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Cheyne Stokes respiration (CS)
#1
Cheyne Stokes respiration (CS)
I have been treated for apneas using a ResMed AirSense10 since June 2017 with near perfect compliance over this period. I have been recording my sleep information using Sleepyhead software in late 2018 and then switching to Oscar when Sleepyhead was no longer being supported. During that time I would show almost equal numbers of obstructive and central apneas most nights with an average AHI of about 3.5 for an 8 hr sleep. I have occasionally, though rarely, had an AHI at or near 10 but a normal month would see a maximum AHI of around 5.0. I have also a registered around 10 CS events per year with an expectation of about 1 per month. Over the past 16 nights I have registered 5 separate  CS events which is definitely outside my typical readings. My question is: is this recent change something that I should be concerned about?
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#2
RE: Cheyne Stokes respiration (CS)
Resmed labels all periodic breathing as CSR and is normally wrong. This is a big concern for people seeing this event flag and I wish Resmed would change their label to periodic breathing. The Oscar software is true to its stated name: Open Source CPAP Analysis Reporter, and uses the same terminology and event labels as the manufacturer. I can nearly assure you that CSR is not a problem for you, however if you want a more specific answer, attach a chart.
Sleeprider
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#3
RE: Cheyne Stokes respiration (CS)
Thanks for your prompt reply. I had another event last night. Here is the info:

[img]blob:https://www.apneaboard.com/60daa0c6-823f-4e76-834e-c61063962afe[/img]
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#4
RE: Cheyne Stokes respiration (CS)
404 error. Try again.
Sleeprider
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#5
RE: Cheyne Stokes respiration (CS)
Every time I copy the screen shot and then preview the post I get the same jibberish. I'm not sure what I'm doing wrong.
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#6
RE: Cheyne Stokes respiration (CS)
Somehow you are not attaching the image correctly. The URL for an image attachment is relatively simple like this https://www.apneaboard.com/forums/attach...?aid=53954

The procedure i described here. http://www.apneaboard.com/wiki/index.php...pnea_Board
Sleeprider
Apnea Board Moderator
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____________________________________________
Download OSCAR Software
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Organize your OSCAR Charts
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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#7
RE: Cheyne Stokes respiration (CS)
Read this link: https://www.apneaboard.com/forums/Thread...ttachments
This and many more help articles may be found in the Forum Account Help. The link above is located in the "How Do I. . . " thread.

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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#8
RE: Cheyne Stokes respiration (CS)
Thanks again. I have never posted to a message board before and appreciate your patience.


Attached Files Thumbnail(s)
       
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#9
RE: Cheyne Stokes respiration (CS)
This should have been the second file


Attached Files Thumbnail(s)
   
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#10
RE: Cheyne Stokes respiration (CS)
Much better on the screenshot. Be sure to minimize the monthly calendar by clicking on the triangle in the date line so more important data shows up.

The CSR flag is used by Resmed for all forms of periodic breathing. We would need to zoom in to a resolution or length of time displayed to 3-4 minutes so we can see what is happening to the flow rate. I see a strong indication of positional obstructive apnea with clusters of OA at 01:00, 02:30 and 04:23. I know you are more concerned about the centrals, but we want to be sure we are not actually dealing with a positional obstructive problem. That can happen, and the events get flagged s central when obstruction is incomplete, and respiratory effort makes the airway appear open to the machine. The fact your inspiration time is longer than expiration time is another indicator that the problem is obstructive rather than central. Anyway, let's start by reading the article on positional apnea in our optimizing therapy wiki. Think about your sleeping position, pillows ans other factors that might cause your head and neck to be misaligned and restrict the airway. https://www.apneaboard.com/wiki/index.ph...onal_Apnea
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
Mask Primer
How To Deal With Equipment Supplier


INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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