Mild apnea, high pressure

Hi guys! This is my first post here, so I'm not sure how all this works. I was diagnosed with mild apnea and given a static CPAP with a pressure of 8, no titration study. I quickly found out that 8 doesn't seem to be enough, because I didn't really feel any better. This is a Prisma machine, so no OSCAR, but I found another program that does the same thing. I'm currently at a pressure of 12, but I still seem to be having hypopneas/RERAS during REM-sleep. I feel like my REM sucks, cause the longer I sleep, the worse I feel and REM periods get longer the longer you sleep. Am I interpreting the data correctly or is this what REM breathing is supposed to look like

https://imgur.com/a/A8qYCMd

jasperlind12 wrote: ↑

Wed Dec 14, 2022 4:53 am

Hi guys! This is my first post here, so I'm not sure how all this works. I was diagnosed with mild apnea and given a static CPAP with a pressure of 8, no titration study.

Why 8?

I quickly found out that 8 doesn't seem to be enough, because I didn't really feel any better. This is a Prisma machine, so no OSCAR, but I found another program that does the same thing. I'm currently at a pressure of 12, but I still seem to be having hypopneas/RERAS during REM-sleep. [/quote]
How do you know its during REM?

jasperlind12 wrote: ↑

Wed Dec 14, 2022 4:53 am

Am I interpreting the data correctly or is this what REM breathing is supposed to look like

https://imgur.com/a/A8qYCMd

You're showing us 2 minutes of breathing, or 4 at the most. Not informative in my opinion. Is this the kind of breathing pattern we want to see when a person is asleep? No.

You can't tell sleep stages from the flow rate graphs. No machine can do that.
Heck they can't even tell if you are asleep or not much less sleep stages.

ozij wrote: ↑

Wed Dec 14, 2022 7:34 am

jasperlind12 wrote: ↑

Wed Dec 14, 2022 4:53 am

Hi guys! This is my first post here, so I'm not sure how all this works. I was diagnosed with mild apnea and given a static CPAP with a pressure of 8, no titration study.

Why 8?

My doctor seems to think mild apnea = mild pressure

I quickly found out that 8 doesn't seem to be enough, because I didn't really feel any better. This is a Prisma machine, so no OSCAR, but I found another program that does the same thing. I'm currently at a pressure of 12, but I still seem to be having hypopneas/RERAS during REM-sleep.

How do you know its during REM?

I can't know for sure, but you can make an educated guess based on the change in breathing and counting out 1,5 hours.

jasperlind12 wrote: ↑

Wed Dec 14, 2022 4:53 am

Am I interpreting the data correctly or is this what REM breathing is supposed to look like

https://imgur.com/a/A8qYCMd

You're showing us 2 minutes of breathing, or 4 at the most. Not informative in my opinion. Is this the kind of breathing pattern we want to see when a person is asleep? No.
[/quote]

Does this give you more info? https://imgur.com/a/9e2w3ok
Thanks for your reply!

jasperlind12 wrote: ↑

Wed Dec 14, 2022 4:53 am

Please check your private messages.

Need to see entire Oscar printout as laid out in the Stickies top of the page - just leave out the pie chart and calendar.

jasperlind12 wrote: ↑

Wed Dec 14, 2022 12:23 pm

ozij wrote: ↑

Wed Dec 14, 2022 7:34 am

jasperlind12 wrote: ↑

Wed Dec 14, 2022 4:53 am

Hi guys! This is my first post here, so I'm not sure how all this works. I was diagnosed with mild apnea and given a static CPAP with a pressure of 8, no titration study.

Why 8?

My doctor seems to think mild apnea = mild pressure

Without titration? Some doctor!

Does this give you more info? https://imgur.com/a/9e2w3ok
Thanks for your reply!

It does, but not enough.

Is this Swedish? Can you translate the terms- or even tell your program to "speak" English ? Do you have a manual for the program?
What I think I'm seeing is not many obstructive events but what (I'm guessing) are flow limitations - indicators of the flow of air being limited by something that is not a total obstruction, but is called "Obsturctie" in your graph.

Did you see any change in this graph (the "Obsturctie" one) when you raised the pressure?
Are you functioning on Auto settings, and if so, what are they?
Do you think you could tolerate higher Max pressure (if on Auto mode)?
What did your sleep study report regarding oxygenation and arousals?

ozij wrote: ↑

Wed Dec 14, 2022 10:12 pm

Is this Swedish? Can you translate the terms- or even tell your program to "speak" English ? Do you have a manual for the program?

I can’t divine truth from the graphs, but the language is Dutch.

Snurken = snoring
Ademflow = breath flow
Lekkage zonder spoelflow = leakage without flushing flow
Druk = pressure
Bevochtigerniveau = humidifier level

I think the rest are self-explanatory…

Thanks!

It was actually my graph-based guess at "obstructie" that I wanted formally confirmed. Since we don't call flow limitations "obstructions" in English...

ozij wrote: ↑

Wed Dec 14, 2022 11:56 pm

Thanks!

It was actually my graph-based guess at "obstructie" that I wanted formally confirmed. Since we don't call flow limitations "obstructions" in English...

according to google, yes-

https://www.google.com/search?q=dutch+t ... e&ie=UTF-8

ozij wrote: ↑

Wed Dec 14, 2022 11:56 pm

Thanks!

It was actually my graph-based guess at "obstructie" that I wanted formally confirmed. Since we don't call flow limitations "obstructions" in English...

“Obstructie” is exactly as you guessed. Air flow limitation would be “debietbeperking”, as opposed to a power flow limitation which would be “stroombeperking”. No idea why they decided on obstruction instead of limitation, probably whomever did the translation either did not speak the language or did not ask someone who did. No big deal, it’s just great to see so many from around the world using CPAP to help them sleep better and protect their health.

And to learn new languages and meet new people