ResMed users -- what do your flow limitations look like?

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
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palerider
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Re: ResMed users -- what do your flow limitations look like?

Post by palerider » Sun Jan 11, 2015 5:41 pm

Wulfman... wrote:Where did you come up with that value of "0.4"? Any links?
something sludge said a while back.

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Re: ResMed users -- what do your flow limitations look like?

Post by Wulfman... » Sun Jan 11, 2015 5:51 pm

palerider wrote:
Wulfman... wrote:Where did you come up with that value of "0.4"? Any links?
something sludge said a while back.
He says LOTS of things. (most of which I take seriously......in whatever identity he's using at the moment)

But, unless he comes forth and gives us a link to something other then the "PBE" (Play-See-Bow Effect - "PSBE"), I'll keep an open mind to other values. Like I said, I had values from 0.0 to 1.2 in a week of APAP pressures.....10 - 15 cm.


Den

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tan
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Re: ResMed users -- what do your flow limitations look like?

Post by tan » Sun Jan 11, 2015 6:12 pm

I often have AHI 0.0 and below 1.0 almost all the time.

One more thing to check: enable custom user events to flag durations >=3 s.
Last edited by tan on Sun Jan 11, 2015 6:35 pm, edited 1 time in total.

princessbelle
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Post by princessbelle » Sun Jan 11, 2015 6:19 pm

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Re: ResMed users -- what do your flow limitations look like?

Post by tan » Sun Jan 11, 2015 6:37 pm

princessbelle wrote:I felt great when I woke up from my nap, been a very long time I felt good just waking up. I did take a look at my stats and saw that I should have started around 11. When the flow limit is so wacky is that indicative of nasal restriction? I don't seem to have any issue with breathing through my nose, then again I didn't have any issues sleeping either until that was brought to my attention. I have insurance, a specialist visit is a co-pay wondering if I should just make the appointment. I am learning what all the graphs are, what they mean and what my issues are. Thanks for all the advice.
My impression is that sleep doctors, unless they are Krakow, don't generally pay any attention to flow limitations

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Re: ResMed users -- what do your flow limitations look like?

Post by palerider » Sun Jan 11, 2015 6:48 pm

tan wrote: My impression is that sleep doctors, unless they are Krakow, don't generally pay any attention to flow limitations
my impression, (mainly from reading here and there) is that krakow is in the business of selling ASV machines...
now, that may be wholly unfair.

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Re: ResMed users -- what do your flow limitations look like?

Post by Wulfman... » Sun Jan 11, 2015 6:57 pm

palerider wrote:
tan wrote: My impression is that sleep doctors, unless they are Krakow, don't generally pay any attention to flow limitations
my impression, (mainly from reading here and there) is that krakow is in the business of selling ASV machines...
now, that may be wholly unfair.
For "Dr. Krackpot"?.......i don't think so. I believe you nailed it.


Den

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tan
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Re: ResMed users -- what do your flow limitations look like?

Post by tan » Sun Jan 11, 2015 7:04 pm

palerider wrote:
tan wrote: My impression is that sleep doctors, unless they are Krakow, don't generally pay any attention to flow limitations
my impression, (mainly from reading here and there) is that krakow is in the business of selling ASV machines...
now, that may be wholly unfair.
Oh, I'm not saying he is right and other doctors are wrong... What I am saying that flow limitations business is his trade

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Re: ResMed users -- what do your flow limitations look like?

Post by Wulfman... » Sun Jan 11, 2015 7:19 pm

tan wrote:
palerider wrote:
tan wrote: My impression is that sleep doctors, unless they are Krakow, don't generally pay any attention to flow limitations
my impression, (mainly from reading here and there) is that krakow is in the business of selling ASV machines...
now, that may be wholly unfair.
Oh, I'm not saying he is right and other doctors are wrong... What I am saying that flow limitations business is his trade
He was also an advocate of these machines, too. And that was after they were already "dinosaurs".

https://www.cpap.com/productpage/purita ... level.html

If anybody hasn't already read his postings here on the forum, he was quite active for a relatively short period of time.


Den

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Sludge
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Re: ResMed users -- what do your flow limitations look like?

Post by Sludge » Sun Jan 11, 2015 8:55 pm

Wulfman... wrote:Where did you come up with that value of "0.4"? Any links?
Well, I guess it all started with one of the early ResMed patents, which stated
If the flow limitation parameter is between 1 and a predetermined normal reference value, e.g., 0.65-0.8, then the breath is classified as "normal." If the flow limitation parameter is between 0 and a predetermined flow limited reference value, e.g., 0.4, then the breath is classified as "flow limited." If the flow limitation parameter is between the normal and flow limited reference values, then the breath is classified as "intermediate."
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Re: ResMed users -- what do your flow limitations look like?

Post by Sludge » Sun Jan 11, 2015 8:58 pm

Soon thereafter, the world turned upside down...
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Re: ResMed users -- what do your flow limitations look like?

Post by Wulfman... » Sun Jan 11, 2015 9:18 pm

Sludge wrote:
Wulfman... wrote:Where did you come up with that value of "0.4"? Any links?
Well, I guess it all started with one of the early ResMed patents, which stated
If the flow limitation parameter is between 1 and a predetermined normal reference value, e.g., 0.65-0.8, then the breath is classified as "normal." If the flow limitation parameter is between 0 and a predetermined flow limited reference value, e.g., 0.4, then the breath is classified as "flow limited." If the flow limitation parameter is between the normal and flow limited reference values, then the breath is classified as "intermediate."
Is it just me or do those "parameters" sound bass-ackwards?
Or, is that what you meant by:
Sludge wrote:Soon thereafter, the world turned upside down...
But, thanks for that reference info.


Den

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(5) REMstar Autos w/C-Flex & (6) REMstar Pro 2 CPAPs w/C-Flex - Pressure Setting = 14 cm.
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Re: ResMed users -- what do your flow limitations look like?

Post by cathyf » Sun Jan 11, 2015 10:07 pm

Wulfman... wrote:Is it just me or do those "parameters" sound bass-ackwards?
Yeah... I wonder if the value that the machine reports out is one minus that parameter?

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Sludge
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Re: ResMed users -- what do your flow limitations look like?

Post by Sludge » Mon Jan 12, 2015 5:13 am

The switch happened about 5 years ago:
NotMuffy wrote: What's not to understand?

Rounded = Good

Flattened = Bad

S8 and Earlier Algorithm = "Flattening Index" & Good on Top

Image

S9 Algorithm = "Flow Limitation" & Good on Bottom:

Image
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Re: ResMed users -- what do your flow limitations look like?

Post by Sludge » Mon Jan 12, 2015 5:28 am

It appeared to be more than a flip and label change as the analysis went from "FL" to "FFL". This was discovered by LoQ who presented

Fuzzy Flow Limitation

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