If you’re interested in a one-on-one consultation or exploring my other services, feel free to schedule a session through the following link: cal.com/cpapfriend?redirect=false Don’t worry-it’s completely safe, but if clicking the link doesn’t feel right, you can always reach out to me first via email (CPAPfriend@proton.me). I’m here to make this as easy and comfortable for you as possible.
@dinobambino21 Жыл бұрын
This was a good video. I would like more information on upper airway resistance and flow limitations
@ShayMaxx Жыл бұрын
Wish I had this info years ago You’re amazing
@CPAPfriend Жыл бұрын
thanks man!
@chugulug4 ай бұрын
The flow rate graph that you show at the beginning looks beautiful🤩 Is that from a real person? I've never seen such flatness and uniformity.😯
@CPAPfriend4 ай бұрын
Yes, it is!
@PleasantlyConfused681611 ай бұрын
Here from your recent Reddit post. This is so much more than you could type out!!! Thank You!!
@CPAPfriend11 ай бұрын
You're very welcome!
@deepderp995710 ай бұрын
I’ve been on CPAP for two years and this is the best description of the various types of disordered breathing I’ve come across. Thanks for the great content.
@CPAPfriend10 ай бұрын
Merely playing my part :) Thanks
@JGKohlenberg9 ай бұрын
I’ll second this opinion 👍 Thanks for doing these sample trends
@dewitubeX19 ай бұрын
this is new to me and is so interesting. thank you CPAP Friend.
@chugulug4 ай бұрын
i agree with this comment 100%
@PleasantlyConfused681611 ай бұрын
From this video alone, I changed my EPR and my life has changed!!! My AHI went from 17 to 1.3 with ERP at 1. My mask has no leaks now and I am sleeping so much better now. Thank You Thank You Thank You!! 💕
@preetimittal212311 ай бұрын
What is ERP ...can you please explain me in detail...i can't understand this video please sir
@lazlo0911 ай бұрын
@@preetimittal2123 EPR means expiratory pressure relief. Its what ResMed machines calles pressure relief on exhale. Mening the machine lowers the pressure every time you exhale. I think Philips machines calle it C-flex.
@preetimittal212311 ай бұрын
@@lazlo09 does it cause develope central apne???
@CPAPfriend11 ай бұрын
Expiratory pressure relief. It's a feature on CPAP that reduces pressure during exhalation. It mimics the mechanics of a bilevel machine.
@preetimittal212311 ай бұрын
@@CPAPfriend but some people said it can also lead to central apnea ?? My father has only obstruction sleep apnea but after his cpap titration therapy there is also 0.3 central apnea dedected how is it possible...because he is only diagnoes with obstructive sleep apnea
@elly535 Жыл бұрын
So helpful! I've been trying to sort out my therapy for six months and I can't get to the bottom of flow limitation and it's links to EPR. increasing pressure to 14.6 CPAP without EPR just does not work for me. For some reason I seem to respond better with EPR 2 even 3. Yet everyone says turn off EPR! Odd thing, I can breathe fine without it on but my AHIs are much higher without EPR on. And also flow limitations increased to over 0.20 when EPR off in which case I am trying to find information on these linked subjects. This is great. Please keep your videos coming. Love it
@CPAPfriend Жыл бұрын
EPR mimics pressure support in bilevel, although there is an important difference between the two. That said, it does serve a therapeutic function, not just comfort, and so I'm not surprised to hear that you receive more effective therapy with it enabled. Increasing EPR (PS) theoretically should eliminate / reduce flow limitation. Thanks for tuning in :)
@elly535 Жыл бұрын
@@CPAPfriend thank you for confirming that. You kindly offered awhile ago to look at my charts. I would love to take you up on this but I'm trying to get to a point where I've got a mask that reduces leaks & keeps AHIs low which is a work in progress. Because oddly, nasal masks provide low AHIs but terrible leaks. Gone onto full face masks which have drastically reduced leaks but given me increased AHIs! Go figure as the saying goes!! I've just bought an F&P hybrid Evora Ffm. Want to give it a few nights, but it's first measure was AHI under 1 AND low leaks - success. Will be interesting to see if this carries on
@nacholibre8412 Жыл бұрын
This it's such a helpful breakdown for users, thank you so much. I'm curious though, on the page where you're breaking down the different types of events, you define the difference between the flow limitations and the normal wave form but what about the major reduction in the expiration portion of the breath? The breath looks much smaller than the other ones with less defined(flattened) inspiration and expiration waves.
@CPAPfriend Жыл бұрын
I'm not 100% following what you're asking, so please feel free to clarify, but what I think you're asking is what about the smaller expiratory leg of the normal waveforms compared to the event waveforms above it or?
@ToJoFickleFan Жыл бұрын
Arousals are sleep brain waves that last from 3-15 seconds. Awakenings last more than 15 seconds. In the lab, most of the time arousals do not push patients out of the stage of sleep that they are experiencing at that time. Awakenings more often knock people out of their current stage of sleep, thus disturbing the important inertia that keeps sleep moving forward appropriately. I would like to see what happened to the sleep architecture (amount of time in each stage, the cadence of the stages, etc.) in each of these categories I’ll have to go in and read the study and see what kind of extenuating circumstances the researchers name that might alter their conclusions or make them call for another study with different parameters. Glad you have made me curious.
@CPAPfriend11 ай бұрын
The burning question I always have is, "to what degree are these sub-awakening arousals disturbing sleep? How can we know?
@ToJoFickleFan11 ай бұрын
Yes. If we have the EEG, then we can lay it out and see if the sleep stages map out correctly (architecture). If they do, then arousals might be interesting, but of less significance. I’ve heard others say that there should be no arousals at night, but I don’t think there are any studies that prove that. There is a window of normal. Further, what is really causing the arousals? Pain intrusion is a difficult one for a sleep tech to understand, and we mostly just note the co-existing chronic conditions that might promote pain intrusion-related arousals and score respiratory events if we can per the rules. I am really enjoying the clarity of information available in OSCAR. I wish I had been attentive to that tool before. It doesn’t tell the whole story, but it gets dang close-close enough to give direction to a CPAP coach for suggesting changes.
@jf2011AD Жыл бұрын
I’ve watched all your videos so far. Looking forward to more. You’re very clear and concise. Subscribed with notifications. Question: The down portion of my expiration is like a spike. There’s no rounding at the bottom whatsoever. It immediately jumps halfway up and hangs at the zero line till the inspiration kicks in. The tops look fairly rounded with flow limitation mostly zero, 0.18 max. Is this spike at the bottom a problem? What does that indicate?
@CPAPfriend Жыл бұрын
It's hard to say just based off of your description, but it sounds like expiratory mouth breathing. I speculate you're breathing through your nose or nose and mouth during inspiration, and then you're expiring through your mouth. Nasal breathing is always the goal, but, all things considered, it's not the end of the world. What's more important is that you're getting sound sleep.