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[CPAP] First month of CPAP usage, help with the logs - Printable Version

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First month of CPAP usage, help with the logs - Bravo - 07-18-2016

Hi there.
I'm 34 and after going trough what almost all of us experienced, i ended up sleeping with my new cpap machine. It made me wonders, i feel like new. But, after 1 month of usage i think i'm having more mask leaks than i should.
Also, can i have some help interpreting these values?
Thanks in advance

The last time you used your Philips Respironics RemStar Auto with A-Flex...
was last night
You had an AHI of 1.96, which is considered reasonably good
You machine was on for 8 hours, 41 minutes and 29 seconds.
Your mask is leaking way too much.. Talk to your CPAP advisor.
Your pressure was under 12cmH2O for 95% of the time.

I would post some screenshots but i'm not allowed just yet.

Details Most Recent Last Week Last 30 Days
CPAP Usage
Average Hours per Night 08:41 07:23 06:05
Compliance 100% 100% 89%
Therapy Efficacy
AHI 1.96 1.44 2.26
Obstructive Index 0.12 0.14 0.23
Hypopnea Index 1.84 1.26 1.99
Clear Airway Index 0.00 0.05 0.04
Flow Limitation Index 1.15 1.35 1.13
RERA Index 1.27 0.99 1.98
Leak Statistics
Average Leak Rate 26.03 17.95 21.19
90% Leak Rate 44.00 36.00 38.00
% of time above Leak Rate
threshold 57.05% 34.39% 42.01%
Pressure Statistics
Average Pressure 9.66 9.75 9.66
Min Pressure 7.00 7.00 7.00
Max Pressure 13.00 13.00 13.00
90% Pressure 11.60 12.70 12.60
Average EPAP 8.14 8.16 8.07
Min EPAP 5.30 5.20 5.20
Max EPAP 11.50 11.60 11.60


RE: First month of CPAP usage, help with the logs - trish6hundred - 07-18-2016

Hi Bravo,
WELCOME! to the forum.!
Hang in there for answers to your questions and much success to you as you continue your CPAP therapy.


RE: First month of CPAP usage, help with the logs - Bravo - 07-18-2016

Thank you so much Smile
This "thing" gave back my life...
I had to stop working because i was falling asleep during work, driving.
Now i'm so much better...
When i was diagnosed, i had 90+ breath stoppings per hour, for more than 10secs each.
I'm struggling to interpret the data from the machine... I don't understand the terms used on the Sleepyhead program...
I think i just need someone to tell me if i'm doing good, despite the mask leaking...
Too bad i can't post pictures. Would make the job easier.

RE: First month of CPAP usage, help with the logs - chill - 07-18-2016

Hi Bravo and Welcome!

Your numbers all look good, except for the mask leaks. If you can figure out exactly what kind of mask you have (company name and mask name), someone who has used it can help with the leaks. It may also be that you need to try a different mask. Is your mouth dry in the morning? The air might be leaking out through your mouth, which is a different problem to solve.

A few more posts and you can post pictures. While you are waiting for that, uyou can upload them to imagur or a similar site and post part of the link here (leave off the http://, we can figure the out)


Chuck

RE: First month of CPAP usage, help with the logs - Bravo - 07-24-2016

Hello Smile
Thanks for your reply.
I'm having some trouble with the mask leaking. It seems to not adjust properly to my face. Like it's too small...
Its a Resmed Quattro...
I'm waking up with my mouth dry, yes.
And yesterday for the first time since treatment, i've awaken very sleepy. I fell asleep on the computer right after. No good.

Any hints on how to adjust the mask?
I've been progressively tighten up the rubber bands, to the point i would wake up with them well marked on my face. Although, i was feeling i was having more leaks that way, so i losen it...
And if i tighten too much on the upper level, the contact of the mask in my face will be worst on the lower part, and vice versa...
I wish there was a good way to set it up...

