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Babshill - Therapy Assistance
#1
Babshill - Therapy Assistance
Hi everyone - I could really use some help with diagnosing my flow rate charts from Oscar from my Resmed 10.  Over the last year I've found it harder and harder to use my Cpap machine and have been changing the pressures etc, but inevitably end up taking it off during the night.  My tiredness is getting noticeable worse with yawning all during the day.  Can anybody see any problems here.  Oscar is telling me there are no problems and when I contact my sleep consultant he just says all the results are good and it's not a sleep problem.  These charts are typical of what I see with very low flow limits.


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#2
RE: Help with diagnosing flow rate
Your choice of data to show us is unfortunately not optimum, as there is little to see in the charts (though your Flow Rate waveform is much cleaner than mine!).

I'm sure the experts will not be able to comment fully unless you initially provide the charts for the whole sleep session in the recommended format, as described here:

https://www.apneaboard.com/wiki/index.ph...ganization

One thing to note meanwhile is that an EPR of 3 cannot work properly unless your minimum pressure is 7.
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#3
RE: Help with diagnosing flow rate
Welcome

why is it getting harder and harder to use the cpap? is it hard to inhale cuz not enough air? hard to exhale? just general anxiety? does the mask hurt?
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#4
RE: Help with diagnosing flow rate
This is what I can't work out.  I find it easy to breathe when I put it on and anxiety isn't any different than before -  After a few hours I take it off mainly in my sleep.  I never used to.   The pressures is only 5cm on Apap and doesn't normally go above 9 - I've tried a lot of different pressures to see if this is the problem, but it makes no difference.
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#5
RE: Help with diagnosing flow rate
Post an entire night, and be sure the events graph lines up timewise with the other graphs.

5cm minimum pressure may be a bit too low. Do you feel like you are starved for air when you remove your mask, or are you unaware of removing your mask?
OpalRose
Apnea Board Administrator
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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#6
Still struggling after 4 years!!! Help!!!
Hi everyone - I'm very grateful for this forum and for the experts out there, of whom I am not one, unfortunately.  I've done the best I can to understand the complicated information coming from the OSCAR software, but due to the fact I'm still not getting good refreshing sleep after 4 years, I'm wondering where to go.  I'm in the UK and my NHS sleep team, just say I'm doing great whenever I query my unrefreshing sleep.  I'm using a resmed 10 machine and a nasal mask.  The screenshots I've attached are for a pressure of 7cm and EPR of 3cm. I seem to get a lot of "arousals" where I take what may be a recovery breath, and the tidal volume goes up, but these aren't shown on OSCAR.  The second attachments show one of these typical events. 

 I've tried multiple variations of different pressures, but the higher the pressure the more problems I have such as large leaks, because I'm a side sleeper. I've tried nasal pillows which work fine at low pressures , but are difficult at higher pressures.  The highest pressure I've got to is 12cm and at that pressure I rarely get more than 4 hours sleep. Has anybody got any suggestions?


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#7
RE: Still struggling after 4 years!!! Help!!!
Hey, the OSCAR screenshot you attached is zoomed in and not showing the data for the entire night. You can see in the top "Event Flags" chart that it is almost entirely grey with only a small sliver not grey. This sliver is what you have zoomed in to. Once you attach a screenshot that isn't zoomed in someone might be able to give you some advice.

Here's a full guide to chart organisation if you need: https://www.apneaboard.com/wiki/index.ph...ganization
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#8
Still struggling for refreshing sleep after 4 years of cpap
Hi everyone - I'm very grateful for this forum and for the experts out there, of whom I am not one, unfortunately.  I've done the best I can to understand the complicated information coming from the OSCAR software, but due to the fact I'm still not getting good refreshing sleep after 4 years, I'm wondering where to go.  I'm in the UK and my NHS sleep team, just say I'm doing great whenever I query my unrefreshing sleep.  I'm using a resmed 10 machine and a nasal mask.  The screenshots I've attached are for a pressure of 7cm and EPR of 3cm. I seem to get a lot of "arousals" where I take what may be a recovery breath, and the tidal volume goes up, but these aren't shown on OSCAR.  The second attachments show one of these typical events. 

 I've tried multiple variations of different pressures, but the higher the pressure the more problems I have such as large leaks, because I'm a side sleeper. I've tried nasal pillows which work fine at low pressures , but are difficult at higher pressures.  The highest pressure I've got to is 12cm and at that pressure I rarely get more than 4 hours sleep. Has anybody got any suggestions?


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#9
RE: Babshill - Therapy Assistance
Babshill - Your 3 threads were related to your therapy. For this reason, I have merged them. This provides the reader a history of your past settings and results. Having the ability to see past settings and their results will help to form better recommendations. Please use this thread for all your therapy related posts. I have changed the thread title to, "Babshill - Therapy Assistance" to be more inclusive.
- 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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