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Changes for Better Prisma Therapy
#1
Changes for Better Prisma Therapy
Hi All,

I relieved my sleep breathing by ResMed S10 since MAy 2023.
Recently, my therapist suggests to replace with Lowenstein Prisma Max. I accepted.

Once changed, I am confused on new information from OSCAR.
Increased Flow limit level, RERA, etc.
Also, OSCAR shows the different information from ResMed S10 did.

Please kindly advise me how to interpret those.
If there was relevant threads before, please kindly share those.

Thank you.
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#2
RE: How to interpret the information from Prisma Max?
A Prisma is a good machine, it just has its own way of reporting its data. Each manufacturer determines how a parameter is reported and the scale range if it graphs it. Flow limitation comes to mind. A Resmed uses a range of 0 to 1 for some reason. Philips doesn't even use a scale for this parameter, it just reports it as an event. I don't know what the Prisma uses.

Do you feel any different using the Prisma? I would recommend that you use it for a few days and then post a day or two screenshots of your OSCAR Daily screen (Use F12 of Fn+F12 for a Mac).
- Red
Crimson Nape
Apnea Board Moderator
Project Manager for OSCAR - Open Source CPAP Analysis Reporter
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

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: How to interpret the information from Prisma Max?
Thanks for the response. Crimson Nape,
Let me add some screenshot as attached.


Attached Files Thumbnail(s)
       
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#4
RE: How to interpret the information from Prisma Max?
Would you post a recent screenshot of your Resmed data for comparison?
- Red
Crimson Nape
Apnea Board Moderator
Project Manager for OSCAR - Open Source CPAP Analysis Reporter
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

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: How to interpret the information from Prisma Max?
Hope this works for you.


Attached Files Thumbnail(s)
       
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#6
RE: How to interpret the information from Prisma Max?
Since your thread has pivoted to be more about your therapy, I have moved it to the Main Forum.  Would you like the title changed to something like, "Changes for Better Prisma Therapy"? It could be changed to something else, too. Let me know if you do.

Getting back to your screenshots.  I see you had the EPR set to 3 on the Resmed.  Does the Prisma offer any option along the same lines?  This would really help with your flow limitations.  Also, if you don't have the Clinician's manual for your new Prisma, look in the CPAP Setup Manuals - Section 3/Other Manuals to obtain one.

- Red
Crimson Nape
Apnea Board Moderator
Project Manager for OSCAR - Open Source CPAP Analysis Reporter
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

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
Sad 
Changes for Better Prisma Therapy
Hello Crimson Nape,
Thanks for your effort.

Sorry, I have no idea to change the thread title.
If I am still failed after your following advice, I will repost it on Main Forum with a title of "Changes for Better Prisma Therapy"

Prisma Smart Max has a similar feature of EPR as SoftPAP, whereas it has only Off-1-2.
Previously, I set to 2, but changed to 1, since I have a number of CA.

Last night, I changed Min Pressure from 11 to 11.5 to reduce Flow Limit.
Flow limit was slightly reduced, but still significant.

Whereas, there was a water flood last night by 3:30 am. I removed the mask and restarted by 5:00 AM.
According to Prisma Smart Max, there was less Flow limit during Deep Sleep time.

Please kindly consult me on this situation.


Attached Files Thumbnail(s)
   
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