Also, given that with EPR my sp02 data is worse (although small sample size) does this bode well for bipap therapy?
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Should I be considering an oxygen concentrator?
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06-06-2023, 05:22 PM
RE: Should I be considering an oxygen concentrator?
It seems like w/ EPR enabled even at 1 my time spent at lower blood oxygen levels are much worse. Monday night w/ no EPR I spent 7 minutes at sp02 between 90-94% and last night I spent 28 minutes. All other settings the same and sleep duration nearly identical. Luckily, with all of the focus on sp02 / optimizing cpap I'm only rarely dipping below 90% but continuing to optimize where I can with advice from this board.
Also, given that with EPR my sp02 data is worse (although small sample size) does this bode well for bipap therapy?
06-06-2023, 06:03 PM
RE: Should I be considering an oxygen concentrator?
I can't find data on your charts that helps correlate this problem with pressure. Oxygen saturation is generally a function of EPAP pressure and respiratory events. So when is your SpO2 relatively low? Does it correspond to lower pressure or events? EPR is just pressure support in reverse, and if can result in poorer perfusion. I'm usually focused on respiratory volumes along with pressure to try to make sense of these situation, so looking at a chart with flow rate, mask pressure, minute vent, tidal volume, resp rate and any SpO2 data usually reveals the issues.
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.
08-04-2023, 11:27 AM
RE: Should I be considering an oxygen concentrator?
What is a normal amount of pulse change events on a nightly basis? I range from 150-350 per 8hrs and feel the best with the lowest number of pulse change events. I haven't had much luck using EPR as it causes me to stay at lower sp02 levels for longer and I have trouble adjusting to the feeling of suffocation w/ EPR 3. Here is my sleep data from last night and it looks like my heart rate spikes correlate to large leaks and flow limits - is this right? Most nights I see either 0.7 AHI or 1.7 AHI and don't usually see the cluster of events from last night. I have a bipap titration scheduled for 8/15 - aside from getting a better mask fit are there any other options to get my pulse change events lower?
08-04-2023, 04:33 PM
RE: Should I be considering an oxygen concentrator?
Seriously? You want us to comment on what is a normal frequency of pulse changes? I don’t recall your results with different levels of EPR but that looks the most promising to resolve the hypopnea.
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.
08-07-2023, 10:18 AM
RE: Should I be considering an oxygen concentrator?
(08-04-2023, 04:33 PM)Sleeprider Wrote: Seriously? You want us to comment on what is a normal frequency of pulse changes? I don’t recall your results with different levels of EPR but that looks the most promising to resolve the hypopnea. Yes, seriously. I'm asking from a position of ignorance and assume there is a normal range - did I insult you somehow? Surprised at your tone / response. |
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