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Wcsleep - Therapy Thread
#21
RE: help interpreting OSCAR
           

Hello,

I really would appreciate help here. I increased the minimum pressure as recommended and still have what I believe is a significant number of Flow Limitations.

If I increase the min more, the min and max pressure will be almost the same.  Do I run the risk of more CAs if I increase the max pressure?

Can someone tell me what you are seeing in these charts; I am at a bit of a loss about how to proceed. My doc only wants AHI lower than 5 and she considers me successfully treated. I do not feel rested.

Thanks in advance.
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#22
RE: help interpreting OSCAR
(09-19-2019, 12:19 PM)Wcsleep Wrote: Hello,

I really would appreciate help here. I increased the minimum pressure as recommended and still have what I believe is a significant number of Flow Limitations.

If I increase the min more, the min and max pressure will be almost the same.  Do I run the risk of more CAs if I increase the max pressure?

Can someone tell me what you are seeing in these charts; I am at a bit of a loss about how to proceed. My doc only wants AHI lower than 5 and she considers me successfully treated. I do not feel rested.

Thanks in advance.


Can you increase your max pressure  by 1 and sleep with the machine for a couple of nights and post more graphs
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#23
RE: help interpreting OSCAR
(09-19-2019, 12:19 PM)Wcsleep Wrote: Hello,

I really would appreciate help here. I increased the minimum pressure as recommended and still have what I believe is a significant number of Flow Limitations.

If I increase the min more, the min and max pressure will be almost the same.  Do I run the risk of more CAs if I increase the max pressure?

Can someone tell me what you are seeing in these charts; I am at a bit of a loss about how to proceed. My doc only wants AHI lower than 5 and she considers me successfully treated. I do not feel rested.

Thanks in advance.

You seem to be dealing with significant flow limitations. Do you see lot of flat topped inhalation in your flow rate chart? 

Given the machine you have, you can try to raise the minimum pressure gradually and see if it resolves your flow limitations.  If it doesn't work, you will probably benefit from switching to a bilevel machine.
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#24
RE: help interpreting OSCAR
when you increased your min pressure you significantly lowered your flow limitations and RERAs.  Your Centrals should not be an issue at this level and they should go away over time.  If they become a problem you can reduce or eliminate your flex.  Note: when you eliminate your flex you may need to decrease your min pressure by 2.
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#25
RE: help interpreting OSCAR
Thank you. So you advance se no changes for now?
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#26
RE: help interpreting OSCAR
Wcsleep, what is your current flex setting?
Sleeprider
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#27
RE: help interpreting OSCAR
(09-21-2019, 08:28 AM)Sleeprider Wrote: Wcsleep, what is your current flex setting?

My current flex is set at 1
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#28
RE: help interpreting OSCAR
Flex at 1 should be fine. Just checking.
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.
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#29
RE: help interpreting OSCAR
(09-21-2019, 12:21 PM)Sleeprider Wrote: Flex at 1 should be fine. Just checking.

Thanks for responding quickly. Do you have thoughts about how I should proceed? Do you think the Flow limitations are a problem and if so, how should I address this? I am awakened in the middle of the night and am trying to determine why this is happening. 
In addition to FL, I’m concerned and want to optimize my CPAP therapy. 
Thanks so much for the help.
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#30
Oxygen saturation high, AHI high?
The O2 levels consistently measure about 95 or higher with no drops below 90.
The AHIs will often be at 20.  Does anyone have ideas about how this could happen? Not sure how to proceed. 
I am asking this for a good friend who is not on this board.
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