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Need Help analyzing OSCAR data
#1
Need Help analyzing OSCAR data
Would someone be able to help review my OSCAR data from last night? I started my CPAP therapy little over a week ago. I switched to try nasal pillows mask Resmed P30I and machine tells me great mask seal and my leaks have went down from when I was first trying a full face mask. My AHI in my sleep study was 70 and last night got AHI 18 with most saying clear airway. I can share other days data as well if it would help.


Attached Files Thumbnail(s)
           
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#2
RE: Need Help analyzing OSCAR data
Hi megagreatwhite!  -  Welcome

To post images here, please do the following:
  1. Make sure that your display is set to the Standard view.  (View > Reset Graphs > Standard)
  2. To take a screenshot of your Daily screen, select one of the following:
    • For Windows or Linux: Use the F12 key
    • For a Mac: Use the Fn+F12  key combination.
Within your post, go to the bottom and insert the image (New Attachment) from the steps above.  A more detailed explanation is in the links in my signature.

Abbreviated version of the steps:
From the Full Editor (Not the Quick Reply)
New Attachment > Browse (select image) > Add Attachment > Insert Into Post

- Red
Crimson Nape
Apnea Board Moderator
Project Manager for OSCAR - Open Source CPAP Analysis Reporter
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

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.
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#3
RE: Need Help analyzing OSCAR data
Thank you. I've re-adding screenshots per your direction.
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#4
RE: Need Help analyzing OSCAR data
In your sleep study, were most centrals there also?"  If you could block out all personal information and post the sleep study.  The machine you have does not control central apnea.  However a cpap machine is not a good judge of centrals.  In the sleep study they hooked you up with wires attached all over your body and put a strap on your chest to see what type of apnea you have so your test is a good predictor of what type you are having now.
Apnea (80-100%) 10 seconds, Hypopnea (50-80%) 10 seconds, Flow Limits (0-50%) not timed  Cervical Collar - Dealing w DME - Chart Organizing
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#5
RE: Need Help analyzing OSCAR data
Yes, sleep study found evidence of severe central sleep apnea with a significant of the events being of obstructive origin. I am attaching sleep study results with personal info removed. When I brought the pdf into word to remove personal info text formatting got messed up slightly but should still be readable on the screenshots.

sleep study screenshots 4-6 out of 10

sleep study screenshots 7-9 out of 10

Sleep study screenshot 10 out of 10


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#6
RE: Need Help analyzing OSCAR data
Your test results would suggest that you are an ASV candidate.  Using the EPR on your current machine is adding to your CAs, by washing out your CO2.  Have you tried setting it to 0 (turning it off)?

- Red
Crimson Nape
Apnea Board Moderator
Project Manager for OSCAR - Open Source CPAP Analysis Reporter
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

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.
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#7
RE: Need Help analyzing OSCAR data
No, not since I switched to the nasal pillow mask. I will try that tonight. I also switched from auto 4-20 to cpap of 12. Should I stay at static pressure level of 12 or switch back to auto (what range do you recommend if so)? I also have ordered some mouth tape that I was going to try in case I have any mouth leaks.
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#8
RE: Need Help analyzing OSCAR data
I wouldn't change too many things at once. Since you have data for the static 12cm with EPR, comparing it to non-EPR would be a fairer comparison.

- Red
Crimson Nape
Apnea Board Moderator
Project Manager for OSCAR - Open Source CPAP Analysis Reporter
www.ApneaBoard.com
___________________________________
Useful Links -or- When All Else Fails:
The Guide to Understanding OSCAR
OSCAR Chart Organization
Attaching Images and Files on Apnea Board
Apnea Helpful Tips

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.
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#9
RE: Need Help analyzing OSCAR data
Sound's like you need to ask your doctor for an ASV, or try to get a sleep study that shows at least 50% centrals (hint: insist sleeping on your sides if you normally do so) ASV often works most extra for you, if you have more central apneas, especially sleeping mostly on your side or stomach. ASV is pretty much as is good as it gets for those with mostly central apnea, unless you have COPD, then you might need to ask your doctor about an iVAPS. As always, consult with your doctor.

It seems we often forget that at least 10-15 % of sleep apnea is central, and may be mixed with obeructive sleep apnea events.
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