Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

Please tell me about RERA
#1
Please tell me about RERA
I'll attach what I think is a good Oscar report. I'm asking for amplification on the topic of RERA. I have sleep problems and an EEG showed that I had clusters of mini-awakenings. I was not aware of them and I didn't consciously awaken, but the doctor said that those mini-episodes sometimes interfere with restorative sleep.
Any ideas if RERA episodes might be a reflection of mini-awakenings? Any references to articles or postings? I doubt if there is any CPAP adjustment that wold deal with that, but it might be useful to talk with my doc about the issue.
Thanks very much.


Attached Files Thumbnail(s)
   
Post Reply Post Reply



Donate to Apnea Board  
#2
RE: Please tell me about RERA
Well your AHI is excellent, but there are a number of RERA events. In order to understand it better, we need to zoom into the respiratory flow rate so we can see the shape of the respiratory "wave". RERA occurs when flow limitation is present. Flow limitation is a restriction of the inhale and shows up as a flattened or downward sloping wave, rather than a normal rounded wave. When we breathe in, we ideally see a rapid increase in the flow rate, that reaches a peak before slowing to zero flow, where exhale begins as the chest relaxes. If there is an upper airway restriction the flow rate slows gradually, and may even become slower before the end of inspiration. This causes a flattened or downward sloping wave. If that happens over several breaths, you may not inhale as much air as you need, and your body will trigger an arousal so you breathe more volume. This is a gradually diminishing flow rate followed by higher amplitude breathing. This arousal is a RERA, and you should be able to identify it on the OSCAR graph by zooming into a 2-minute segment and looking for it.

Here are a couple Apnea Board Wikis:
http://www.apneaboard.com/wiki/index.php...limitation
http://www.apneaboard.com/wiki/index.php..._and_BiPAP
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Optimizing Therapy
Organize your OSCAR Charts
How To Attach Images And Files to your posts
How To Deal With Equipment Supplier
Mask Primer
Beginner's Guide to Sleepyhead

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.
Post Reply Post Reply
#3
RE: Please tell me about RERA
By definition RERAs are a series of Flow Limitations ending in arrousal.
I don't know if these are the mini-awakenings your doc is talking about. They are treatable either with increasing pressure support or raising min pressure. You can't increase pressure support so bump your min pressure up 1cmw. It will likely need more.
Fred Bonjour - Project Manager and Lead Tester for OSCAR - Open Source CPAP Analysis Reporter 
OSCAR

Download OSCAR
New to Apnea? Helpful tips to ensure success
Mask Primer
Dealing with a DME
Organize Charts
Attaching Charts

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.
Post Reply Post Reply
#4
RE: Please tell me about RERA
Excellent information. I'm excited to work with it. Thank you.

Warmest thanks. I'll work with this, upping my lowest pressure bit by bit.
Post Reply Post Reply



Donate to Apnea Board  
#5
RE: Please tell me about RERA
Thanks for these posts....I've had a wonderful suggestion and been told to monitor RERA and change my settings on OSCAR...

Came here to learn more


edit: I've attempted to change my settings on OSCAR. I don't know how to interpret the report, and can't view the results.
DaveL
Compliant for 30+ years

Information on Apnea Board Forums or on apneaboard.com should not be considered as medical advice. 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.  Sleep-well

Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Lots of RERA Greg Schultz 3 247 07-05-2019, 12:23 PM
Last Post: Greg Schultz
  RERA .6 or so, Respiration 35-50? CROWMAN 27 869 06-19-2019, 07:34 AM
Last Post: Sleeprider
  Rera and O2 desaturations REMless 10 572 06-14-2019, 10:42 PM
Last Post: REMless
  Importance of RERA Sabee 4 544 03-14-2019, 08:25 PM
Last Post: Sabee
  RERA [help understanding them] Shel 32 1,737 03-14-2019, 07:57 PM
Last Post: Sleeprider
  Is it RERA or Insomnia ? koy23 3 428 02-14-2019, 04:16 PM
Last Post: Haley
  Lot of RERA; waking during night Linnea 12 1,107 11-27-2018, 02:22 PM
Last Post: Sleeprider


New Posts   Today's Posts






About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.