[Symptoms] More Tired With Less Flow Limitations

[sowo123]

           

Hello everyone.

Almost a week ago I posted about feeling tired and posting about my OSCAR data. Some helpful people suggested changing some things in my CPAP to decrease a possible culprit (flow limitations) to see if that would help. First night I felt restful but the following days I felt truly exhausted, feeling more irritable, morning headaches, etc. 

I went from pressure 6 with EPR 3, to Min 9 to Max 14 with EPR 3 (on Oct 5). Here are my readings.

Should I change back? Consider doing pressure 9 with EPR 3? Consider just going back to pressure 6 with no EPR? I'm stumped.......

6 pictures will all data points...

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more pics 

           

[PeaceLoveAndPizza]

All the charts are similar in terms of flow rates. To see the difference, zoom into a 2-3 minute segment on a few and see how the waveforms look. 

In the end, it is about comfort. If I was going to recommend something, it would be:

Mode APAP
Min pressure 10
Max pressure 11
EPR 3 full-time
No ramp

Or if in CPAP mode

Mode CPAP
Pressure 11
EPR 3 full-time
No ramp

You may possibly need a bit more pressure or a bit less EPR, but that seems a good place to begin.

[sowo123]

           

I found a couple of the waveforms but I think they look the ok.

Also, any reason why 10-11 cm H2O with EPR 3?

I'll definitely give this a try. Is there anything I should be looking out for in OSCAR (other than subjectively how I am feeling) over the next few days to see if the new change would help?

[PeaceLoveAndPizza]

You still have some latent flow limitations. Not quite enough to trigger the FL counter, but they are still there. Look at the top of the waveforms and a number are rather flattened, which are the flow limitations.

The reason for a bit more pressure is to keep the pressure swings under control and still give enough pressure to manage the apnoea events. Previous settings worked decently enough, but I think it can be even better with a bit more pressure. Easy enough to try.