Hi I am unable to download the Resmed PC App. to read the detailed reports from the SD card of my CPAP. When I try to create an accouint they keep telling me that the e-mail address is wrong, but it is correct. I tried 4 times! I suspect these reports are not available in all the countries. I am in Canada. or may be they are only for medical personnel. I can only access the daily summary reports with the My Air App, but they are too skimpy. Is there any other app I can download somewhere else to read the SD card?
Thanks
Ittiandro.
My understanding is that ResMed only allows sleep medical professionals to download their program. There is another program which is just as good called OSCAR. It is an open source software and is free to download.
Just a few thoughts
From my Resmed SD reports I have been able to learn a few interesting things ..Of course the number of AHI/hr events gives a good, overall indication of the sleep quality.
The doctor told me that my AHI score went dramatically down from 30-40 AHI/hr to an average of 2. ( Strangely, though, I never had any symptoms before going on treatment, but I have them now, because I feel more sleepy and sluggish than before..) . All this sounds great..
The point I am making, though, is that I see from the SD reports that the AHI rating is like an umbrella which includes other sleep apnea parameters like OSA, hypoapnea, clear airway and RERA, each one going with its own number of events into the total number of AHI's./hr : for ex. OSA, which is a total airway blockage, is, I believe, more serious than hypoapnea, which is only a restriction of the airway and does allow the flow of air. The RERA. events, too, can be as serious and as damaging ( especially for the brain) as OSA.
All this to say that the sane AHI rating could have a different clinical significance depending on the mix OSA, Hypoapnea, RERA and Clear Airway.
In my report, there were also instances of a Cheyne-Stokes respiration pattern. I know what it is.
I mentioned all this to my doctor, but he politely scoffed everything off, like I was a..smart ass. All he said was " Don't worry, you are doing well,.,
As I said before, I am not too sure I'm doing better than before ..May be he just went by the number of AHI's, without looking at the details of the reports..
Ittiandro .
I think if one has to look at one number, I would look at the Total Time in Apnea which you will find in the OSCAR Overview graphs. That basically is the time you may not have oxygen going to the brain. I have to laugh when all these reports are on the news today about Trump being at 98% oxygen saturation, or dipping to an awful 90%, etc. But, the reality is for those with apnea that is happening all the time when we are sleeping and having apnea events. Total time in apnea is a good measure of what the risk is. Some use an oximetry instrument in addition to the CPAP values, but I think if AHI and Total Time in Apnea is controlled that is not necessary.
On Cheyne-Stokes I do have it, and I don't like it. If you look at the Minute Ventilation graph and if it cycles in a periodic manner it shows you have potential to have it. However when I look at the long term statistics in OSCAR, I only have it 0.1% of the time. I think it is worth watching, but unless it becomes frequent, not a big concern.
There is a lot to look at and learn from the OSCAR data.
Hi, once the sleep reports have been imported and opened with Oscar, is it possible to save them as a file attachment to be e-mailed , instead of printing them ? Probably my recipient ( the doctor) does not have the Oscar app to open them. Also It would save time, ink and print paper.
Thanks
Ittiandro
Hi, I am 79 and I have been diagnosed with severe Sleep Apnea last May ( 40 AHI/min.) Now I am down to about 2 AHI/min , after wearing a CPAP mask for three months..The doctor says I'm OK now and I'm relieved.. I’d have liked to discuss a few more details with the doctor, but he was busy and we had no time...Sometimes doctors are rather dismissive as they think we are too dummy to understand and to ask the right questions..…
Here are my questions, 1.What is the max acceptable leak rate? My avg has been 4.37 l/min over one week. 2.What is the Large Leak threshold? Out of 8 readings, 5 were between 0.00-0.17%, one at 0.88%, one at 6.79% and one at 33.88%.. 3,Respiration rate : in my case, it averages at about 21-22 l/min (95%) with occasional peaks of 30-32 l/min. I have read it should be 12-20 l/min . What does it mean?
Can you comment on this, please?
Thanks Franco
Franco, first off, I am not a medical professional, just a retired guy that has taken some interest in CPAP treatment. I was a reluctant member of the CPAP club. I am 71 and was diagnosed about 2 years ago or more with an AHI of 37. I suffer from a fair bit of central apnea which is not well treated by a CPAP. I am happy to average about 2-2.5 for AHI. As for your questions:
On the leak rate I do not go by the happy/sad faces on my AirSense 10. Leaks have to be really bad to get a red unhappy face. I go by the graph in the SleepyHead (OSCAR) Daily Report. If you right click on the scale of the Leak Rate chart and then on Dotted Lines, you can check off Leak Rate Upper Threshold, which draws a dotted line at 24 L/min.. While I like to see a graph that track right down near zero, my experience is that when it does, it usually means I was really not sleeping well, or that my mask straps are too tight. My goal is to go through the night under that dotted line, but do not lose any sleep over going up to it. I do go over and my long term average is 2-4% over the leak rate redline. If I am exceeding the redline too much I adjust the straps on my mask. What type of mask do you use? If it is a nasal, or nasal pillow, one leak issue can be simply opening your mouth during the night. I do that, but mouth tape to minimize the impact of it.
I don't worry about the large leak thing. It most often is caused by my mask hose coming off, or me sleeping in a position that displaces the mask on my face. I just try to keep the leak rate below the red line.
I never look at the respiration rate. I just did because of your question, and I see that I typically average about 20. I have no idea what it means!!
I worry more about the Minute Ventilation graph, and the frequency of CA or Central Apnea events. The Minute Ventilation looks like a bit of a garbage graph but if you zoom in on the time scale (repeated left click of the mouse, or the up down arrow key), in a ideal world, it should be quite flat. However if it cycles up and down in a periodic manner it indicates your breathing control system is not stable. That in turn can cause central apnea and in the extreme Cheyne-Stokes respiration (CSR). Not sure what the ratio is of the type of events you are seeing in your total AHI, but if CA events are significant this is something to look at. My long term stats show that I am under 0.1% CSR. If it goes up to become more significant I certainly will ask my doctor to investigate, as CSR can be indicative of more serious heart-lung issues.
Hope that helps some. If you F12 in the Daily Report screen as screen shot will be saved. Watch in the lower right of the screen to see where. With File Explorer, locate the file, left click on it, hold, and then you can drag the file into a post you are composing here. It will display the image in the post. Just don't go whole hog and post multiple images as that seems to trigger the spam filter. Just post a Daily Report, if you want some comments as to what it is like.
Hope that helps some,
