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I am a longer term CPAP user (2 years) and I THINK my settings are good as my pressures stay even most of the time all night. My AHI ranges from 2s to 8s normally. Having said that, I do have a few CSRs - randomly - and I am still not sure I understand everything I am seeing nor which are the most import items to watch. I also include pulsometer readings as well.
My question is are there any members who are licensed technicians that will look over some charts and give insights (not medical advice) and explanations - even if a fee is involved?
(09-29-2024, 07:36 AM)SKPC Wrote: My question is are there any members who are licensed technicians that will look over some charts and give insights (not medical advice) and explanations - even if a fee is involved?
We have some of the most knowledgeable folk here on the forum that can help and advise, and there are never any fees involved. We are simply sleep apnea sufferers helping (from years of experience) other sleep apnea folk like ourselves.
If you are limiting advice to licensed technicians, there are a couple out there on YT and other forums that would be happy to help you for a fee.
Post a few OSCAR charts for review. Use the guidelines in my Signature Line for Organizing a Chart, taking a Screenshot and using the Attachment Feature to post.
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.
This is to add to OpalRose's post. I'm sure there are licensed technicians that monitor this website. By specifying their conditionals, they would be operating under the guise of a professional banner. Without a licensed physician's orders, they would be practicing medicine without a license. This would create a liability risk. More often than not, actual users know far better what will or won't work for a certain situation. Why do you wish to limit yourself?
- Red
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.
09-29-2024, 02:02 PM (This post was last modified: 09-29-2024, 02:08 PM by SKPC.)
RE: Chart Reviewing
Thank you for your reply - I will try to properly attach a few days of chart readings - a good day, a CSR day and a bad day. I have no idea as I said before which data is the most important so I have squeezed 7 graphs on one screen which means it takes 3 screen shots per one day (plus one extra for the CSR episode) and I have also included all of the info on the left as well. I assume whomever looks at this will tell me if more is needed - a different order is needed, etc.
What I am curious about are the graph spikes in the various data points - is that usual (I was going to say normal but normal may mean something else here)?
Machine: Lowenstein Luisa Mask Type: Full face mask Mask Make & Model: Resmed Quattro FX Humidifier: separate F&P humidifier CPAP Pressure: Epap 4-20 PS 4-20; "auto" rate CPAP Software: Not using software
Other Comments: Using 45 degree angle upper body wedge (36"x36") and 4.5"soft cervical collar; 500 assured tidal vol
The CSR only appears at the very end of your sleep. You were most likely transitioning from sleep to awake here. Real CSR usually occurs all night during sleep.
A couple of suggestions: you can raise your max pressure a little bit. You can even raise your minimum pressure (or turn off ramp completely) also. You have lots of H's. Some of them clustered. You have EPR on full time of 3. That is good. Your flow limitations are still high though.
You can also try the positional apnea techniques to try to stop some of those H's. Try lowering your pillow height, possibly side sleeping instead of back sleeping, and even trying a soft cervical collar if you so choose.
Advisory Members serve as an "Advisory Committee" to help shape Apnea Board's rules & policies.
Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.
Machine: Remediated Dreamstation APAP-CPAP Mode Mask Type: Full face mask Mask Make & Model: Airfit F20 Humidifier: Built In CPAP Pressure: CPAP 15cmH2O CPAP Software: OSCAR
09-29-2024, 10:46 PM (This post was last modified: 09-29-2024, 10:46 PM by Phaleronic.)
RE: Chart Reviewing
Hello SKPC
Your ahi is relatively high for ongoing treatment, and EPR @ 3 fulltime isn't helping you too much here; (I'd begin by turning it down to 1 while keeping your pressure settings) and yes you're portraying classic CSR in that last chart, and you're above the threshold for maximum pressure on an apap machine, I would suggest moving to bi-level if that's an option.
I agree with Jay. You need the EPR 3 and the H events are most likely Positional Apnea. It was only one time so I think you need to see sleep position (side sleeping) is the best way now to combat the PA. And as he said if it continues to cause problems a collar.
