Optimizing my CPAP treatment

[AGNineOne]

Hey all!

Have been on CPAP treatment for just over a month or so now and I don't seem to be getting anywhere, especially recently. I know it takes a while but I figured with optimisiation, I could get there faster.

The clinicians I've seen twice don't seem to be much help albeit they're seem very nice. I've got mild sleep apnea with an AHI of 18 (before starting treatment).

Just looking for some insight into how to optimise my therapy!

Many thanks

[PeaceLoveAndPizza]

We need to see the detailed OSCAR charts, not the statistics or overview.

Please read the link in my signature on “Formatting OSCAR Charts”. Then post a chart or two for folks to review.

[AGNineOne]

Sorry, I figured because I was asking for general optimisation; the more data the better over the course of a longer period.

I've attached the last two full nights I've been able to keep the mask on.

Thanks for your time!

[PeaceLoveAndPizza]

The settings are still at default. Those are not usable by most.

Try these settings:

Mode APAP
Min pressure 8
Max pressure 14
EPR 3 full-time
No ramp

It may feel strange at first, but give yourself time to adapt. Breathe with the machine, not against it. Relax and let your mind wander. It makes a big difference. 

Those leaks are a problem as well. Your profile says you are using a full-face mask, but what kind and size? Do you  have a beard? 

One thing that helps is wiping the silicone daily with a baby bum wipe or CPAP cleaning cloth. Washing your face before bed helps as it will remove some of the face oils that allow the mask to slide around. If you have not done so, watch some YouTube videos on fitting your particular mask.

I think with a bit more pressure, pressure support (EPR) to reduce the flow limits, and some relaxation techniques, things will get much better. Give these settings a fair go and post further charts in a few days.

[AGNineOne]

The settings are still at default. Those are not usable by most.

Try these settings:

Mode APAP
Min pressure 8
Max pressure 14
EPR 3 full-time
No ramp

It may feel strange at first, but give yourself time to adapt. Breathe with the machine, not against it. Relax and let your mind wander. It makes a big difference. 

Those leaks are a problem as well. Your profile says you are using a full-face mask, but what kind and size? Do you  have a beard? 

One thing that helps is wiping the silicone daily with a baby bum wipe or CPAP cleaning cloth. Washing your face before bed helps as it will remove some of the face oils that allow the mask to slide around. If you have not done so, watch some YouTube videos on fitting your particular mask.

I think with a bit more pressure, pressure support (EPR) to reduce the flow limits, and some relaxation techniques, things will get much better. Give these settings a fair go and post further charts in a few days.

Thank you for this write up, I'll give it a whirl over the next few days and get back in here.

I do have a beard, just slightly above stubble length. I was recently given a Resmed F40 as "its the newest one out so should fix all of your problems" but I've been reading it's pretty notorious for leaking. In talks with my clinician to grab a more sturdy one such as the F30i.

I'll be back!

[PeaceLoveAndPizza]

Consider the Fisher and Paykel Evora as well. It is firmer than the F30 or F30i. With my full beard it is the only FFM I have found that works.