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CPAP Supplies

Latest Activity

99 replied to 99's discussion colloidal silver
"i have purchased some silver the make my own colloidal silver"
Dec 21, 2014
99 replied to 99's discussion colloidal silver
"just add to the distilled water it is antimicrobial eg cleans your machine and is beneficial for keeping you healthy  from bugs germs viruses you get the picture and when you need to clean the humidifier out, put water on your plants the silver…"
Dec 21, 2014
Mary Z left a comment for richard graham
"If the heated tube works with your machine I would try that.  They also make covers for your tubing which may help some.  I think the heated tube may be your answer.  Keep us posted."
Dec 21, 2014
Mary Z left a comment for richard graham
"Richard, some folks just use the humidifier in a Passover mode.  They just don't turn it on, but let the air pick up moisture without heat."
Dec 21, 2014
Mary Z replied to 99's discussion colloidal silver
"99, where have you been?  Do you add the colloidal silver to your humidifier?"
Dec 21, 2014
Mary Z replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"I Andy, I realize I'm months behind your post.  I have no idea why your S8 would stoop collecting data.  I'm glad to hear  you're having such improvement with your apnea.  I have made great strides since I changed…"
Dec 21, 2014
Mary Z replied to Andy's discussion Resmed S10 AirSense - Anyone have one? Any feedback?
"Andy, just found your post.  I don't know anything about this new machine.  How are you liking your new ResMed?"
Dec 21, 2014
Mary Z left a comment for Kay Day
"Kay, I haven't been around myself and miss the old, active forum."
Dec 21, 2014
Mary Z left a comment for richard graham
"Hi Richard,  I don't bother with a humidifier.  Someone on the forum suggested not using it and I'm a lot less congested without it.  A good AHI is under 5.  I use the Wisp and have been since it came out.  I think…"
Dec 21, 2014
hifay replied to Mary Z's discussion Sleep apnea increases risk of osteoporosis
"Always something. Thanks for the information."
Dec 21, 2014
99 posted a discussion

colloidal silver

a humidifier can be used with colloidal silverthis can keep the humidifier clean for day maybe weeks or longer without the need to clean the humidifiersilver colloidal is antimicrobial and you could just top up your humidifier without cleaning and at the same time treat your bodyor you just put silver on it own into the humidifierSee More
Dec 20, 2014
richard graham posted a status
"I feel like the humidifier is making me feel yucky and I'm waking up hacking and having to clear my throat a lot for a while."
Nov 3, 2014
richard graham posted a discussion

what's a good AHI?

I've been using and auto and it says my AHI HAS been between 4 and 6 and wondering what's a good range.
Nov 2, 2014
Andy posted a discussion

Resmed S10 AirSense - Anyone have one? Any feedback?

Hi All,I've just ordered a new Resmed S10 AirSense, and I was wondering if anyone here has used one?Any information or input would be appreciated!See More
Sep 29, 2014
Andy replied to Andy's discussion Resmed S8 AutoSet II - No Longer Collecting Data??
"Hi All, Well, I went to the sleep doc today, and he ordered a new S10 for me! I still don't know why my S8 is not tracking data anymore. Anyone have any ideas?"
Sep 29, 2014
Oscar Lemus updated their profile
Sep 25, 2014
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Just found they have a Facebook for the REMedy event, 1st Class Sleep REMedy Wellness Health Fair."
Sep 25, 2014
liz4cps commented on liz4cps's group Prince William Co, VA support group
"Reminder: REMedy event is this Saturday, 10 am to 2pm.  Topics include: Nutrition and Weight Management with Sarah Kelly, Registered Nutritionist/Dietitian Oral Appliance Therapy for Sleep Apnea with Drs. Rena Vakay & Lara…"
Sep 25, 2014
Kay Day left a comment for Kay Day
"September 1, 2014 My apologies to Sleep Guide for not participating in a long time. In January 2012 I started classes at the local community college (my husband is an instructor there, and my tuition is refunded when my grades are above a C. My…"
Sep 1, 2014
Mary Z posted a discussion

Sleep apnea increases risk of osteoporosis

Sleep apnea/osteoporosis study finds “increased” health riskA recently published study may have found a connection between obstructive sleep apnea (OSA) and osteoporosis, marking yet another health…See More
Aug 23, 2014
Helloe:

I am a newbie here, and I was wondering if someone could explain to me in very basic terms how to read cpap data for example and what are the acrynoms, and what are acceptable air levels and apnea episodes during the night....my cpap rep explained my levels very quickly and had another patient to see before I could really understand what he meant.....and what he considers exceptable data I am not sure compared to what I see on this site....

I know this is alot to ask but, I need to understand the very basics of the data and what it all means....if anyone can help me I would greatly appreciate it....

Tags: change, changing, pressure, pressures, respironics, setting, settings

Views: 5502

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Replies to This Discussion

What brand and model CPAP are you using? That will help us clarify a little better for you.

