Flow Limit Peaks

General Discussion on any topic relating to CPAP and/or Sleep Apnea.
forest
Posts: 7
Joined: Wed Jul 02, 2014 2:47 pm

Flow Limit Peaks

Post by forest » Fri Jul 11, 2014 4:47 pm

Hello,

It looks like last night was the first night there were significant flow limitations. I think they mighthave been non-medical (i.e. a pinched hose or something similar). It looks like it got to ~0.5 on the resmed s9. They were accompanied by increases in pressure and an above average leak rate. Pressure was too high so I had to ditch the mask in the end.

Is this a reasonable interpretation of the plots? A pinched hose? Thanks!
Image

Wulfman...

Re: Flow Limit Peaks

Post by Wulfman... » Fri Jul 11, 2014 5:12 pm

forest wrote:Hello,

It looks like last night was the first night there were significant flow limitations. I think they mighthave been non-medical (i e a pinched hose or something similar). It looks like it got to ~0.5 on the resmed s9. They were accompanied by increases in pressure and an above average leak rate. Pressure was too high so I had to ditch the mask in the end.

Is this a reasonable interpretation of the plots? A pinched hose? Thanks!
Auto CPAPs respond to Snores and Flow Limitations with pressure increases. My "theory" about these kinds of situations is that some people have a reflex reaction to pressure increases. The machine interprets that reflex reaction as another Flow Limitation.....which creates another pressure increase and results in another reflex reaction and another Flow Reaction.....and the cycle continues until something breaks it. That's what I see in the report you posted.
I notice that your mask leak also increases with the pressure increases and flow limitations.

You didn't say what mask you were using.

In my opinion, this is one of those scenarios that can be problematic with using a range of pressures.


Den

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User avatar
Uncle Sigh
Posts: 29
Joined: Sun Jul 06, 2014 4:11 pm

Re: Flow Limit Peaks

Post by Uncle Sigh » Fri Jul 11, 2014 6:14 pm

Is this a reasonable interpretation of the plots? A pinched hose?
No.

User avatar
avi123
Posts: 4509
Joined: Tue Dec 21, 2010 5:39 pm
Location: NC

Re: Flow Limit Peaks

Post by avi123 » Fri Jul 11, 2014 6:31 pm

Resmed machines don't provide yet "mask pressure", so how could you relate to it seriously?


On my S9 I get this for Flow Limitation (FL) these days:

Image

In April 2011 I had this for Flow Limitation which was really bad:

Image

To diagnose FL the S9 checks the flatness of the respiration curve and assign an out of roundness weight level to it like this:


Image



You can see here how my S9 raised the FL graph b/c of flatness of the tops of my respiration curves:

Image

_________________
Humidifier: S9™ Series H5i™ Heated Humidifier with Climate Control
Additional Comments:  S9 Autoset machine; Ruby chinstrap under the mask straps; ResScan 5.6
see my recent set-up and Statistics:
http://i.imgur.com/TewT8G9.png
see my recent ResScan treatment results:
http://i.imgur.com/3oia0EY.png
http://i.imgur.com/QEjvlVY.png