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[Symptoms] More Tired With Less Flow Limitations
#1
More Tired With Less Flow Limitations
           

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...


more pics 

           
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#2
RE: More Tired With Less Flow Limitations
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.
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#3
RE: More Tired With Less Flow Limitations
           

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?
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#4
RE: More Tired With Less Flow Limitations
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.
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