Another my opinion, it'll probably be time to self titrate settings to increase comfort (as needed) and to try to reduce events. ResMed's Titration protocol is what I'd stick with. I think first up is small increases to EPAP Min.
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Need guidance for complex sleep apnea and leaks follow-up
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11-25-2021, 02:06 PM
RE: Need adult guidance for complex sleep apnea follow-up
A quick look tells me the charts are showing similar info. OSCAR is the easier to the eye to view needed data in my opinion. You can see more of what's needed at one glance, both detail chart trace and left panel info.
Another my opinion, it'll probably be time to self titrate settings to increase comfort (as needed) and to try to reduce events. ResMed's Titration protocol is what I'd stick with. I think first up is small increases to EPAP Min.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
11-25-2021, 03:42 PM
RE: Need adult guidance for complex sleep apnea follow-up
Resscan looks similar but at least in those images doesn't appear to have the graph that is most useful in OSCAR, that being flow rate. It makes sense they look the same as it is the same data and just a different program to view the equipment recorded data.
We are far more familiar with OSCAR, I don't see any reason to use Resscan. The only time I could see using Resscan as being advantageous is if you find an issue that need to approach doctor on, they usually balk at OSCAR data but being able to show them on Resmeds own software would have a bit more credence.
11-25-2021, 11:58 PM
RE: Need adult guidance for complex sleep apnea follow-up
This is an off-topic question but I'm trying to figure out if it's worth the effort to learn ResScan, and you actually know how to use it! Does ResScan let you zoom in and out in the time direction, and/or change the height & spacing of the y-axis of graphs?
11-27-2021, 11:42 AM
RE: Need adult guidance for complex sleep apnea follow-up
11-27-2021, 11:49 AM
RE: Need adult guidance for complex sleep apnea follow-up
Don't rejoice yet about that wonderful AHI total today. Tomorrow it will likely be in the teens or twenties regardless of Min EPAP or leak rate. Anyway, I THINK I have zoomed on a time of LL but with only few events. Still all looks alike to me. I am trying to learn User's Guide which so far is defeating me.
11-27-2021, 11:56 AM
RE: Need adult guidance for complex sleep apnea follow-up
You should minimize the calendar on OSCAR by clicking on the triangle next to it. This is blocking the ability to see other necessary data.
I still can't be at all confident your therapy is going well with these leaks.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
11-27-2021, 01:27 PM
RE: Need adult guidance for complex sleep apnea follow-up
On the first chart hypopnea definitely corresponds to periods of high leak. Less definite on the second chart. Minimize the monthly calendar by clicking that triangle in the date line. I can't imagine why you have such persistent leaks. It is by far your biggest problem to solve.
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.
11-27-2021, 02:10 PM
RE: Need adult guidance for complex sleep apnea follow-up
Sorry 'bout the calendar. I knew to do that, just forgot. As to leak - it's been a problem from day one. I'd largely blamed it on high pressures back in BiPAP days. I've tried literally dozens of masks over the years. Found in general, I do better with nasals, I assume due to smaller surface area. I find I generally have to keep adjusting straps as they stretch out. I do try to rotate mask design from time to time to prevent pressure problems with my forehead skin. I mentioned the neck collar and sleep position. I've tried fabric liners but they never stay in position. I do flop around a lot during sleep and have restless legs. The only other factor I can postulate but not seem to fix is my chubby (read: FAT) face. The Jaba icon is distressingly accurate.
At least with my min EPAP back up I have felt more comfortable.
11-27-2021, 03:48 PM
RE: Need adult guidance for complex sleep apnea follow-up
When you post overview/full night data make sure to zoom out view port so seeing the full night.
You still haven't posted any 2-3 minute examples of apnea, hypopnea or what you would consider regular breathing. Don't worry about trying to interpret Oscar on your own, post examples and let us help you interpret them. |
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