My CSR reading is increasing since last 5 days, should Ibe worried?
Please help me..
Kindly check the attachment for daily report and advice!
Daily from 8th to 11th.docx (Size: 268.62 KB / Downloads: 19)
Thanks.
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[Diagnosis] CSR reading is increasing everyday
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08-12-2020, 01:46 PM
CSR reading is increasing everyday
Hi Members,
My CSR reading is increasing since last 5 days, should Ibe worried? Please help me.. Kindly check the attachment for daily report and advice! Daily from 8th to 11th.docx (Size: 268.62 KB / Downloads: 19) Thanks.
08-12-2020, 03:06 PM
RE: CSR reading is increasing everyday
Could you please post a full daily details screenshot as shown in the Organizing Your Oscar Chart linked in my signature. I’m pretty sure the problems with your therapy are ramp too low too long and insufficient minimum pressure. I also want to look at increasing pressure support to help with flow limitations and hypopnea. I guarantee this is not CSR but rather periodic flow limitation from some form of obstruction with the leading candidate being positional apnea. Feel free to read the Soft Cervical Collar wiki linked in my signature because you’re going to hear a lot more about it soon.
Sleeprider
Apnea Board Moderator www.ApneaBoard.com ____________________________________________ Download OSCAR Software Soft Cervical Collar Optimizing Therapy Organize your OSCAR Charts Attaching Files Mask Primer How To Deal With Equipment Supplier INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
08-12-2020, 04:53 PM
RE: CSR reading is increasing everyday
Hi Sleeprider,
Thanks for your reply Please check the attachment. Thanks
08-12-2020, 05:57 PM
RE: CSR reading is increasing everyday
As I expected, you have by far predominately obstructive events in clusters. You have the very common problem of obstructing when your chin tucks and obstructs the airway. Philips seems to flag this as periodic because people with this problem obstruct, arouse and breathe, then quickly obstruct again as they fall asleep. A soft cervical collar is amazing in taking this from many events per hour to nearly nothing. The secret is to find a comfortable but effective fit. Hopefully you have read the soft cervical collar wiki http://www.apneaboard.com/wiki/index.php...cal_Collar, and the discussion of positional apnea http://www.apneaboard.com/wiki/index.php...onal_Apnea
Read the wikis. Your problem with chin-tucking is extremely common and easy to fix without raising pressure. I notice that when you are having apnea clusters, you are pushing the ramp button. Your ramp should be on a minimum pressure of 8.0 and on Auto, or just simply off. That is not a solution. Once you control the positional issue with a soft cervical collar, you won't be waking up and resetting pressure. The pressure is not the problem, it is the obstruction of your airway.
Sleeprider
Apnea Board Moderator www.ApneaBoard.com ____________________________________________ Download OSCAR Software Soft Cervical Collar Optimizing Therapy Organize your OSCAR Charts Attaching Files Mask Primer How To Deal With Equipment Supplier INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
08-19-2020, 11:12 AM
RE: CSR reading is increasing everyday
Hi Sleeprider.
Thanks for your reply and advice, I'll read the wiki links and try to implement. Thanks again. Good Day. |
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