Help me interpret my OSCAR data

[Arale]

Hi everyone,

I was diagnosed with sleep apnea a little over a month ago and received my CPAP exactly one month ago through my insurance.

I am a Swedish citizen and had an AHI of 57 according to the doctor. Since then, I've tried to sleep with the CPAP and have only had two consistent outcomes:

1. The machine was set to a minimum of 4 and a maximum of 20 by the doctor from day one. The good news is that my AHI went down to below 5 on some days. The bad news is that I had a bloated stomach each morning and spent 20 minutes in the bathroom burping and passing air. I also woke up with too much air flowing in and had to remove the mask as soon as I woke up every morning.

I then started experimenting on my own and lowered the maximum pressure every other day to the current level of 6.4 (I think). I no longer have air in my stomach, but my AHI is higher, I wake up tired, and I consistently wake up in the middle of the night.

Equipment:

I own a ResMed AutoSense 10 and use the ResMed F10i mask that covers both my nose and mouth. Additionally, I use a nasal spray called "Mometasone Teva" daily to combat my enlarged polyps and help me breathe better through my nose during the day. It's crucial that I use this in tandem with the CPAP machine daily.

Please look at my situation and help me. I haven't had a good night's sleep in a long time.

Below is some printed data. Feel free to ask me for more information.    

[Sleeprider]

Your settings can be greatly improved, but the clusters of obstructive events are the result of poor cervical alignment (head and neck position). Read this wiki and I'll suggest some settings below: https://www.apneaboard.com/wiki/index.ph...onal_Apnea

Minimum pressure 7.0
Maximum pressure 10.0
EPR: On Full-Time
EPR setting: 3

The use of EPR will make your therapy a more comfortable bilevel pressure starting at 7.074.0 (inhale/exhale) and a maximum of 10.0/7.0. This supports inspiration and eliminates flow limitation, RERA and hypopnea. Resolving the positional apnea will be key.

[Narcil]

Please read how to screenshot your data, we really need to see the flow limit graph, you can resize the graphs to make sure the 5 needed are there  https://www.apneaboard.com/wiki/index.ph...ganization

You have major leaks to address please read the mask primer, cpap isn't working when you have a large leak (in grey on the chart).
https://www.apneaboard.com/wiki/index.ph...ask_Primer

Lastly, your events are heavily clustered together which suggests positional apnea. Please read https://www.apneaboard.com/wiki/index.ph...onal_Apnea but it cannot be solved by pressure, you need to adjust your sleeping position or get something to make sure you don't kink your airway when you sleep. since your airway is kinked the machine is ramping up the pressure to try and open it up but its not working because the hose is kinked.

sorting out these 2 issues should improve your comfort a lot!