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Machine: Lowenstein Prisma Smart Max Mask Type: Full face mask Mask Make & Model: Dreamware full face mask (nasal cushions) Humidifier: None CPAP Pressure: 6-18 CPAP Software: OSCAR
Other Software
3 hours ago (This post was last modified: 3 hours ago by jimbobule. Edited 2 times in total.)
Would be great to get some feedback on my OSCAR data
I'm newly diagnosed with mild to moderate sleep apnea. I have some nasty symptoms and been unwell for several years after being mishandled by the medical sector.
I think I have a histamine problem (due to mismedication) which means my sleep quality is very unpredictable and often characterised by 1-4 hour chunks usually 1.5hrs. Only been using CPAP for a week.
The last chart I attach is from Lowenstein Prisma TS software on the same data . It shows that a large proportion of my hypopneas are central hypopneas. Lowenstein for some reason does not count central hypopneas in their AHI score (despite having the data). My app says my AHI is 5, Oscar says about 9.
Any comments very welcome on how to improve my situation and I do hope I have followed the instructions correctly.
RE: Would be great to get some feedback on my OSCAR data
Typically, Hypopnea if Obstructive would indicate increasing Min pressure. If they're truly Central based, then maybe not. You still may want to try increasing Min by 1 to 7.
It also appears these events get clustered in several clumps spread through the night. This can be attributed to Positional Apnea as in chin tucking. Do you use a thick pillow? It might be this is too thick and forcing the chin tuck, if applicable.
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Machine: Lowenstein Prisma Smart Max Mask Type: Full face mask Mask Make & Model: Dreamware full face mask (nasal cushions) Humidifier: None CPAP Pressure: 6-18 CPAP Software: OSCAR
Other Software
RE: Would be great to get some feedback on my OSCAR data
I suggest you change your low pressure setting to 8. Your median pressure is 8.2, so 8 is a good place to start.
I don't know what CHI is, but it's not CA. Your chart shows only one CA all night long, giving you a CA score of zero, so I would not worry about CAs. Maybe you could ask the Lowenstein people what CHI is.
You have a lot of Positional Apneas. PAs happen when your chin tucks toward your chest causing a reduction of airflow much like a kinked hose reduces water flow. Getting these under control will drop your AHI significantly. Some can solve this by sleeping on one pretty flat pillow. Most wear a soft cervical collar high enough to keep their chin up. Most drugstores carry a few and Amazon carries a lot of different ones. Many here like the Caldera Releaf Collar if they can get one high enough because this collar is very comfortable. Others like the Valpeau collars and others. I use a child size pillow that has a raised front edge which tips my head back slightly. This solves it for me.
Good luck with improving your therapy and comfort!