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 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
CS Pacewave
Resmed Aircurve 10 Machine with Humidifier
Resmed Aircurve 10 Bi-Level Machine
with Humidifier
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.
Resmed Aircurve 10 Machine
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)
Resmed Full Face Mask - Airtouch F20
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.
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
Resmed Full Face Mask - continued
Hope2Sleep Sales: Tel. 01482 374181 John
Hope2Sleep Support: Tel: 0300 1029711 Natalie
COPY for Reference Only:
CPAP and Sleep Apnoea Diagnosis
Hope2Sleep Forum - Membership