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Oxygen levels with cpap......

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Joined: Tue Jul 31, 2012 11:48 am
Posts: 4
Location: Georgia
Machine: ResMed S9 Elite
Mask: F & P Pilairo nasal pillow
Humidifier: ResMed h5i w/ climateline
Year Diagnosed: 2012
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Tue Aug 14, 2012 7:13 pm Post
Ok to start been on cpap for 4 nights for the last 3 i have a oximetry that records with parameters event drop of spo2 of 4% for min 10 seconds 1st night 48 events 0 under 88 min of 91 ave 93.4 night 2 ..48 events 0 under 88 ave 91 close to the same night 3 ..118 events 1 under 88 (84) 2 under 90 ave 92.4 does the number of events tell anything can find much info online any help? whats a normal numbers? Just for the record im getting a s9 Elite to replace the escape.
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Re: Oxygen levels with cpap......

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Joined: Tue May 31, 2005 8:21 pm
Posts: 6404
Location: Southern California
Machine: DeVilbiss IntelliPAP
Mask: Fisher & Paykel Flexifit 431
Humidifier: Rarely as needed
Year Diagnosed: 1999
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Wed Aug 15, 2012 5:55 am Post
What you should be following is your AHI. If your airway is open, then your O2 sat. should be, and remain >95%, which is normal. Your PAP therapy either is not working or you have an underlying lung disorder and will need supplemental O2 along with your PAP therapy.

Vicki


Re: Oxygen levels with cpap......

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Joined: Sat Feb 25, 2012 11:12 am
Posts: 426
Location: L.A. (Lower Alabama)
Machine: RP sys one auto w/a-flex model 550P
Mask: quattro fx full face
Humidifier: yes sys one
Year Diagnosed: 1990
Profile 
Fri Aug 17, 2012 5:06 pm Post
here's an o2 story:

my wife had a sleep test in '10 with no mention of o2 problems. neither one of us was adjusting to cpap so she followed me and quit using it. fast forward to early this year. i started using my new apap and she still wasn't using hers. i bought a pulse oximeter to show her how bad the o2 was without cpap. it was low and she started using the cpap. then i did another test to show her how the cpap was helping her o2. wrong answer. it was still low. we had the doc order an o2 test to confirm my pulse ox, which it did and she was on o2 with her cpap the next night. we are pretty sure that her metformin for diabetes which was ordered much later after her sleep test is what is dragging her o2 down. low o2 is a known side effect of metformin. she is fine with the cpap and o2 generator now.

so talk to your doctor. it could very well be a medication dragging it down if its not a lung problem or ineffective cpap treatment.

for anybody reading, this makes a good case for buying a cheap recording pulse oximeter to check your o2 overnight. if i hadn't bought one we would not have known her o2 was too low, possibly til it was too late, because based on the sleep test we had no reason to suspect it. i said cheap oximeter because the price is cheap ($70), but it is every bit as good as the expensive professional ones that cost many times more.


Re: Oxygen levels with cpap......

Offline
Moderator
Joined: Tue May 31, 2005 8:21 pm
Posts: 6404
Location: Southern California
Machine: DeVilbiss IntelliPAP
Mask: Fisher & Paykel Flexifit 431
Humidifier: Rarely as needed
Year Diagnosed: 1999
Profile 
Sat Aug 18, 2012 7:02 pm Post
Good point GreatUncleBill!


Re: Oxygen levels with cpap......

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Joined: Thu May 26, 2011 4:30 pm
Posts: 115
Location: Madison, WI
Machine: PR Pro One Auto BiPap w/auto flex
Mask: Mirage Quatrro (sm), Quatrro FX
Humidifier: Yes, cold air, F&P
Year Diagnosed: 2011
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Sun Aug 19, 2012 5:44 am Post
I agree with Uncle Bill for what that's worth. My BiPap therapy started with an O2 test. They discovered thru two different over night Oximeter tests that my O2 was dropping into the 50s for extended periods of time. Even during the day it goes into the high 70s low 80s for extended periods of time. Just recently I had to begin using O2 during the day when Im home, it seems to help with my pain level and headaches. My AHI when I started this journey was "well over 100"....and the last reading on my BiPap shows my AHI now is....ZERO

Please treat your SA with whatever is necessary.

I wish you well
.


Re: Oxygen levels with cpap......

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Joined: Tue Jul 31, 2012 11:48 am
Posts: 4
Location: Georgia
Machine: ResMed S9 Elite
Mask: F & P Pilairo nasal pillow
Humidifier: ResMed h5i w/ climateline
Year Diagnosed: 2012
Profile 
Sat Aug 25, 2012 9:34 am Post
I have a oximetry that records been on cpap for 14 days now my o2 90 - 95% on ave of 25% of night below 90 maybe 1 or 2 times a night 10 to 15 seconds. Another ? I had mostly Centrals in the 1st test 96 or 16/hour, with my elite cpap most i have saw is 4/hour on ave for 14 days is 2.7/hour so it working, i would like this number to be 0 is there anything that anybody has done to lower this number (meds, oxygen) also 1st test i had 9 Obstructive or 1.5/hour with cpap for 14 days ave 1.2/hour so really its done very little with osa i know that number is good AHI ave 4.3/hour down from 36.7/hour so all is good its works that i know because of the way i feel now.


Re: Oxygen levels with cpap......

