Start time 09:56
End Time 16:06

Recording time 370 minutes
Actual sleep time 320 minutes
Sleep efficiency 86.5%

Sleep Stages:
Stage 1 4.1%
Stage 2 65.9%
Stage 3 0%
Stage 4 0%

REM sleep; 30%

Latency to REM Cycle 140.5 minutes
Latency to Sleep Onset 5.5 minutes

Hyponeas 103
Apneas 37
Oxygyn Saturation 92-85%
Electrocardiogram 85

The patient was started at a level of 3CM/H20 and titrated to a level of 12 CM/H20 at which time all snoring and apneic episodes ceased.


The recommended CPAP titration is 12CM/H20


The doctor's prescription says the following:
CPAP AUTO
12 CM/H20
With Humidifier
Face Mask


Since noone else has bothered, I thought someone could translate all of this.

Am I going to have trouble getting an APAP machine with that script? I told him I wanted an auto adjusting, so he wrote auto. I told him I wanted a heated humidifier, and of course all he wrote was humidifier. . .(sigh). . .

Since I am not sure if this was a split night study or not I cannot determine what your AHI is going to be, which is the index that the insuarance is going to need. Your Slow Wave sleep is non existant, this is common in patients with sleep related breathing disorders. Your O2 sat is dropping down to 85% normal is greater than 92%. Your REM sleep onset is delayed again somewaht common in SRBD's.
What I would ask the DME company for is a Respironics C-Flex with humidifier, or the ResMed machine, these devices ONLY come with heated humidifiers.


_________________
Iain Boyle MS, MLT(CSMLS), RPSGT

Also CPAP auto with the pressure set at 12cmH2O is redundant, what you want is the device set at a pressure spread of 5 to 14 cmH2O. The only time I would advise a script for an Auto is for patients with primarily REM sleep related breathing disorders, ie the index is much higher during REM sleep ergo usually the pressure needs are higher as well. Some patients for example will need a pressure of 5 during nonREM sleep, and a pressure of 12 during REM sleep, these patients usually have difficulty tolerating CPAP because the pressure is way too high during nonREM sleep, the autopap relieves this.


_________________
Iain Boyle MS, MLT(CSMLS), RPSGT