The very basics are:
AHI = apnea/hypopnea index = number of apneas and hypopneas you experienced per hour combined
AI = apnea index = number of apneas you experienced per hour
HI = hypopnea index = number of hypopneas you experienced per hour
xPAP = any type of CPAP, VPAP, Bi-PAP, BPAP, etc.
VPAP = Resmed's proprietary name for their bi-level PAPs
Bi-PAP = Respironics' proprietary name for their bi-level PAPs
BPAP = often used as a generic name for any bi-level PAP
90th Percentile = the number (level) AT OR BELOW which you spent the session (Respiornics)
95th Percentile = the number (level) AT OR BELOW which you spent the session (Resmed)
Vent flow rate = allowed vent rate = allowed leak rate = the amount of "leak" or flow of air allowed to "leak" thru the holes built into the mask system to allow for the escape of stale, breathed air containing C02 at various set pressures. The literature for each mask has a table or chart of the allowed "Vent flow rate" for that particular mask model.
Compliance = the number of hours and number of nights you use your xPAP

An AHI less than 5.0 is considered "normal".
Leak is the amount of air that escapes thru your mouth, between your lips whilst wearing your mask w/xPAP turned on and depending on the brand of xPAP the Vent flow rate
The usual acceptable Compliance rate is at least 4 hours per night and at least 5 nights a week of xPAP use.
Thank you so much Judy. Your reply to Belinda has really helped me to understand also.
Thanks so much Judy this will come in handy.....
I have a Resmed and haven't used a Respironics in a LONG time and never the Respironics M Series. However, IF the DME supplier's RT has turned access to the advanced patient menu on a Resmed a simple button combo will bring up your Efficacy Data on the LCD screen.

On a Resmed you would press the Left and Right buttons and hold for 4-5 seconds. Efficacy Data should appear on the LCD screen. From then on in it is just a matter of Left button to Enter, Right button to Exit, Up button to return to the previous screen and Down button to proceed to the next screen. You can NOT alter your therapy settings in anyway from this advanced patient menu.

There may be some slight differences between what will appear on the LCD screen between the S8s and the S8 IIs but I don't think anything too different. And you MUST access this data BEFORE noon because at noon that night's data is rolled over into the total averages.

Pressure (the 95th percentile, i.e. the pressure AT OR BELOW which you spent 95% of the night
Leak (the 95th percentiel, i.e. the rate of Leak AT OR BELOW which you spent 95% of the night
AHI (the number of apneas and hypopneas PER HOUR you experienced that night)
AI (the number of apneas PER HOUR you experienced that night)
You can also access these averages for one week, one month, six months and one year when you've been using your Resmed long enough

The Usage Data will display
The number of hours used that night
The number of nights used and the number of nights since your Resmed was first used

If you have a Respironics, access to the data requires a different "combination" and somewhat different data. I think Mike has a Respironics and can better explain how to access the data and what data is available in the menu that is "safe" to access w/o being able to accidentally or intentionally alter your xPAP therapy.
Below are instructions for how to access the provider menu on the Respironics M Series Pro CPAP machines. Caution: before changing any of the settings on your machine, make sure you write down each and every pre-set setting so that if you make a mistake, you can change it back to the way it was. Also, changing the settings on your own without advice from your physician is discouraged.

1. Hold down the <- -> buttons while plugging in the power on the back, wait for 2 beeps, release buttons.
2. Press the + key. <- -> buttons move to next field, -/+ keys decrement/increment
3. Check the following field(s):

-Therapy Mode = CPAP

-CPAP Pressure = NN (4 - 20 cm.)

-C-Flex Setting = (options are off, 1, 2 or 3)

-Ramp Time = (options are 05 to 45 min)

-Ramp Start Pressure = cm (Min. 4cm)

-Mask Alert Feature = On (On/Off)

-Auto Off Feature = Off (On/off)

-Show AHI/Leak Feature = On (On/Off)

Press On/Off button to exit.
Thanks sooooo much PD :)
This is EXCELLENT infomation. Here's some data I got from my doctor yesterday. It is a reort on Sleep Architecture from my sleep study. I'd love to get your feedback on this....as I'm new and learning so much right now.

Total Recording Time 422 NREM 300 91.5
Total Sleep Time 328 min.
Sleep Efficiency 78%
Wake after Sleep Onset 65 min
Sleep Onset Latency 29 min

Total Arousals 215 39.3
PLM w Arousal 0 0
Total PLM 8 1.5

Respiratory Data

Supine Non Supine REM NREM
41 61.7 17.3 79.3 37.4

I belive 41 was my average....61 was on my back....79 was during my REM

Min SPO2 79.9%
Mean SP02 95.1%


My first visit....I was much better.....I believe he said 6/hour.....I plan to order the data software and reader to continue to monitor.....
Mary J, this is a problem: Min SPO2 79.9% I think that means your oxygen desaturation is way low. should be up in the 90s at all times, although the sleep techs, respiratory therapists and others here might have more clarification on that.

I also think this is a problem: Total Arousals 215 39.3. I read that to mean that over the course of your ~5.5 hours of sleep, you were suffocating/not getting enough air about 215 times, which works out to ~39.3 on average every hour, which means you have an AHI of almost 40, which qualifies you as having Severe Sleep Apnea (i believe anything over 30 AHI falls into that category).

Good job learning as much as you can. Given the severity of your case, and not to scare you, the quality and quantity of your life may depend on it.

Mary J said:
This is EXCELLENT infomation. Here's some data I got from my doctor yesterday. It is a reort on Sleep Architecture from my sleep study. I'd love to get your feedback on this....as I'm new and learning so much right now.
Total Recording Time 422 NREM 300 91.5 Total Sleep Time 328 min.
Sleep Efficiency 78%
Wake after Sleep Onset 65 min
Sleep Onset Latency 29 min

Total Arousals 215 39.3
PLM w Arousal 0 0
Total PLM 8 1.5

Respiratory Data

Supine Non Supine REM NREM
41 61.7 17.3 79.3 37.4

I belive 41 was my average....61 was on my back....79 was during my REM

Min SPO2 79.9%
Mean SP02 95.1%


My first visit....I was much better.....I believe he said 6/hour.....I plan to order the data software and reader to continue to monitor.....

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