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Joined: Sun May 27, 2012 6:27 am
Posts: 7
Machine: Resmed S9 Escape
Mask: Resmed Quattro FX
Humidifier: Resmed 5i Htd Humid
Year Diagnosed: 2012
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Sun Aug 26, 2012 6:15 am Post
Before starting on CPAP I had been so run down that I had a hard time staying awake no matter what the situation. After starting on CPAP I had improved a great deal but was still spending long periods awake every night. After reading this thread and seeing GratUncleBill's suggestion for getting an inexpensive pulse oximeter I purchased the CMS-50F and started recording my nights. Even though last night was night three for recording I can already see a pattern of events where my O2 levels drop way down to 80, and occasionally below, leading up to the timeframe I am typically awake. I can tell from looking at the chart when and how long I am awake since the O2 levels are stable. Another interesting part to the graphs is where my pulse rate will shoot up over 120 at least once a night; bad dream?

It will be interesting to show the doctor what this little device is coming up with and see what he might have to say. Wish I had a CPAP machine that would record data instead of the brick I bought.


Re: Oxygen levels with cpap......

Offline
Joined: Sat Feb 25, 2012 11:12 am
Posts: 426
Location: L.A. (Lower Alabama)
Machine: RP sys one auto w/a-flex model 550P
Mask: quattro fx full face
Humidifier: yes sys one
Year Diagnosed: 1990
Profile 
Sun Aug 26, 2012 8:25 am Post
tracyw wrote
Before starting on CPAP I had been so run down that I had a hard time staying awake no matter what the situation. After starting on CPAP I had improved a great deal but was still spending long periods awake every night. After reading this thread and seeing GratUncleBill's suggestion for getting an inexpensive pulse oximeter I purchased the CMS-50F and started recording my nights. Even though last night was night three for recording I can already see a pattern of events where my O2 levels drop way down to 80, and occasionally below, leading up to the timeframe I am typically awake. I can tell from looking at the chart when and how long I am awake since the O2 levels are stable. Another interesting part to the graphs is where my pulse rate will shoot up over 120 at least once a night; bad dream?

It will be interesting to show the doctor what this little device is coming up with and see what he might have to say. Wish I had a CPAP machine that would record data instead of the brick I bought.

you need to do like we did and print the report from SPO2 review. show your doc the report ASAP. the doc should order a real overnite o2 study to verify your oximeter and get a study that he can use to order an o2 generator if it is needed. this can happen fast if you get right on it monday morning.

could you please make a screen print of your graph opened to full night and post it?


Re: Oxygen levels with cpap......

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Joined: Sun May 27, 2012 6:27 am
Posts: 7
Machine: Resmed S9 Escape
Mask: Resmed Quattro FX
Humidifier: Resmed 5i Htd Humid
Year Diagnosed: 2012
Profile 
Sun Aug 26, 2012 8:24 pm Post
Here's an example of the readout.
Image


Re: Oxygen levels with cpap......

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Joined: Sun May 27, 2012 6:27 am
Posts: 7
Machine: Resmed S9 Escape
Mask: Resmed Quattro FX
Humidifier: Resmed 5i Htd Humid
Year Diagnosed: 2012
Profile 
Sun Oct 14, 2012 7:56 pm Post
I have recently changed doctor's since I have been disappointed with my old one for a couple years now. I printed out 3 weeks of reports and took them to my new doctor's office and they have done nothing more than call and ask if I have had a titration study done. I have to say that I am so frustrated with the medical profession lately.

I am working with the company that sold me the CPAP machine and probably next week I will go and rent one that records data so possibly we can get something going that way.

On a side note, the other night I took the mask off while I was asleep and ended up stopping breathing. Kinda scary to wake up choking.


Re: Oxygen levels with cpap......

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Joined: Sat Sep 22, 2012 2:12 pm
Posts: 6
Machine: resmed
Mask: quatro fx
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Year Diagnosed: 2007
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Wed Jan 30, 2013 6:18 am Post
My o2 goes down in the 80s but they dont care either- i am on cpap of 15- i wake up with angina, panting and headaches. As I write this it is 5:15 am and I have been up since 4:30 am with severe angina because the stupid doctor wont order me oxygen saying medicare wont pay for it because I dont desat for more than 5 minutes. BS


Re: Oxygen levels with cpap......

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Joined: Sun Jan 13, 2013 2:19 pm
Posts: 547
Machine: PR System One 560P
Mask: Quattro FX For Her
Humidifier: Yes
Year Diagnosed: 2012
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Wed Jan 30, 2013 5:33 pm Post
Hi Sue...Please get yourself in to see your doctor ASAP. Call an ambulance if you need to. Forget about the 02 for now...it is your severe angina that needs immediate attention.

I see from your other posts that your CPAP treatment has not appeared to have been followed by your health professionals. This needs your attention, too...but is secondary for now. After the above has been seen after, please seek out a doctor specializing in sleep medicine to reevaluate you. Do not delay on this. On CPAP, your AHI should be under 5 each night. If it exceeds that number, then this is an indication that things are not going as well as they should with your treatment and that some kind of change or adjustment is in order. Your specialist may feel that another sleep study could benefit you. If so...go for it. Your sleep specialist will know what needs to happen and...may even be the key to getting that order for oxygen that you are seeking.

The general practioners are not specialists and they may miss the finer points of obstuctive sleep apnea and XPAP treatment. You must advocate for yourself here. The care you need is not going to just land in your lap...you must go out and fetch it.

Take care.
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