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Lower 95% pressure higher RERA index. Higher pressure lower RERA index.
#41
RE: Lower 95% pressure higher RERA index. Higher pressure lower RERA index.
If you don't mind, I think these screenshots would be useful in a Wiki on Flow limitations.  Would that be okay?  This shows the benefits of using pressure support or EPR to reduce flow limitation, and how increased pressure really is not a good solution in many cases.  As your therapy progressed, you show a lot of improvement in spite of lower pressure. The benefit of EPR 3 vs EPR 1 in this case is a significant reduction in flow limitation. It's not a full cure, and it's possible even more progress could be realized with bilevel and higher pressure support, but it's pretty impressive.

[Image: attachment.php?aid=5606]

[Image: attachment.php?aid=5607]

[Image: attachment.php?aid=5610]
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#42
RE: Lower 95% pressure higher RERA index. Higher pressure lower RERA index.
Yes - you may use the charts. Thanks for all your help.
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#43
RE: Lower 95% pressure higher RERA index. Higher pressure lower RERA index.
Here is an existing article in our wiki that I agree with. When I write the Flow Limitations wiki I will also refer to this. Note the author advocates bilevel therapy to help with UARS patients with flow limitation much as I have described in this thread. http://www.apneaboard.com/wiki/index.php..._and_BiPAP
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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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#44
RE: Lower 95% pressure higher RERA index. Higher pressure lower RERA index.
I never had problems with UARS but did with flow limitations. Seems like I always had constant limitations throughout the night around the .3 range on the machine flow chart. I always kept my pressure support at or below 3 due to CA's. After reading the above article I decided to break out the VAUTO and try increasing my Pressure Support from 3cm to 5cm. Well the flow limitations just about disappeared and the good news is I didn't have any CA events. It appears that after 10 months my body finally adjusted to a higher pressure support.

So thank you Sleeprider for posting that link!
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#45
RE: Lower 95% pressure higher RERA index. Higher pressure lower RERA index.
(05-01-2018, 12:37 PM)Walla Walla Wrote: I never had problems with UARS but did with flow limitations. Seems like I always had constant limitations throughout the night around the .3 range on the machine flow chart. I always kept my pressure support at or below 3 due to CA's. After reading the above article I decided to break out the VAUTO and try increasing my Pressure Support from 3cm to 5cm. Well the flow limitations just about disappeared and the good news is I didn't have any CA events. It appears that after 10 months my body finally adjusted to a higher pressure support.

So thank you Sleeprider for posting that link!

Okay Mr. Wiki editor Walla; you just volunteered to help write the flow limitation Wiki.
Sleeprider
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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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#46
RE: Lower 95% pressure higher RERA index. Higher pressure lower RERA index.
(05-01-2018, 01:15 PM)Sleeprider Wrote:
(05-01-2018, 12:37 PM)Walla Walla Wrote: I never had problems with UARS but did with flow limitations. Seems like I always had constant limitations throughout the night around the .3 range on the machine flow chart. I always kept my pressure support at or below 3 due to CA's. After reading the above article I decided to break out the VAUTO and try increasing my Pressure Support from 3cm to 5cm. Well the flow limitations just about disappeared and the good news is I didn't have any CA events. It appears that after 10 months my body finally adjusted to a higher pressure support.

So thank you Sleeprider for posting that link!

Okay Mr. Wiki editor Walla; you just volunteered to help write the flow limitation Wiki.

I can do that. Copy the above and paste.
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Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.



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#47
RE: Lower 95% pressure higher RERA index. Higher pressure lower RERA index.
Thanks
Feel free to use anything useful from the Beginners Guide to Sleepyhead, and be sure to link the existing article. I think your personal experience is a worthy addition.  I'll co-author, but I'm running up against a big honey-do list.
Sleeprider
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www.ApneaBoard.com

____________________________________________
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Organize your OSCAR Charts
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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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#48
RE: Lower 95% pressure higher RERA index. Higher pressure lower RERA index.
I started a draft of the Flow Limitation Wiki here http://www.apneaboard.com/wiki/index.php...Limitation

It would be great if other editors could add to this and Walla, you have personal experience that should be helpful to others, and maybe some more images.
Sleeprider
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____________________________________________
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Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
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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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