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How am I doing
#1
How am I doing
Received my card reader today and below are my results from OSCAR.
Due to frequent power outages in last two days , couldn't use CPAP during entire sleep duration.
Hence I'm not sure if these results can be valid. Also had issue with mask leak in the beginning which I've corrected now.
May you please help to review below results and advice if I need to make any changes...?
 
Thanks.


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#2
RE: How am I doing
Maxship, it looks like your pressure needs some optimization. you are currently at 4.0 to 15 pressure with EPR 1. The pressure goes straight to 15.0 due to high flow limitations that are driving the pressure changes. I think you need to change your minimum pressure to at least 7.0, or higher if you are comfortable with that, and increase EPR to 3. This will make the therapy more comfortable and will cut the flow limits. Hope your power problems get sorted.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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Optimizing Therapy
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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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#3
RE: How am I doing
Thank you Sleeprider for feedback.
Attached is last night's data with EPR set to 3 and min pressure set to 7.
I didn't feel any difference with above settings.
In the first half I can see frequent flow limitation with pressure shooting up to max. Also AHI shoots to max value =9 during this half.
Only difference I know is that my mask was bit tighter during the first half.
May you please help to understand what caused the high values in the first half...?


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#4
RE: How am I doing
Your obstructive apnea and even flow limitations are clustered. That is the signature of positional apnea. Your solution may be as simple as reducing the height of pillows you use, or you may need to consider a soft cervical collar. I suspected this in your first chart, but now we have what is pretty close to proof. Your final session beginning before 05:00 shows that you have good control of obstructive events with lower pressure, but when you tuck your chin, it is all over the place. You need some changes. Even though you have ramp starting at 4, your pressure skyrockets over 12, nearly instantly when ramp ends. Again, this is because you're tucking your chin. Read these wikis that describe a very common problem. Do what you must to avoid getting your neck in a kink like a hose, and the problems are going to greatly diminish.

Positional Apnea http://www.apneaboard.com/wiki/index.php...onal_Apnea
Soft Cervical Collar: http://www.apneaboard.com/wiki/index.php...cal_Collar
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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#5
RE: How am I doing
Attached last night's data without using a pillow. It seems I may need to use a cervical collar.
Yesterday, I was reading through the Flow Limitation wiki and landed in member Marklang's thread.
Was wondering if I may also need to switch to BiPAP, as my pressure as well shooting towards the max setting 15 cm H2O.
Will get a cervical collar and post my results in coming days.

Anyway, I'm feeling much better 1 week after starting my CPAP therapy with less fatigue and sleepy during the day. But I think it can still be improved.
Thank you Sleeprider for your support.


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