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

[Treatment] Treating UARS with CPAP and bilevel
#21
RE: UARS and APAP
A followup question.

What do you make of this detail (notably the constant pressure preceding that event)? Reasonable to conclude that suggests 7 is too low?

[Image: RpgOLkl.png]
Post Reply Post Reply






Donate to Apnea Board  
#22
RE: UARS and APAP
Your chemo receptors are sensitive to fluctuations in your blood co2 content.
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
Soft Cervical Collar
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
#23
RE: UARS and APAP
(08-09-2019, 02:16 PM)bonjour Wrote: Your chemo receptors are sensitive to fluctuations in your blood co2 content.

I'm not following. Is answer to my question thus "no"?
Post Reply Post Reply
#24
RE: UARS and APAP
No. That is a central, never raise pressure for Centrals. And never react to a single event
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
Soft Cervical Collar
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






Donate to Apnea Board  
#25
RE: UARS and APAP
(08-09-2019, 04:38 PM)bonjour Wrote: No. That is a central, never raise pressure for Centrals.  And never react to a single event

It is also less than 10 seconds long so the machine won’t flag the event or react unless it was obstructive  It has been hi-lighted by the custom flagging
Post Reply Post Reply
#26
RE: UARS and APAP
(08-09-2019, 11:47 AM)Sleeprider Wrote: I think you are sensitive to pressure changes, and that you don't benefit a great deal from pressures above 7.0/4.0. I'd like to see you set the minimum and maximum pressure to 7.0 and EPR to 3.0.

7.0 static + 3.0 EPR results attached.

Beyond what the data say, the setting felt comfortable, but I still woke up multiple times. Ultimately, hoping I can eliminate that.

Should I give it more time at these settings, or is this enough to draw conclusions?

Note that I changed the user flags to 33% and 66% (not really sure what they should be for me though).

[Image: attachment.php?aid=14309]

[Image: attachment.php?aid=14310]
Post Reply Post Reply
#27
RE: UARS and APAP
(08-10-2019, 01:52 AM)jaswilliams Wrote:
(08-09-2019, 04:38 PM)bonjour Wrote: No. That is a central, never raise pressure for Centrals.  And never react to a single event

It is also less than 10 seconds long so the machine won’t flag the event or react unless it was obstructive  It has been hi-lighted by the custom flagging

My problem is I really don't get OAs. I've got UARS, so question is how to use the data from the machine to set the right pressure to minimize or eliminate RERAs, that are alas not (properly, it seems) flagged.
Post Reply Post Reply






Donate to Apnea Board  
#28
RE: UARS and APAP
With flow limitations the problem isn't detecting flow limitations, it's detecting normal. If all or most of your breaths are restricted, what is normal?

To classify an event as hypopnea or flow limited, or even Apnea the device sees how it compares to NORMAL.

In these cases we still rely on titration principals but in lieu of hard data we have to go by how you feel. The detailed waveform would show irregularities but those must be visually identified
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
Soft Cervical Collar
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
#29
RE: UARS and APAP
(08-11-2019, 08:07 AM)bonjour Wrote: In these cases we still rely on titration principals but in lieu of hard data we have to go by how you feel.  The detailed waveform would show irregularities but those must be visually identified

Does "how I feel" include when and how often I wake up, assuming that may be caused by flow limitations (so possible RERAs that turn into more extended awakenings)?

That certainly also impacts how I feel, of course.

In looking through my notes, in the almost four weeks since I started, I have had only a single night of more than 8 hours of "uninterrupted" sleep; where I did not wake up once early. That was at a pressure of 9-15, and I felt terrible the following day!

I have multiple variables at play here (quality vs quantity of sleep, flow rate data, pressure settings, subjective feel) that are hard for me to disentangle.
Post Reply Post Reply
#30
RE: UARS and APAP
Yes it does.
Increase your pressure by 1 cmw wait several days then repeat if necessary. Keep an eye on your numbers.
And stay in touch.
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
Soft Cervical Collar
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






Donate to Apnea Board  


Possibly Related Threads...
Thread Author Replies Views Last Post
  Did your ADHD symptoms improve after Sleep Apnea/UARS treatment? AlgebraicMisery 4 185 10-23-2020, 12:39 PM
Last Post: Sleepster
  Treating apnea with weight loss if of average weight chris94546 9 206 10-16-2020, 05:32 PM
Last Post: becker44a
  [Diagnosis] Unsure if I have UARS or OSA. sleepy331 8 221 10-14-2020, 05:27 PM
Last Post: sleepy331
Arrow AHI < 1.0 now, but still tired? Is it UARS, RERA, arousals or FL in your FR peaks? 2SleepBetta 1 229 09-28-2020, 11:06 AM
Last Post: sheepless
Question [Diagnosis] Do I have UARS? weiss27md 13 677 09-07-2020, 05:11 PM
Last Post: slowriter
  [Treatment] UARS suggested settings? taikoe 12 362 09-05-2020, 11:47 AM
Last Post: Dormeo
  Please help, UARS? grahamave 4 184 09-04-2020, 05:30 AM
Last Post: slowriter


New Posts   Today's Posts






About Apnea Board

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