that 1 means one event per hour, but what does .1 mean? If your CPAP adjusts the positive airway up to the maximum level of pressure, more than 10% of your sleeping hours, you might want to increase the ceiling pressure of the device. Some ResMed's do not report I and E times, Which ones do not (AutoSet, Elite?). Which mask are you most comfortable wearing? This force, assuming 8 inches of water, is equal to the maximum pressure produced by a CPAP, 20 cm of water (cmw). You ca also do this by using your hand to seal the mask. Please see the link below for more information. Was it a good thing? It also shows the pressure settings. Then make sure to move the switch back to the write position so that your CPAP machine can write to the SD card. Also, please click the link below to see what other CPAP users are saying about having to gasp for air. I appreciate everyones response. I see flames on screen. OSCAR is software that is compatible with Windows, Mac, and Linux operating systems, developed for reviewing and exploring data produced by supported CPAP, bilevel, ventilators, and related machines used in the treatment of sleep apnea. Also shown are the total time in apnea, and the time over the leak redline. so i ask my doctor do i even need to wear a CPAP and he stated that the AHI was low because i was using the machine . I have a sophisticated machine that I do not know how to use, and thats bad business!!! Its also used to determine how well treatment is working like a CPAP device, for instance. Put it on for a few hours in the evening while you read or watch TV before bed. Any thoughts? Clicking on the blue and yellow session buttons will include or exclude sessions from the display of the night's data. To go to a particular bookmark, click on the date. by Julie Sun May 16, 2021 12:55 pm, Post Scoring a real central apnea (as scored on an PSG) .sleep study Polymonogarph ) does not depend on the patency of the upper airway; hence there is a higher probability that a real CA may be mis-scored as an OA by the Philips Respironics and ResMed CA detection algorithms Both the Philips Respironics and ResMed CA-detection algorithms are more Clicking the year allows you to quickly change to a different year. And since I get awesome sleep 6.50 hrs is all I can sleep with no naps and fully energetic and lost 30lbs.Had to shave the mustache nasal and chin strap works best for me.Good luck everyone. etina/ That means you can adjust the pressure that makes you comfortable as long as your AHI <5 ? I am feeling much better. Thanks everyone. Should have said at least 9 hours. so i guess my question is does the machine not pick up on and notate all apnea issues ,and does it hurt to wear a CPAP if you dont really need it. These show as a varying height vertical bar. This flushes away the exhaled breath and prevents the user from re-breathing his expelled CO2. I may have to RISE but I refuse to SHINE. When a session is off the button changes to black / red. Is that oke ? This is definitely something I would suggest you speaking with your doctor about. Does this mean this was my cm H2O pressure reading 95% of the hours I slept? General Discussion on any topic relating to CPAP and/or Sleep Apnea. I have been using an APAP for about 3 weeks. I have been using CPAP therapy for 21 years when I first went and found out that I had COSA my doctor told me that if I didnt change my life Ill be dead within two years I changed my life and CPAP change me. If you breathe through your mouth at night or sleep with your mouth open, some CPAP machines may worsen dry mouth. Two questions: As such, it is not particularly useful, since you can see the clusters in the Event Flags chart at the top, and also see which types of events are occurring. CSR is very regular and has a CA at the nadir of the cycle (although the CA may be mis-scored as an OA or a UA). Here there are two plots, the top red one is IPAP or inhale pressure, the bottom green one is EPAP or Exhale pressure, the difference is the intended Pressure Support (or EPR with an AirSense) For further questions, or concerns, please feel free to rach us at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. caracaracara1 3 mo. Is that AHI score likely to be inaccurate with a high leak rate? If youre using your machine in autoset mode, the numbers provided may be pressure setting data. initially i felt really good but since last one week i woke up every hour at night with gasping for air. The Pressure chart looks a little jointed, because of its resolution. Before I could talk to the Dr he already prescribed another machine. This is what causes some of the CA events. A simplified view of the different types of events you have experienced. We look forward to speaking with you soon! My personal bilevel settings are 21/12.5 for a gap of 8.5. Just post a Daily Report, if you want some comments as to what it is like. The events shown here are all, alright, almost all, reported by your xPAP machine. If your AHIwasstable, but it is suddenly increasing over the past few weeks or months, you should book a follow up appointment. If the sizing is not correct, this could be the cause of the high leak rate. The Pressure Interval for 8.6 is highlighted in yellow. What does that mean, air pressure at 10. I would assume (being I had 4 events per hour on average) that my machine attempted to ramp up to my max of 20 at some point right? The pressure graph shows the pressure as it varies over time. Hi Zev, AHI is the accumlation of apneas and hypopneas while events per hour is how many times you stop breathing. I asked him why would I need a machine for such a mild case, why not an oral device? How To Use OSCAR (Open Source CPAP Analysis Reporter) - YouTube How To Use OSCAR (Open Source CPAP Analysis Reporter) Optimize My Sleep 414 subscribers Subscribe Share 21K views 2 years ago. I thought the CPAP machine was to help with that. Import the Data 5 