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CPAP Patient’s Personal Treatment Report

Patient Details: Name: Bernie Rhodes Age: 73yrs Occupation: Retired Buyer Location: UK

Apnoea Patient History: Updated: March 2021 Apnoea 24hr Test - 5yrs ago with NHS Sleep Study Dept. Diagnosed with Severe CPAP Obstructive Apnea. Resmed Aircurve 10 Machine issued by NHS Clinic - Dec 2019 Succesful Trial of Airtouch P20 (Large) Full Face Mask Apnoea Tests 18 months ago results show inclusion of Central Sleep Apnoea. Resmed Aircurve 10 Humidifier issued Nov 2020 Latest Humidifier Level 8 Recorded Apnea Hypopnea Index (AHI) Events: Overnight Sleep Test AHI Results: 42 Events per hr.

Resmed Aircurve 10 Machine

Resmed Link

http://1800cpap.com

Resmed Aircurve 10 Machine Clinical Settings and Readings: Mask: Full Face

Mode: ASV = Adaptive-Servo Ventilation EPAP: 5.0 = Expiratory Positive Airway Pressure Min PS: 3.0 = Minimum Pressure Support Max PS: 12.0 = Maximum Pressure Support.

Humidifier: Level 8 AHI: 4 Events per hr.

Do you wake up in the morning with a headache, feeling just as tired as when you went to sleep? Has your spouse moved to the room next door, exhausted by listening to you snore, gasp, and choke every night? If so, you may have obstructive sleep apnea (OSA) - a condition where the upper passages of your airway close off, interrupting your breathing and depriving you of oxygen until you wake up and start breathing again. Sleep Apnea affects more than 18 million American adults. How can you tell if you have Sleep Apnea? The only real way is to have a sleep study, a test that records what happens while you sleep. But there are some common signs of sleep apnea, Sleep Apnea Signs: Snoring, Gasping, Sleepiness The three main warning signs of obstructive sleep apnea are: Loud, persistent snoring Pauses in breathing, accompanied with gasping episodes when sleeping Excessive sleepiness during waking hours Should everyone who snores see a sleep specialist? No, say the experts. Most people who snore don’t have obstructive sleep apnea, but most people who have apnea snore, If you have chronic snoring that is loud enough to wake a bed partner, talk to your doctor. Like snoring, the most definitive sign of sleep apnea - waking up to breathe - is often witnessed by a bed partner. People with sleep apnea frequently wake up for a few seconds to gasp for air. This can happen hundreds of times a night in people with severe sleep apnea, “If someone witnesses you waking up repeatedly at night, it’s very suggestive of obstructive sleep apnea. If you don’t have a bed partner to catch your gasping or snoring on camera, the only signs of sleep apnea you may notice are morning headaches or extreme sleepiness during the day. People with extreme sleep apnea are likely to doze off in the middle of meals or conversations, Moderate daytime sleepiness, such as the desire to take an afternoon nap, doesn’t necessarily mean you have obstructive sleep apnea. Other Signs of Sleep Apnea: Mouth Breathing, Excessive Urination If you wake up with a very dry mouth and gummy front teeth, it may also be a sign of sleep apnea. People who have obstructive sleep apnea tend to sleep with their mouths open. After treatment with continuous positive airway pressure (CPAP) devices - the gold standard for treating sleep apnea - patients keep their mouths closed at night. A less common symptom of sleep apnea is waking up frequently with a desperate need to urinate. When a person’s breathing is disrupted, it puts pressure on the heart. This, in turn, affects a hormone that normally controls urine production in the kidneys, This tends to occur when obstructive sleep apnea is really extreme.

Clues You Might Have Obstructive Sleep Apnea:

Resmed Aircurve 10 Machine - Records Clinical Settings and Readings: Mask: Full Face

Mode: ASV = Adaptive-Servo Ventilation EPAP: 5.0 = Expiratory Positive Airway Pressure Min PS: 3.0 = Minimum Pressure Support Max PS: 12.0 = Maximum Pressure Support. Humidifier: Level 8 AHI: 4.0 Events per hr.

