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[Treatment] Keep waking up from Clear Airway Events
#1
Sad 
Keep waking up from Clear Airway Events
Just got an SD card last week and downloaded and used OSCAR today to look at the last week's data. My main problem is frequent wakeups, The harshest wakeups seem to follow Clear airway events. I do not take opioids though I do drink Chamomile tea if that is at all relevant. It also appears that my pressure increases shortly before my wakeups, I will continue to monitor the situation but I think it would make sense to raise the minimum pressure to the pressures that are reached right before my wakeups? Any help would be appreciated as these wakeups were present for months before starting CPAP and did not improve post treatment, in fact some days they're worse if I use CPAP. Daytime symptoms have mildly improved. 
AHI usually floats around 0.8 plus or minus 0.5.
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#2
RE: Keep waking up from Clear Airway Events
I would look at the flow limits chart. You can post the night and get suggestions.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#3
RE: Keep waking up from Clear Airway Events
It says my CSV data file type is not accepted, am I supposed to take a bunch of screenshots of the graphs and stitch them together? I attached a screenshot of flow limits and it looks fairly unrelated to Clear Airway events.


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#4
RE: Keep waking up from Clear Airway Events
No problem with your flow limits in fact your entire charts look very good. Even the clear airways are not many. Sorry I have nothing.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#5
RE: Keep waking up from Clear Airway Events
No, thank you for your time. I used that example because it was a night where my AHI would have indicated wakeups should have been rare but I woke up several times and there were 3 Clear airway events within a few minutes right before I woke up very harshly as an example. This is a more conventional night. I have attached a more conventional night below just the day before where the amount of wakeups seems proportional to the number of events.


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#6
RE: Keep waking up from Clear Airway Events
If you're using a PC with OSCAR, while looking at the daily detail page click F12 to get OSCAR to temporarily format the charts to include Events, Flow Rate, Pressure, Leaks, Flow Limits then the others below these. Then it'll take a screenshot as well. It looks like your CA event flags were at about 4 or so for the session. I don't think these CA are your culprit, it at least not by themselves. There's got to be something beyond a few CA disrupting your sleep, and I don't think we have all the data on this chart. The session overall looks good with the duration being on the shorter side at 5.x hours. I'd consider suggesting a post with that more standard chart and then see what tomorrow's OSCAR chart looks like too.

PS The above was in reference to the first post and chart. Thes other 2 charts still only have a few CA. It does reveal a Ramp pattern which might be an issue. I'd minimize or turn off Ramp.
Dave

OSCAR
Standard OSCAR Chart Order
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Dealing With A DME
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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.
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#7
RE: Keep waking up from Clear Airway Events
Thank you, I have come to realize that my sleep maintenance insomnia may be related to my melatonin use, that said after raising base pressure to 7.2, removing ramp and lowering EPR to 2, I was able to get 5 consecutive hours of sleep without a single event. Again i was woken up prematurely but I think this may have nothing to do with the actual CPAP therapy.
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#8
Question 
Increased pressure and lowered EPR more Clear Airway events
Increased pressure to the level where obstructive events were usually fixed now more clear airway events present and may have woken up with my mouth open but unsure. Pictures attached. Overall AHI is only 0.82 though I feel kind of crappy and it was rough getting out of bed. in the morning.


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#9
RE: Keep waking up from Clear Airway Events
Grima, your two threads have been merged together.  In order to help, it's important to try and keep all your therapy help in one thread, so when folks reply, they'll know the entire history of your therapy, which will help them provide more comprehensive and effective solutions.

Thanks.

Coffee
SuperSleeper
Apnea Board Administrator
www.ApneaBoard.com


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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