[Treatment] Treating UARS with CPAP and bilevel - Printable Version +- Apnea Board Forum - CPAP | Sleep Apnea (https://www.apneaboard.com/forums) +-- Forum: Public Area (https://www.apneaboard.com/forums/Forum-Public-Area) +--- Forum: Main Apnea Board Forum (https://www.apneaboard.com/forums/Forum-Main-Apnea-Board-Forum) +--- Thread: [Treatment] Treating UARS with CPAP and bilevel (/Thread-Treatment-Treating-UARS-with-CPAP-and-bilevel) |
RE: UARS and APAP - Gideon - 10-23-2019 Since this is about injury, you need a statement to mitigate fear since this doesn't impact most CPAP (any variety) patients. State how there "pressures differ from standard treatment or something like that. Good outline. RE: UARS and APAP - Sleeprider - 10-23-2019 I'll just say, we have a wiki editor forum, and once you send a request to be an editor, we can hash that out without disrupting this thread. http://www.apneaboard.com/wiki/index.php/Apnea_Board_Wiki_Editor Not trying to be grumpy, but let's do it. RE: UARS and APAP - WillSleep - 10-24-2019 (10-23-2019, 05:32 PM)slowriter Wrote: So then further, to your first point above, I think it might be valuable for other people who clearly need to increase their TV and MV to experiment with it .. As promised back to the remaining topics. Yes, I absolutely agree with all three of these statements. (10-23-2019, 05:32 PM)slowriter Wrote: Given what you wrote in your post above, it could be that my rough night was a consequence of a too high TV/MV, even if it wasn't obvious to me subjectively. Sorry if I missed it. I have not seen enough detail about what the rough part of the night was to be able to answer. For sure in the past once when I woke up and felt a little almost like a truck somehow ran over my chest in the middle of the night and my pulmonary system was injured as I was trying to be a good patient and force myself to comply with what I can now see as clearly dis-synchronous algorithm therapy. Took a week of coughing and accepting a higher AHI for softer treatment to give my lungs chance to start to heal. A then there are times when poor xPAP response to Leaks seem to have left me very hoarse, a little deeper into my chest than just my throat, etc. I read somewhere about constant, unchecked Areography and higher abdominal pressures (ongoing abdominal hypertension) causing injury. The list goes on... (10-23-2019, 05:32 PM)slowriter Wrote: ... and that I may not be the right guinea pig! Well I think as long as we play it safe and we can personally show any change during A/B testing I think we all will make good guinea pigs. We just need other/additional guinea pigs at the right time (also playing it safe) to execute the bits of the A/B test scripts we cannot. (10-23-2019, 05:32 PM)slowriter Wrote: If you're right about the potential for too high numbers here, it does point out limits to EERS, and also a need for caution for those that do experiment with it. I think most everything else needed is sorted except for a testing plan and for sure we need to ensure well thought-out safe testing environments and processes.
Slowriter, Your thoughts? Other remaining Gaps? Everyone, Your thoughts? Other remaining Gaps? Rebuttals? Improvements? Has anyone seen a good Capnography solution or seen dmmarmd's parts list? Thanks, WillSleep [attachment=16478] [attachment=16477] [attachment=16479] (02-24-2019, 07:30 PM)mdmarmd Wrote: ... RE: UARS and APAP - slowriter - 10-24-2019 (10-24-2019, 12:09 AM)WillSleep Wrote: ... Nothing dramatic. Just more fragmented sleep (awakenings) than has been typical for past couple weeks, and Sleeprider was asking why. I slept better last night (the next night) without EERS and at lower PS, but still more fragmented than I like. I'll just assume a not ideal couple/few nights. ... snipping discussion of testing design ... Quote:Slowriter, Your thoughts? Other remaining Gaps? I'm a bit out of my depth, but it seems sensible. . RE: UARS and APAP - slowriter - 10-24-2019 So in comparison, here's PS 5.2, EPAP 6.2. TV 480, MV 7.13, which appears "normal." Unlike Sleeprider, I think my lungs are pretty normal. At this point, I'm fine-tuning, but can someone explain what's going on with this wake up event? Is this breathing related that might suggest any settings tweak(s)? In REM for about 10 minutes (which this shows tail end of), then light, then wake. The Dreem is telling me I changed position at end of REM, so maybe just that? [attachment=16484][attachment=16485] RE: UARS and APAP - sheepless - 10-24-2019 IDK that larger breaths necessarily indicate waking up so I'm not entirely sure what I"m looking for. the only obvious wake up in the full night shot is later than 1:45, 1.5 - 2 minutes after the end of the zoomed in screenshot. however, fwiw, the first minute or so of that flow still looks like my flow when I'm having plm. RE: UARS and APAP - slowriter - 10-24-2019 (10-24-2019, 02:58 PM)sheepless Wrote: IDK that larger breaths necessarily indicate waking up so I'm not entirely sure what I"m looking for. the only obvious wake up in the full night shot is later than 1:45, 1.5 - 2 minutes after the end of the zoomed in screenshot. I'm assuming the sleep staging is accurate, and is what I'm basing this on, but it's possible it's not. The other issue is syncing the two graphs. On the PLM point, maybe we should be more specific? What actually causes that pattern? Is it movement itself; body shifting positions? RE: UARS and APAP - sheepless - 10-24-2019 being unaware of plm, I have no firsthand knowledge. movement can only be inferred from the flow rate. what I see in my flow is my respiratory response to the movement. what I think happens to me starts with a jerk/spasm. my wife thinks it originates in legs or feet but the movement is often transmitted throughout most of my body. in any event, the first indication of a kick in my flow is a sharp inhale, often accompanied by a moan/groan and followed by a more or less regular number of relatively flow limited breaths (whether abbreviated or flat-, m-shaped- or slant- topped) until it repeats. I'm not adding anything new to my previous descriptions so let me know if there's something I'm missing in your question and I'll try to address it if I can. RE: UARS and APAP - sheepless - 10-24-2019 I completely overlooked the sleep stage graph. to my knowledge most apps use movement to infer sleep stage but looking back in this thread I see this one is based on EEG which should be more accurate? stage 3 is light sleep which makes sense to me. not a full awakening but maybe enough movement / arousal to move up to light sleep? RE: UARS and APAP - slowriter - 10-24-2019 (10-24-2019, 03:36 PM)sheepless Wrote: I completely overlooked the sleep stage graph. to my knowledge most apps use movement to infer sleep stage but looking back in this thread I see this one is based on EEG which should be more accurate? stage 3 is light sleep which makes sense to me. not a full awakening but maybe enough movement / arousal to move up to light sleep? That's what I was thinking is one possibility. |