CPAP Patient’s Records A4

Glossary of Sleep Abbreviations

Sleep apnea is a serious sleep disorder that occurs when a person's breathing is interrupted during sleep. People with untreated sleep apnea stop breathing repeatedly during their sleep, sometimes hundreds of times. This means the brain and the rest of the body may not get enough oxygen. There are two types of Sleep Apnea: 1. Obstructive Sleep Apnea (OSA): The more common of the two forms of apnea, it is caused by a blockage of the airway, usually when the soft tissue in the back of the throat collapses during sleep. 2. Central Sleep Apnea: Unlike OSA, the airway is not blocked, but the brain fails to signal the muscles to breathe, due to instability in the respiratory control center. Am I at Risk for Sleep Apnea? Sleep apnea can affect anyone at any age, even children. Risk factors for sleep apnea include: · Being male · Being overweight · Being over age 40 Having a large neck size (17 inches or greater in men and 16 inches or greater in women) · Having large tonsils, a large tongue, or a small jaw bone · Having a family history of sleep apnea Nasal obstruction due to a deviated septum, allergies, or sinus problems. What are the Effects of Sleep Apnea? If left untreated, sleep apnea can increase the risk of health problems, including: High Blood Pressure Stroke Heart failure, irregular heart beats and heart attacks Diabetes Depression Worsening of ADHD Headaches In addition, untreated sleep apnea may be responsible for poor performance in everyday activities, such as at work and school, motor vehicle crashes, and academic underachievement in children and adolescents.

Sleep Apnea Types?

Respiratory Disturbance Index (RDI) Sometimes the Respiratory Disturbance Index is used. This can be confusing because the RDI includes not only apneas and hypopneas, but may also include other, more subtle, breathing irregularities. This means a person's RDI can be higher than his or her AHI. Oxygen Desaturation Reductions in blood oxygen levels (desaturation) are recorded during polysomnography or limited channel monitoring. At sea level, a normal blood oxygen level (saturation) is usually 96 - 97%. Although there are no generally accepted classifications for severity of oxygen desaturation, reductions to not less than 90% usually are considered mild. Dips into the 80 - 89% range can be considered moderate, and those below 80% are severe.

The Apnea Hypopnea Index (AHI) and Oxygen Desaturation Levels are used to indicate the severity of obstructive sleep apnea. Apnea Hypopnea Index (AHI) The AHI is the number of apneas or hypopneas recorded during the study per hour of sleep. It is generally expressed as the number of events per hour. Based on the AHI, the severity of OSA is classified as follows:

Apnea Hypopnea Index (AHI)

• None/Minimal: AHI < 5 per hour • Mild: AHI ≥ 5, but < 15 per hr • Moderate: AHI ≥ 15, but < 30 per hr • Severe: AHI ≥ 30 per hour

AirCurve 10 VAuto Bi-Level with Humidifier by ResMed 37211 · APAP The AirCurve 10 VAuto BiLevel Machine with HumidAir Heated Humidifier is the next advancement in BiLevel treatment from ResMed. This machine automatically adjusts to deliver one pressure for inhalation, and another for exhalation. The HumidAir heated humidifier is built into the AirCurve 10 VAuto expanding on the success of the S9 line. AirCurve 10 VAuto BiLevel Machine comes with: 1) heated humidifier, 2) new HEATED HOSE (tube), 3) new water chamber, 4) carry case, 5) power supply, 6) power cord. Machine has 5000+ hours of use. The CPAP machines that we sell work with ANY voltage system, including those in Australia and Great Britain. Pease note that used CPAP machines and masks are professionally cleaned using solutions specifically designed by medical institutions for cleaning CPAP equipment.

http://1800cpap.com

Resmed Aircurve 10 Machine

AirTouch F20 Full Face CPAP Mask with Optional Headgear This product does not require a prescription

AirTouch F20 Cushion See Below

AirTouch F20 Cushion Set of 9

Airtouch Full Face Mask Cushion F20 with Foam Surround (New Foam Design) Do not use soap/water to clean. Clean with Sanitised Wipes. F20 Masks are available from Resmed Set of 3 Masks inc delivery £108.00 (£33.50ea)