RE: First month of CPAP usage, help with the logs - icyura10 - 07-25-2016

  • Event Flags
    • LL - Large Leak - A Large Leak Affecting Machine Performance

      CA - Clear Airway - An Apnea where the airway is open

      UA - Unclassified Apnea - An Apnea that couldn't be identified as Central or Obstructive, due to excessive leakage interfering with the classification process.

      OA - Obstructive Apnea - An Apnea caused by obstruction

      H - Hypopnea- An partially obstructed apnea


  • Flow Rate - Breathing flow rate waveform L/hr

  • Mask Pressure - Centimeters of Water cmH20 pressure the mask is seeing
  • Pressure - Therapy Pressure in Centimeters of Water cmH20 machine delivers
  • Leak Rate - Rate of detected mask Leakage (L/min)
  • Snore - Graph displaying snore volume (?)
  • Flow Limit - Flow Limitation - Graph showing flow limitations (Severity (0-1))
  • Respiratory Rate - Rate of Breaths per Minute (Breaths / Min)
  • Tidal Volume - Amount of air displaced per breath (ml)
  • Minute Ventilation - Amount of air displaced per minute (L/Min)
  • Inspiratory Time - Time taken to breathe in (seconds)
  • Expiratory Time - Time taken to breathe out (seconds)
  • I:E Ratio - Ratio between Inspiratory and Expiratory Time (Seconds)
  • AHI - Apnea Hypopnea Index - Graph showing running AHI for the last hour (Events /hr)
  • Time At Pressure - I can't get the description from sleepyhead..


NOTE: There are some fairly complex explanations and math used to formulate some of the terms which isn't included in the table above.

RE: First month of CPAP usage, help with the logs - DeepBreathing - 07-25-2016

G'day Bravo, welcome to Apnea Board.

The mask is the hardest part of the whole CPAP experience, and many people need to try several before they get the right one. Every face is different, which is why there are so many different masks on the market. They also come in different sizes, so it's possible you have the smaller version of the Quattro.

You can also use mask liners (Google Pad-a-cheek or Remzz) which help the mask rest more comfortably against the skin.

RE: First month of CPAP usage, help with the logs - OpalRose - 07-25-2016

(07-18-2016, 06:38 PM)Bravo Wrote: Thank you so much Smile
This "thing" gave back my life...
I had to stop working because i was falling asleep during work, driving.
Now i'm so much better...
When i was diagnosed, i had 90+ breath stoppings per hour, for more than 10secs each.
I'm struggling to interpret the data from the machine... I don't understand the terms used on the Sleepyhead program...
I think i just need someone to tell me if i'm doing good, despite the mask leaking...
Too bad i can't post pictures. Would make the job easier.


Bravo, your numbers look good, but the mask leaking should not be ignored.
Finding the right mask is the hardest part of therapy. Some things to try....mask liners. A lot of folk have had luck using liners. Check some of the online suppliers.
Don't over tighten straps, that doesn't help with leaks and can cause discomfort instead.

You can post screenshots after 4 posts. It is easier to use an outside source like imgur to upload here.
https://sleep.tnet.com/resources/sleepyhead/

Also, here is the Begineers Guid to SleepyHead.
http://www.apneaboard.com/wiki/index.php?title=Beginner%27s_Guide_to_SleepyHead


RE: First month of CPAP usage, help with the logs - Bravo - 08-03-2016

Thank you so much. You are all helping me a lot.

In my case, the machine & mask are supplied for free by the healthcare, and just for now i can't switch the mask... But as soon as it's possible, i will ask them to replace it.



RE: First month of CPAP usage, help with the logs - Bravo - 08-03-2016

So, here goes the screenshots.

This is last nights:

[Image: 2fcede6691614a884ddba99d5dd82e78.png]

[Image: 8c904213cb1ec1320ab85a11aa24024d.png]

[Image: bd23d0edc4ff1840de5cb3643feb6d89.png]


The statistics:

[Image: 0c4a53092f8f5bdff314099bd9f767fd.png]

[Image: 7225ecc998a00f96a0b240a759edb3ff.png]

[Image: 0ef36d237da2df6194ada89fe6bed063.png]