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new on board - currently a mess in my sleep
#1
new on board - currently a mess in my sleep
I am very glad that I found this forum and I can draw a lot of knowledge from it. I have read a lot and I am starting to understand, but I still have a long way to go.

I have only been sleeping with this device for a week, but I would like to not waste time and start optimizing my sleep as soon as possible.

I see a lot of periodic breathing and I do not have heart problems or stroke. Also obstructive apnea, central apnea, hypopnea.

The pressure was set by the doctor to 4-10 with a ramp. Of course 4 was too low for me and I changed the minimum to 6. I turned off the ramp.

Tomorrow I will attach the current graph from Oscar. I would be very grateful for advice from the wonderful specialists here. Thanks in advance.
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#2
RE: new on board - currently a mess in my sleep
Welcome to Apnea Board!

Be sure to follow the links below in my signature line to help guide you in posting your charts. We will be able to offer more targeted advice after seeing some data.
OpalRose
Apnea Board Administrator
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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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#3
RE: new on board - currently a mess in my sleep
Dear all,

i'm attaching my Oscar

       
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#4
RE: new on board - currently a mess in my sleep
Take a look at our positional apnea wiki and see what you think. https://www.apneaboard.com/wiki/index.ph...onal_Apnea

Your current pressure is 6-10 with AFlex 3. That is pretty low pressure, and the amount of obstructive apnea you are reporting suggests a higher pressure is needed. I'll also add the Philips Respironics Dreamstation is not currently sold in the U.S. and when it was common here, poor results like yours were common. If you can move to a Resmed, your therapy would instantly improve. We control obstructive apnea with EPAP and use pressure support or EPR to manage flow limits and hypopnea as well as assist ventilation, tidal volume etc. Tidal volume is really good, but I would need to see a zoomed image a 3-4 minute segment of your chat to analyze the flow wave to advise on flow limits and periodic breathing. I'm nearly certain in your case with the Philips, the periodic breathing is actually obstructive, not central.

I think you need a minimum pressure of 8.0 and maximum 12.0, revise Flex to 2. Consider the positional apnea article and see if there is anything that may be contributing to chin-tucking that obstructs your airway. With the Philips CPAP, getting the minimum pressure high enough to resolve obstructive apnea is the priority.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

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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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#5
RE: new on board - currently a mess in my sleep
First of all, thank you for taking up the subject.

Yes, I have read about positional apnea before and I suspected that it may occur in my case. I usually sleep on my side and my chin may fall towards my chest.

I am sending a recording from last night with a fragment where periodic breathing occurs.

Today I will change the settings according to your suggestion.

In a week or two I will try to rent Autoset for a while to see how the therapy will change compared to Respironics. I was thinking about Resmed but unfortunately my caregiver convinced me to choose Philips.


Attached Files Thumbnail(s)
       
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#6
RE: new on board - currently a mess in my sleep
If you have access to the Autoset, I expect your event rate to fall to 3 or less. I'm certain you need the higher pressure we suggested above with this Philips.
Sleeprider
Apnea Board Moderator
www.ApneaBoard.com

____________________________________________
Download OSCAR Software
Soft Cervical Collar
Optimizing Therapy
Organize your OSCAR Charts
Attaching Files
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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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#7
RE: new on board - currently a mess in my sleep
Hello,


I changed the settings to min 7 max 11. It still looks like I'm in positional apnea. I'm currently looking for a neck collar.

Should I increase the minimum to 8 anyway?

Is 11 ok or should it be 12?

I'm attaching a graph from last night.


Attached Files Thumbnail(s)
   
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#8
RE: new on board - currently a mess in my sleep
Yes, with the Philips an increase in pressure is the only way to deal with the hypopnea and OA events.
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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#9
RE: new on board - currently a mess in my sleep
Good day,

I have two nights with pressure of 8-12. I am sleeping better now, I have become accustomed to the therapy. The number of events has definitely decreased.

Please give me any suggestions on what else I can do to reduce the number of events.
I am attaching the graphs.

Thank you.

       
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