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[Supposed UARS] No benefit from APAP after 3 weeks, continue to increase pressure?
24M, healthy and active, 160lbs and about 5'11, also have a pretty long and skinny neck.
**Been going on for ~2 years now** Symptoms:
Terrible sleep, waking up multiple times a night and often struggle to fall back asleep.
Jaw Clenching
GERD
Neck and Back Pain, both skeletal and muscular. Only really noticeable at night
Diagnosis:
Home Sleep test (WatchPat) came back with ADI: 0.9, RDI: 9.5 (remRDI : 17.0, NonRemRDI: 7.4)
ENT saw I had an extremely deviated septum blocking around ~80% of my nasal airflow
Treatment:
Got a Septoplasty/Turbinectomy/Nasal Stenosis repair ~2.5 months ago, breathing is 1000% better, but my sleep didn't really seem to improve much at all.
Currently on APAP, starting on 7min 20max, with an EPR of 3. No improvement after a week so I bumped it up to 8, then after another week currently up to 8.4.
Included OSCAR results from last night, First one is from the entire night, second one is a zoom in from just before my first wake up in the middle of the night ~2am.
RE: [Supposed UARS] No benefit from APAP after 3 weeks, continue to increase pressure?
I would not continue to raise pressure.
Your events are mostly central, so increasing pressure may worsen them. I would however try reducing EPR to 1 cm or even disabling it.
If you've only been using PAP treatment for a short while, I would just give it some more time. You may be just experiencing treatment-emergent central apnea. Your data looks fine, but you may be able to reduce your central events a bit more.
10-10-2022, 11:32 AM (This post was last modified: 10-10-2022, 11:34 AM by Gideon.)
RE: [Supposed UARS] No benefit from APAP after 3 weeks, continue to increase pressure?
I wouldn't change a thing setting wise.
You do have a manageable mouth leak, consider taping. This is evidenced both in the leak rate and the zoomed view you provided.
Because of your COPD I would, at least periodically, monitor your O2 levels over night as a precaution.
Gideon - Project Manager Emeritus for OSCAR - Open Source CPAP Analysis Reporter
RE: [Supposed UARS] No benefit from APAP after 3 weeks, continue to increase pressure?
(10-10-2022, 11:32 AM)Gideon Wrote: I wouldn't change a thing setting wise.
You do have a manageable mouth leak, consider taping. This is evidenced both in the leak rate and the zoomed view you provided.
Because of your COPD I would, at least periodically, monitor your O2 levels over night as a precaution.
I actually do tape my mouth at night, but only a relatively small piece going vertically down the middle of my lips to hold them closed. I can try using a bigger piece tonight and see if that helps with the leak at all.