What Is the Difference between AirFit F20 and AirTouch F20? Both ResMed AirTouch F20 and AirTouch F20 are comfortable full-face masks that effectively deliver CPAP therapy needs. Their difference lies in the amount of comfort they offer. The ResMed AirFit F20 was the first full-face mask to be released between them. This face mask is made with a silicone cushion, which is soft, durable, and easier to clean. The ResMed F20 AirTouch is the latter full face mask model. It’s made with an UltraSoft memory foam cushion, which is softer and more comfortable than the silicone cushion is. ResMed AirTouch F20 follows the grooves and contours of the head and face, making it a more fit and snug full-face mask. Another thing that sets these masks apart is the elbow piece, which is found in the AirTouch F20. ResMed came up with a casing that goes over the exhaust holes, which slightly changes the air distribution. With the casing, the ResMed AirTouch F20 is much quieter for the user and means less disturbance for the partner, compared to the AirFit F20. How Do I Clean My AirTouch F20? Here is a short step-by-step guide to cleaning your AirTouch F20 full-face mask: Disassemble the mask. Use warm water and mild liquid soap to hand-wash the headgear. Thoroughly rinse the headgear in running water. Squeeze the headgear to remove excess water. Hang the headgear to air-dry, but keep it out of direct sunlight. You can do this to your AirTouch F20 every week. If you want a quick cleanup every day, use mask wipes to remove oil and dirt that accumulated in the mask overnight.

If you already have the AirFit F20 Full-Face Mask, you can simply purchase the AirTouch F20 UltraSoft™ memory foam cushion (which is monthly disposable) and can be inserted into your existng F20 frame and headgear.

Note: Photos show Cushions in use after 8 weeks.

Product Description ResMed’s new, groundbreaking AirTouch F20 full-face CPAP mask is the first-ever mask to use an UltraSoft memory foam in the cushion. The headgear is an optional add-on to make this a complete mask system for users who do not have a prescription or just need the mask and not the headgea The AirTouch F20 CPAP mask is an alternative version of the popular AirFit F20. The difference between the two masks is AirTouch F20 has a memory foam cushion and AirFit F20 has a silicone cushion. These cushions are also interchangeable as the mask frame is identical. If you already own an AirFit F20 mask, you can purchase the AirTouch memory foam cushion to use on your existing mask, and if you have the AirTouch F20, you can use the AirFit cushion on it. The one-size frame fits all size F20 cushions. The plush memory foam cushion is designed to conform to the unique contours of each individual face, creating a light, soft, breathable seal that stays in place throughout the night. The AirTouch and the AirFit F20 Full Face CPAP Mask are both compatible with the AirMini AutoSet Travel CPAP Machine.

AirTouch F20 Special Features & Benefits Memory foam cushion - the UltraSoft memory foam cushion provides a much-better it and seal than silicone does. The foam can be wiped daily, but it should be replaced every 30 days. Headgear (optional) - plush headgear is specifically designed to provide extra softness and stability. You no longer have to worry about your mask moving while you sleep! Frame - the soft and flexible frame sits underneath the eyes and adapts to different facial types, while integrated padding adds softness. Get a clear field of vision with the lack of a forehead support bar, a great feature giving you the freedom to watch television or read before bed. The frame is only one size, and it is the same as that of AirFit F20 and fits all F20 cushion sizes. Magnetic clips - the F20 headgear connects to the mask frame using magnetic headgear clips. The magnetic clips lock into place onto the frame, making it easy for attaching and detaching the mask. Diffused venting - diffused venting evenly disperses air and dampens airflow. This maintains the clean air you breathe in throughout the night. Quick-release elbow - quickly disconnect your tubing from your mask without removing the entire mask when you get up at night. Important Tip: The AirTouch and AirFit F20 masks use the same frame and headgear, with interchangeable cushions. The UltraSoft memory foam cushion cannot be washed, only wiped daily with an alcohol-free mask wipe. It is recommended that you replace the cushion every 30 days. Avoid getting the memory foam wet. Replacement CPAP Parts AirTouch Replacement Cushion: 63028, 63029, 63030 AirTouch Replacement Headgear Strap: 63471, 63470, 63472 Recommended Replacement Schedule Cushion: Every 1-3 Months (or as needed) Headgear: Every 3-6 Months (or as needed) Complete Mask: Every 9-12 Months (or as needed) Tube Hose: Every 1-3 Months (or as needed) Also Available ResMed AirTouch F20 Cushion Seal AirTouch F20 And AirFit F20 Memory Foam Cushion By ResMed ResMed AirFit F20 Headgear AirFit F20 Headgear By ResMed Universal CPAP Tubing Hose - 6ft With Rubber Cuffs ResMed AirTouch F20 Cushion Seal Universal CPAP Tubing Hose - 6ft With Rubber Cuffs AirTouch F20 And AirFit F20 Memory Foam Cushion By ResMed ResMed AirFit F20 Headgear AirFit F20 Headgear By ResMed Universal CPAP Tubing Hose - 6ft With Rubber Cuffs

Hope2sleep Guide Forum

UARS: Upper airway resistance syndrome