+- Apnea Board Forum - CPAP | Sleep Apnea (https://www.apneaboard.com/forums)
+-- Forum: Public Area (https://www.apneaboard.com/forums/Forum-Public-Area)
+--- Forum: Main Apnea Board Forum (https://www.apneaboard.com/forums/Forum-Main-Apnea-Board-Forum)
+--- Thread: ejbpesca - (Therapy Thread) Aerophagia and other questions. (/Thread-ejbpesca-Therapy-Thread-Aerophagia-and-other-questions)
RE: ejbpesca - (Therapy Thread) Aerophagia and other questions. - Lucid - 11-13-2022
Hi, ejbpesca I got a Wellue Viatom O2 ring and was shocked to see that have quite steep drops during wake to sleep transitions. I showed the O2 graphs to my sleep doctor, who is primarily a pulmonologist, and to a registered polysomnographic technician.
The pulmonologist thought I was just knocking the ring out of place. (I don't think that's what was happening but who knows.) In any case, he wasn't concerned about it because he felt that any medical condition that would cause low oxygen would be doing that continually, not just in an occasional cluster like that.
The registered polysomnographic technician said it's not unusual for some people to have O2 drops like this during wake to sleep transitions.
The graphs I showed them looked a lot worse than the one you posted. I've decided that I'm no longer worried about it. The next time you have a medical checkup you could ask your doctor about it, too, so that he or she could consider it in the context of all your other medical information.
RE: ejbpesca - Oximeter Analysis - Lucid - 11-13-2022
Hi, ejbpesca I went back to your original thread, where you had posted a screenshot of one of your O2 graphs, and responded there.
RE: ejbpesca - (Therapy Thread) Aerophagia and other questions. - Crimson Nape - 11-13-2022
After splitting out ejbpesca's O2 post into its own thread, I realized that this thread was here. I have since merged his O2 questions and the replies here.
- Red
RE: ejbpesca - (Therapy Thread) Aerophagia and other questions. - ejbpesca - 11-25-2022
Is it possible to have 70 OAs in an hour? I have a cluster that shows such on an OSCAR report. The cluster is not grayed over. The rest of the night has no OAs indicated. Is this actually RERA or some other breathing events that are being read as OAs by the machine?
RE: ejbpesca - (Therapy Thread) Aerophagia and other questions. - Gideon - 11-25-2022
Yes, but please post your daily charts so we can speak to your specific case
RE: ejbpesca - (Therapy Thread) Aerophagia and other questions. - Sleeprider - 11-25-2022
Clusters of OA are typical for what we call positional apnea. http://www.apneaboard.com/wiki/index.php/Optimizing_therapy#Positional_Apnea
RE: ejbpesca - (Therapy Thread) Aerophagia and other questions. - ejbpesca - 11-25-2022
Thank you. I already posted an image of the cluster. I asked the question about 70 apneas in an hour in my attempt to understand these clusters. I do roll to supine at times. I find it hard to conceptualize that 70 arenas can occur in 60 minutes. I think of an apnea event from stopping breathing to gasping for air as being possible in one minute, but to happen again the very next minute and around each minute for an hour seems extreme. Obviously my Max pressure was not enough to treat the apneas and I have bumped it up a bit.
If I get such a packed cluster and check the same time area with an O2 Ring data, it would be very interesting.
RE: ejbpesca - (Therapy Thread) Aerophagia and other questions. - Sleeprider - 11-25-2022
We have not seen pressure alone to be that effective in resolving "chin-tucking". Avoiding firm or multiple pillows, or using an aid like a soft cervical collar seems most effective. Looking back through this thread, I think you should use a higher pressure range and consider a soft cervical collar. I would move pressure to minimum 8.0 maximum 12.0 and EPR 3. If aerophagia prevents you from tolerating the higher pressure, the soft cervical collar does not appear to be an option. http://www.apneaboard.com/wiki/index.php?title=Soft_Cervical_Collar
RE: ejbpesca - (Therapy Thread) Aerophagia and other questions. - ejbpesca - 12-26-2024
Hello,
Here's a recent OSCAR report. Please take a look and let me know your opinion. My AHI is up and down between 10.0 and 2.0. AHI does not correlate with how I feel after sleep. I cannot control my sleep positions and their effects (tried all suggestions). I may not be able to improve much, but of late I am hoping to at least get a more narrow gap between min and max pressure.
RE: ejbpesca - (Therapy Thread) Aerophagia and other questions. - Sleeprider - 12-26-2024
With settings of 9-14 EPR 2, your median pressure is nearly 12 cm and 95% is over 14. Your clusters of obstructive apnea, hypopnea and RERA are still positional, and it looks like you need a higher minimum pressure of 12 cm. EPR at 3 might reduce some of the flow limits.