Calling on Morbius---are these OAs possibly pressure induced

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
NMchop
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Calling on Morbius---are these OAs possibly pressure induced

Post by NMchop » Tue Mar 17, 2015 12:23 am

Robysue suggested I wave you down to look at this if you don't mind.

Here's the thread:
viewtopic/t104480/Another-bad-night-acc ... yhead.html

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Morbius
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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by Morbius » Tue Mar 17, 2015 3:35 am

Export the file (either SH or the contents of the data card) to Dropbox or similar depository and post the link. You should also get the long reports of the sleep studies.

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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by robysue » Tue Mar 17, 2015 7:31 am

Thanks for offering to help Morbius.

NMchop: If you don't understand what Morbius is asking you to do, PM me and I'll give you instructions.

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Tom W
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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by Tom W » Wed Mar 18, 2015 7:14 am

Seems to me that there is a lot of heavy breathing right after the apnea to get some oxygen and then the breathing tapers down to next to nothing....resulting in another apnea.

I'd like to see what the flow direction is of the first large breath after the apnea....is it an inhale or exhale?

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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by NMchop » Sat Mar 21, 2015 6:18 am

1

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Last edited by NMchop on Mon Mar 30, 2015 4:22 pm, edited 1 time in total.

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Morbius
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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by Morbius » Sat Mar 21, 2015 6:45 am

NMchop wrote:hope this works....
What could possibly go wrong?

Looks to me like OA bursts.

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Morbius
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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by Morbius » Sat Mar 21, 2015 6:54 am

Further, you might even be a little worse than the overall AHI implies. Here are some pretty clear obstructive events (unambiguous flattening with concomitant snoring) left unscored:

Image

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Morbius
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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by Morbius » Sat Mar 21, 2015 7:05 am

Here's another area (and there's a lot of them) that was inappropriately left unscored:

Image

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Morbius
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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by Morbius » Sat Mar 21, 2015 7:18 am

Extended FL with apparent termination by arousal:

Image

NMchop
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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by NMchop » Mon Mar 23, 2015 2:49 am

Higher pressure maybe needed?

I'm at 14cm on Cpap.

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Morbius
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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by Morbius » Mon Mar 23, 2015 5:06 am

Morbius does not do Dial Wingin', but at those pressures, you might want to start thinking about BiPAP/AutoBiPAP.

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Morbius
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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by Morbius » Sat Mar 28, 2015 3:16 am

This poster is obviously dead from arbitrary dial wingin' (although that would seem to be redundant).

NMchop
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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by NMchop » Sat Mar 28, 2015 6:29 am

I'm not dead.

Or dial winging' yet.

I'm just waiting for my appointment with the sleep center.
I don't know yet how to make changes to the machine or exactly what
changes to make other then "more pressure".

I don't want to blow up like a Macy's Day thanksgiving day parade.

But I am grateful for your input. At least I know an adjustment needs to be made.

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Morbius
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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by Morbius » Sat Mar 28, 2015 11:52 am

OK but get AutoBiPAP on the table.

"IMHO" you have something there that requires a very aggressive pressure (supine sleep, or REM, or both) but for the most part a more tolerable pressure is sufficient. AutoBiPAP could take of that nicely.

Did you get your sleep studies? They would help to figure out that vulnerability.

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Morbius
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Re: Calling on Morbius---are these OAs possibly pressure induced

Post by Morbius » Sun Mar 29, 2015 4:42 am

Morbius wrote:Did you get your sleep studies? They would help to figure out that vulnerability.
Or you could get a Body Position App and run those results against your event clusters.