Additional Notes 6 References OSCAR Help What is the name of your machine? Place the straw down to near the bottom of the glass, now let your youth loose and pretend you are a kid and blow bubbles. / Or does an apap machine automatically show a lower reading each time you wear it? AUTOMATED CONTROL FOR DETECTION OF FLOW LIMITATION. Each event type in the Event Flags graph will have a corresponding entry in the sidebar summary area. Pressure is set at 11. It is the product of respiratory rate and tidal volume. Obstructive apnea 90 Please see the link below which will give you information on AHI and AI. Oscar requires that data is collected on an SD card which MUST be inserted into the PAP machine during use to record detailed data. Re: how to read Oscar - so confused and overwhelmed. Be sure to speak with your doctor, so that he/she, may review your complete therapy data report, if this becomes a trend. Please tell me what the numerical values mean when running the mask fit. You mentioned that the fixed pressure and masks are the same with both machines, but what about other settings? Uncorrectable with 20 that is??? Thank you!!! I had an AHI of 105 on my sleep study and they said my blood oxygen level was 53% at its lowest level. I have an old machine that does not record any usage time. A 'common' complaint is that the 'pressure' is so high that it blows too hard. Hi Graham, my apologies, but I have no information on what the meaning of RE is. For example, take a warm bath before you go to bed. Multiple plots for IPAP and EPAP are also supported. It is also normal for people that take a half-hour nap to have higher AHI since Your AHI measures the number of apneas and hypopneas you experienceper hour, not the total number. Have you changed your cushion on your mask within the last 3 months? by Julie Sun May 16, 2021 4:08 pm, Post I used to have it early on in my therapy but I learned how to shut the back door so that air can't enter my mouth. Medications that relax the muscles of the airway (i.e. male, IBW = 50 + (2.3 * (height [in] - 60)). Which is most important? Tabs to select details, events, notes, and bookmarks. I feel like a new person. I am also exhausted at 10 am. document.getElementById( "ak_js_1" ).setAttribute( "value", ( new Date() ).getTime() ); COPYRIGHT 19992021 US EXPEDITERS, INC. ALL RIGHTS RESERVED. But its also important to assess how youre feeling after youve been using CPAP therapy for several months. CPAP Algorithms Divide hypopnea + apnea by sleep time and then multiply the number by 60. Hi Pat, both low AHI and low Leak rate are important. Hi Kamleshwar, Hi Deb, im sorry to hear that your AHI is still reading high even though you are using your CPAP machine. Hi! This cycle is longer than other causes of central sleep apnea cycle, which typically have a cycle length of 30 to 45 minutes. On the other hand, COPD is an irreversible chronic inflammatory process that leads to a gradual reduction in the lumen of the conducting airways. The Apnea-Hypopnea Index is typically used for classifying how severe your sleep apnea is. This is caused by a dysfunction in the central nervous system, not a physical obstruction, and requires a different type of machine and PAP therapy. When having an apnea, the machine does increase the pressure in an effort to correct the episode, but it may not have ramped up to 20. As such, they represent an intrinsic lung pathology that leads to a restrive physiology due to increased stiffness and decreased compliance. You may call 1-800-356-5221, or e-mail us at: cpap@cpap.com for further assistance. I am new with a BIPAP dream machine If your mask is leaking and its six to nine months old, consider replacing it. Note: ResMed (incorrectly) labels all periodic breathing as CSR. (am I comparing apples and oranges?) Modern devices can differentiate the mask actually being on the person or if the person just turns it on but doesnt wear the mask. Which ones are "Calculated" by OSCAR? Can you please let me how to do this? REM sleep, in particular, is the sleep phase with the highest degree of breathing irregularity, both in frequency and respiratory rate. 2. According to them oscar does not work with a prisma smart machine. Do read the entire patent application if you really want to get your head spinning. OSCAR - the Open Source CPAP Analysis Reporter OSCAR is software compatible with Windows, Mac and Linux operating systems, developed for reviewing and exploring data produced by supported CPAP, bilevel, ventilators and related machines used in the treatment of sleep apnea. I put on about 10 lbs and now my sleep test says I have 10 ahi, minimal SA. For further questions, or concerns, please feel free to call us at: 1-800-356-5221, or you may e-mail us at: cpap@cpap.com. Once you are used to it you should have an easier time sleeping. You can adjust the red line between acceptable and unacceptable leaks by using File | Preferences | CPAP | Flag leaks over threshold. Your low readings means your CPAP machine is working for you. / Pressing the downward triangle between the month and the year allows you to quickly change to a different month. Manufacturers designed compliance tracking machines to meet Medicares requirements mandating durable medical equipment providers show the equipment was used for Medicares set minimum number of hours. Have you confirmed under your therapy data, what your leak rate is? Mostly OSCAR is a reporter, it is even in the name, OSCAR - the Open Source CPAP Analysis Reporter. Traditional preset tidal volumes higher than 10 ml/kg have been proved to be associated with increased risk of pulmonary barotrauma and should be avoided. We wish you continued success with your CPAP therapy! In fact, when individuals lose around 10 percent body weight, they may need to turn down the CPAP settings. Hi Chris, my apologies for the delayed response. 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