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+--- Thread: [Symptoms] More Tired With Less Flow Limitations (/Thread-Symptoms-More-Tired-With-Less-Flow-Limitations)
More Tired With Less Flow Limitations - sowo123 - 10-10-2024
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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
[attachment=70621][attachment=70622][attachment=70623]
RE: More Tired With Less Flow Limitations - PeaceLoveAndPizza - 10-10-2024
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.
RE: More Tired With Less Flow Limitations - sowo123 - 10-10-2024
[attachment=70631][attachment=70632][attachment=70633]
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?
RE: More Tired With Less Flow Limitations - PeaceLoveAndPizza - 10-10-2024
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.