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

Do I need to tweak my numbers
#1
Do I need to tweak my numbers
[attachment=62453][attachment=62452][attachment=62453][attachment=62453][attachment=62452][attachment=62452]I've been on APAP since last Oct, 2023.  I'm not sure if I am getting the best results from my APAP therapy.  I use a RESMED 10 Airsense with a Respironics Dreamwear Full Face Mask.  My pressures are set a 6 min and 10 max.

My sleep test AHI was 21.  My min and max pressures were set during an overnight titration study.

I very rarely sleep more than 2-3 hours, when I first go to sleep.  I will wake up, and then go back to sleep and sleep for another 2-4 hours.  

While my AHI numbers have usually been below 5, my flow limitations seem high.  I also usually have a lot of RERA's.  Not sure if that is a concern or not.  During my overnight sleep titration session I had a ton of leg movements; but have not been diagnosed with restless leg syndrome.  

I am attaching 3 days of Oscar charts for review.  Please let me know if anyone has any suggestions on how I can possibly improve my therapy.


Attached Files Thumbnail(s)
           
Post Reply Post Reply
#2
RE: Do I need to tweak my numbers
Ok, a few changes.  Flow Limitation and Reras are too high and may be disrupting sleep.  You will need EPR to help lower that.

Set minimum to 7cm ( you may need 8), with maximum set at 15cm.
Set EPR to 3 (full time).  

Repost after a couple days.
OpalRose
Apnea Board Administrator
www.apneaboard.com

_______________________
OSCAR Chart Organization
How to Attach Images and Files.
OSCAR - The Guide
Soft Cervical Collar
Optimizing therapy
OSCAR supported machines
Mask Primer



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: Do I need to tweak my numbers
(04-09-2024, 06:16 PM)OpalRose Wrote: Ok, a few changes.  Flow Limitation and Reras are too high and may be disrupting sleep.  You will need EPR to help lower that.  

Set minimum to 7cm ( you may need 8), with maximum set at 15cm.
Set EPR to 3 (full time).  

Repost after a couple days.

Will that make my CA’s go up?
Post Reply Post Reply
#4
RE: Do I need to tweak my numbers
Try it: maybe, maybe not. Won’t know until you have several Oscar-nights. There’s a lot of trial and error in this.
Post Reply Post Reply
#5
RE: Do I need to tweak my numbers
I set the pressures  - 7 cm min, 15 cm Max with EPR on full time at 3.  my numbers are good, but I had trouble sleeping.  I believe a main part of that is my worrying about the numbers - lol.


Attached Files Thumbnail(s)
   
Post Reply Post Reply
#6
RE: Do I need to tweak my numbers
Your 95% FL dropped from .29 to .09.

The Apnea you see at the beginning of therapy is probably SWJ (sleep-wake-junk),
which can be happen between that sleep and awake phase, or simply just you worrying over your numbers.

The few CA's are not anything to worry over. We all get those occasionally.

Give this a couple days to settle down, and try to relax. As stated above, sometimes is just trial and error. But don't judge by one day.

Report again in a couple days, we'll take another look.
OpalRose
Apnea Board Administrator
www.apneaboard.com

_______________________
OSCAR Chart Organization
How to Attach Images and Files.
OSCAR - The Guide
Soft Cervical Collar
Optimizing therapy
OSCAR supported machines
Mask Primer



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
#7
RE: Do I need to tweak my numbers
Here are my OSCAR charts from Apr 11 - 14.  I was out of town during those days, so I was not able to post these until I returned today. I did not change the timezone settings in my ResMed 10, so the times are an hour off.  I went from the Central Standard Time Zone to the Eastern Time Zone.  I don't believe that that affected the charts.  

The new settings appear to be working great.  No (zero) RERA's and much lower flow limitations during this time frame.

OSCAR charts for Apri 14th.


Attached Files Thumbnail(s)
               
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  Request for help making sense of my CA numbers and guiding further treatment jostlereptile 8 190 06-10-2024, 12:38 AM
Last Post: jostlereptile
  Help with my numbers and data? ttrani01 3 116 06-08-2024, 07:18 PM
Last Post: PeaceLoveAndPizza
  waking up several times a night but numbers seem good Jpm6179 1 186 05-27-2024, 03:35 PM
Last Post: G. Szabo
Question Good numbers but still feeling tired Ptoeneigh 16 1,850 05-17-2024, 05:03 PM
Last Post: Ptoeneigh
  Tweak CPAP minameisneo 2 304 05-01-2024, 10:18 PM
Last Post: minameisneo
  AHI Numbers looking great but feeling like crap Jpm6179 13 741 04-19-2024, 05:23 AM
Last Post: Jpm6179
Sad [Treatment] Therapy is helping, but only a little - good AHI numbers, bad sleep tiredsleeper 4 343 04-16-2024, 11:57 AM
Last Post: tiredsleeper


New Posts   Today's Posts


About Apnea Board

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