Cheyne Stokes Respiration?

[Gideon]

If you want to bring it up with your doctor say something like.
I saw a brief incident of PERIODIC BREATHING that I thought was insignificant, about 9 minutes worth. Here it is, do you agree?  

I'll add that when we see something significant enough that your doctor should be aware of it we typically very bluntly tell you so.  

This was not CSR.

[pen123]

Thanks for all the input on this.  I did lower the EPR to 1.  Last night was much better than the night before. I truly appreciate everyone's input.  

Btw, Im not seeing the Pulmunologist because of this.  I already had an appointment for my first recheck since being on the CPAP.  I have to go so insurance will pay for it.  

Thanks again!  Getting covid vaccine tomorrow finally!!! WOOHOO

[SarcasticDave94]

Welcome. Keep us updated and certainly post if anything else crops up.

[pen123]

Maybe I need to quit looking at my charts. I did better at not getting air in my mouth.  I wore my chin strap.

Anyway, the CSR showed up "again". Here are the graphs. Assuming this is till NOT CSR.

[Crimson Nape]

Periodic breathing will always show up on a Resmed as CSR. They didn't provide a different classification for this.

[Rcgop]

Just to add my two cents, when I first started therapy, my machine recorded CSR breathing but as days, weeks, months went buy and the CSR reduced until it disappeared completely.  Some things just need time to re-adjust too. I changed masks and the adjustments started all over. Not to say ignore it, just be patient.

[Gideon]

here it looks like your flow limits are marginal.
I suggest setting min pressure = 7 and EPR = 1 (full time). This should ease the pressure fluctuations which may be contributing to your periodic breathing, the same mechanism Sleeprider pointed out earlier. Note: Increasing EPR may increase the CA events and periodic breathing therefore the EPR setting of 1, otherwise I would suggest that you increase it. What is your current EPR? I cannot definitively tell, you said you were going to lower it to 1, did you?

Also use F12 to take your screen shots as that includes the stats and settings in the left sidebar and then I wouldn't be guessing on what your current settings are.

And this is periodic breathing, The duration is not long enough for a diagnosis of CSR and CSR has a CA event between nearly every group of waxing and waning breaths.
This is a watch it, but don't worry.

[pen123]

Hi, Thanks for the replies!

I did set my EPR to 1.  I guess what's weird is that I've been on CPAP for over a month and this just started.  Not sure why.  Anyway, here a screen shot showing all my settings.  Hope this helps.

I'm a worrier, which is maybe why I don't need to monitor all this so closely.  

[SarcasticDave94]

This shows appropriate breath patterns as far as I'm seeing. It's fine, it's just that ResMed called it something that's not exactly accurate. Something like the NFL referee that threw a flag and we're challenging it. Look on the bright side, there's a breath pattern that fluctuates instead of a flat line.

[Sleeprider]

This is why, for a while, I had Sleepyhead drop the CSR and use the term periodic breathing. People can't deal with this label, and a label is all it is. You don't have CSR and I have nothing to add. Resmed should have never done this. If you want to never see this again, make an EERS system to stabilize your CO2, but it is overkill unless it leads to more comfort.