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Abnormal Abnormal Breathing
#1
Abnormal Abnormal Breathing
While reviewing last nights data I noticed this abnormal breathing pattern which does not look like anything I have seen described.
I will greatly appreciate your assistance as my Sleep Medicine physicians are unable to assist, candidly they appear to be ignorant and unable to use the machine data to establish a protocol which will improve my treatment.  That is another topic.

Here is the overview of this period of abnormal breathing, followed by a closer look at the beginning, mid-point, and termination period flow rate.

Thank You,
Jim Greene
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#2
RE: Abnormal Abnormal Breathing
Snoring, perhaps?

Also, from your profile, CPAP pressure shows fixed 5cm. Is this correct?
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#3
RE: Abnormal Abnormal Breathing
First, Thanks for your comment.  There was no snoring sensed by the machine.  There is, however, an obvious rapid inhalation-exhalation action ocurring below the main respiration cycle.

Next the pressure is fixed at 8 cmH2O.  The machine is set to CPAP-check mode, which is described as follows:

"CPAP-Check mode (C-Check) delivers CPAP therapy while automatically
adjusting the [fixed] pressure level to meet patient needs over the long term. Every 30
hours of therapy use, the therapy device evaluates patient obstructive respiratory
disturbance index (ORDI) and increments pressure ± 1 cm H2O if needed. The range
of adjustment that can be made over time is limited to ± 3 cm H2O of the CPAPCheck
pressure setting, in 1 cm H2O increments"

I chose this setting after an unsatisfactory recommendation by the sleep medicine person.  The recommendation (fixed 10 cm pressure) was based solely on being able to see that one nights 90% pressure was 10 cm.  They were unable to read the data recorded by the machine during about 30 days of treatment.
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#4
RE: Abnormal Abnormal Breathing
You could have been dreaming too
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#5
RE: Abnormal Abnormal Breathing
It’s a form of periodic breathing sufficient to trigger hypopnea and arises out of flow limitations. It’s not a big medical concern, but the solution might be to use auto mode to enable higher pressure when it occurs. If you were on a Resmed machine, I would enable EPR, but with Philips, highervoressure is all you have because Flex won’t help.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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