Why are many OAs not in sync, roughly, with explanatory snores or flow limitations?
My snores are few and often do not result in an OA. Frequently I see OAs that can't be matched, even roughly, to times of flow limitations; that happens with snores too. My SH graph ordinate scales for both Snore and Flow Limit are large enough. Is this simply a sampling artifact?
I have no particular qualifications or expertise with respect to the apnea/cpap/sleep related content of my posts beyond my own user experiences and what I've learned from others on this site. Each of us bears the burden of evaluating the validity and applicability of what we read here before acting on it.
Of my 3 once-needed, helpful, and adjunctive devices I have listed, only the accelerometer remains operative (but now idle). My second CMS50I died, too, of old age and the so-so Dreem 2 needs head-positioning band repair--if, indeed, Dreem even supports use of it now.
RE: Why are many OAs not in sync, roughly, with explanatory snores or flow limitations?
I'm super curious about this!
Could you share a screenshot of the data?
RE: Why are many OAs not in sync, roughly, with explanatory snores or flow limitations?
+1
Snores and flow limitations are not a necessary condition for OAs. They are precursors to OAs. They are what Resmed and PR use to signal the need for a pressure increase in order to head off OAs. The logic is when significant snores or flow limitations occur and no changes are made, sooner or later OAs will start to occur. OAs can and do occur without precursors sometmes.
If you see a rapid increase in your pressure, check your flow limitations and you will probably see some significant flow limitations just before and/or during the rapid pressure increase. If the machine has gotten enough pressure increase in time, you will have no OA because the machine headed it off.
Best Regards,
PaytonA
RE: Why are many OAs not in sync, roughly, with explanatory snores or flow limitations?
(03-23-2017, 03:18 AM)Hydrangea Wrote: I'm super curious about this!
Could you share a screenshot of the data?
I'm not adept with imgur. Here is an attempt at showing the most recent among many clear incidents, sometimes there are multiple incidents.
Note that I cut out a block of the graphs' time lines before the OA; that to get the OA near center screen rather than at extreme right.
I believe PaytonA's post (thank you PaytonA) below explains OAs do arise without indication of a causal FL or Snore. I'd like to understand why.
![[Image: Z78eIEtl.jpg]](http://i.imgur.com/Z78eIEtl.jpg)
I have no particular qualifications or expertise with respect to the apnea/cpap/sleep related content of my posts beyond my own user experiences and what I've learned from others on this site. Each of us bears the burden of evaluating the validity and applicability of what we read here before acting on it.
Of my 3 once-needed, helpful, and adjunctive devices I have listed, only the accelerometer remains operative (but now idle). My second CMS50I died, too, of old age and the so-so Dreem 2 needs head-positioning band repair--if, indeed, Dreem even supports use of it now.
03-24-2017, 08:12 AM
(This post was last modified: 03-24-2017, 08:14 AM by Sleeprider.)
RE: Why are many OAs not in sync, roughly, with explanatory snores or flow limitations?
The event posted above looks like an arousal and change of sleep position (holding your breath), it is not characteristic of a true obstructive apnea. First, you can see the arousal preceding the event. The breath immediate ahead of the OA does not have an exhale (lungs full). The event is about 18 seconds, and breathing resumes gradually and increase in amplitude in response to the minor desaturation visible on the SpO2 line. There was no FL or snore, and the event is not characteristic of OA, but appears to be an arousal. In fact, not a single breath in the posted wave form has the appearance of a flow limit.
RE: Why are many OAs not in sync, roughly, with explanatory snores or flow limitations?
Thank you SleepRider; a great lesson in interpretation of the graphs.
I've improved my treatment and reduced those annoying leaks, having learned from so many on the Board after registration.
I have no particular qualifications or expertise with respect to the apnea/cpap/sleep related content of my posts beyond my own user experiences and what I've learned from others on this site. Each of us bears the burden of evaluating the validity and applicability of what we read here before acting on it.
Of my 3 once-needed, helpful, and adjunctive devices I have listed, only the accelerometer remains operative (but now idle). My second CMS50I died, too, of old age and the so-so Dreem 2 needs head-positioning band repair--if, indeed, Dreem even supports use of it now.
|
