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08-17-2022, 07:25 PM (This post was last modified: 08-17-2022, 07:27 PM by testuser1.)
Cpap data after 2 months, still getting UARS?
Hi, I am new to this board. I was wondering if anyone could help interpret my data for the last 3 days. I am using Resmed 10 APAP with Airtouch F20 mask.
From what I can tell, I have a bunch of flow limitations and my AHI goes up in the morning. My doctor originally said I have UARS which seemed to become sleep apnea, and I've been using CPAP off and on for a few years. Recently I've been using it for 2 months straight and it seems to make me sleep better, but I don't feel like it's working fully.
If this were me, I would focus first and foremost on those leaks. Interesting how your leaks come on the downslope of pressure increases, I've seen the same thing in my data. Have you tried higher fixed pressure to see if that does something for your leaks? Seems like they might be leading to arousals.
Also, I am curious why your EPR is only 1. Have you tried different EPR settings?
I am chasing down UARS myself, and I have had to build up to MUCH higher pressures than my original sleep study titration (14 vs 8). EPR has been really helpful here (in fact, my next move is to an Aircurve to see if I can make further progress).
My 2 cents; It appears that the pressure is pretty well dialed in. Since the OP is experiencing CAs at an EPR of 1, and the flow limits are only .04 at the 95%-tile, I'd leave well enough alone. The large leaks, CAs, and OAs seem to be caused by a positional orientation and should be addressed. This could be as simple as allowing the pillow to act as an additional pressure on the mask's seal. This can be achieved by simply turning your head a little more in the direction of the pillow. Remember, you are being supplied air via the CPAP, and this will not obstruct your breathing.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
