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Flow Rate Graph - Clarification Sought
#1
Flow Rate Graph - Clarification Sought
Please comment on the following:  

What does it mean when the flow rate is noticeably different during a sleep session as pictured on the attached screen shot (note the transition in breathing rate)?  I understand that my inhalation/exhalation pattern has changed and appears to have increased. Is that correct and is there anything noteworthy when this type of breathing occurs?  Thanks.
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#2
RE: Flow Rate Graph - Clarification Sought
Context please, a full night's chart plus 3 minute zooms of the areas in question. At this scale all that can be seen is that your exhale rate changed to be larger than your inhale.
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#3
RE: Flow Rate Graph - Clarification Sought
(02-26-2022, 08:32 AM)Gideon Wrote: Context please, a full night's chart plus 3 minute zooms of the areas in question.  At this scale all that can be seen is that your exhale rate changed to be larger than your inhale.

Sure, Gideon.  I should have known that.

Here are the Oscar screen shots attached. Thanks for reviewing further.
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#4
RE: Flow Rate Graph - Clarification Sought
Looks like https://sites.google.com/view/palatal-prolapse
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#5
RE: Flow Rate Graph - Clarification Sought
(02-27-2022, 04:27 AM)multicast Wrote: Looks like https://sites.google.com/view/palatal-prolapse

Attached is a closer screen shot of what is happening to me on that flow transition, and yes, it looks similar to the pattern on the link that you provided for palatal prolapse with a little more of a "v" at the bottom of each exhalation. I do not know if this is an unusual, highly-distinctive flow pattern, or similar to other manifestations of OSA, but the premise is interesting. Thanks for providing it.  Seems as if there are limited fixes for it, but it does provide good information on what not to do.  I will explore further.  Thanks again. Anyone else care to comment on this?
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#6
RE: Flow Rate Graph - Clarification Sought
I see general flow limitation and resistance in exhale, but not palatal prolapse. Your exhale flow is relatively high but short in duration. It clearly includes similar volume to inspiration, so what I see is flow limitation. Have you tried EPR? Looking back at your therapy thread, I think you should give EPR a try to see if it helps with some of the uneven respiration. I would like to see you at minimum pressure 9.0, maximum pressure 12.0 and EPR 3.
Sleeprider
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#7
RE: Flow Rate Graph - Clarification Sought
(02-27-2022, 10:29 AM)Sleeprider Wrote: I see general flow limitation and resistance in exhale, but not palatal prolapse.  Your exhale flow is relatively high but short in duration. It clearly includes similar volume to inspiration, so what I see is flow limitation.  Have you tried EPR?  Looking back at your therapy thread, I think you should give EPR a try to see if it helps with some of the uneven respiration.  I would like to see you at minimum pressure 9.0, maximum pressure 12.0 and EPR 3.

Thanks Sleeprider. I tried EPR but did not give it a fair shot.  Won’t this reduce my pressure considerably if I am already at 8.4/13.4 with no EPR now?  But I guess that is the point on exhalation only. Correct?  I’ll give it a try.  Thanks very much.
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#8
RE: Flow Rate Graph - Clarification Sought
The pressure will be reduced, but we have given you enough maximum pressure to provide up to 12/9 pressure (inhale/exhale). I would have no objection to increasing that range to 14.0. Consider this a trial and we can review your needs and comfort more closely after you have given it a try.
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.
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#9
RE: Flow Rate Graph - Clarification Sought
(02-27-2022, 11:40 AM)Sleeprider Wrote: The pressure will be reduced, but we have given you enough maximum pressure to provide up to 12/9 pressure (inhale/exhale).  I would have no objection to increasing that range to 14.0.  Consider this a trial and we can review your needs and comfort more closely after you have given it a try.

Good plan. Thanks so much.  I will report back after a good trial.
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#10
RE: Flow Rate Graph - Clarification Sought
I have a similar problem to what I see in the palatal prolapse discussion here and on some of the links provided, but not as severe. Before CPAP I noticed it during physical therapy on my shoulder on exercises that required me to lie on my back. The PT first put 2 pillows behind my head and I found I could not exhale through my nose. It also happened on napping on back at home. When first starting CPAP use I slept on my back because no one told me not to until I found this forum a couple of weeks after using the CPAP. I want back to sleeping on my side and don't have the problem.
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