How to read Oscar and other issues

[Eddie702]

Many thanks to all that have helped in the past


70 year old with a lot of issues. Heart, GI issues, reflux, bloating and gas etc etc. Now have depression and anxiety due to health issues and other problems............but life goes on!!!!!!!!!!!

I have lost 70 lbs over the last 20 years 35 in the last 2 and am 5'8" around 170 so still a little overweight.

I don't know how to read Oscar well I only remember that the AHI should be under 4 or 5 if possible.

I recently have had a lot of gas etc after having a NIssen fundoplication for acid reflux last year and am wondering if C-pap is part of my issue. As a test I slept without it last night and gas and bloating were 70% reduced. Dr. has me scheduled for a new sleep test in April due to bradycardia (slow heart rate) which I have always had but he wants to check.


I could use some help understanding Oscar and wonder what you think of my readings and machine settings

These are the last 6 months averaged:

AHI 1.015
OA.17
HYP .15
UNCLASSIFIED APENA .0033
95% FLOW  .128
RERA  .043
CA  .69



MACHINE SETTINGS

MAX PRESSURE 15
MIN 5
APAP
EPR LEVEL 3
EPR FULL TIME
EPAP 4


ANY COMMENTS? CAN i REDUCE MACHINE SETTING TO HELP WITH GAS AND BLOATING?

[Sleeprider]

You are using a minimum pressure of 5.0 and maximum 15.0 with EPR at 3, so your minimum pressure is too low for that EPR and should be 7.0 to result in a starting pressure of 7.0/4.0 (inhale/exhale). The real unanswered question is what are the actual median and 95% pressure being delivered by your machine and why. Post a chart and I'll help you understand.

[Eddie702]

Sleeprider thank you.

That's what I need help with. Can you tell me how to post an Ocsar charts. Do you want daily view, overview or statistics??

[Sleepster]

Sleeprider thank you.

That's what I need help with. Can you tell me how to post an Ocsar charts. Do you want daily view, overview or statistics??

See his signature for the links to the guides you need.

[Eddie702]

                        Please see attached ...update

[Eddie702]

Not sure if I added the attachements in the last post correctly ......old guy computer challenged

[Sleeprider]

Eddie, next time it will help if you just post a screenshot of the daily details, rather than a printed report. It has a lot more useful information. You are currently using settings of 5.0 minimum, 15.0 maximum and EPR full-time at 3. Your minimum pressure is too low, and I'm going to suggest you increase the minimum pressure to 8.0 and decrease the maximum pressure to 13. 0 You could really use more difference between inhale and exhale pressure, or "pressure support" aka EPR,but that would require a bilevel machine like the Aircurve 10 Vauto.

We will know more from a Daily Details screenshot, which is the view you see, then take a screenshot by pressing F12. Screenshots are stored in the Oscar directory at Documents/Oscar Data/Screenshots. You have some persistent flow limitations that cause your pressure to increase and is usually a source of arousal and sleep disruption because it means you have a lot of upper airway flow resistance. At this point your AHI event rate is low and mostly CA events. Those probably arise from sleep disruption or changing position at night. The suggestion to adjust your pressure will hopefully stabilize your therapy environment, and we will keep working to make things more comfortable.