Hello Guest, Welcome to Apnea Board !
As a guest, you are limited to certain areas of the board and there are some features you can't use.
To post a message, you must create a free account using a valid email address.

or Create an Account


New Posts   Today's Posts

[Treatment] New to CPAP, inconsistent results as of late
#1
New to CPAP, inconsistent results as of late
Although first time poster I have read a lot of posts on here in the last few months there are some real experts on here.  I just figured out how to get Oscar data and have
been running it for a few weeks and would love to have someone analyze my charts.  I had to paste them as limited to 3 attachments so sorry for that. 

Brief hix:  Home sleep study early April 2024,  15.1 AHI, OSA. (36 on back, 6 on side) Spo2 low was 77 and 30 mins under 90.  Yikes ! 

5/1: Started CPAP Resmed 10 in APAP mode, almost immediately traded OSA for TECSA. Sleep Dr said those will eventually go away. 

June: In lab study as although he didn't want to do one as I had been doing well, I told him I had trouble with sleep duration.  Writeup from that is as follows: 

Since June, have been doing progressively better and got AHI down to an average of under .20 for a while there. 
Then I decided to try some back sleeping as side sleeping was bothering shoulder and hip.  They wen't up a little
but nothing drastic.  Average .5-.6.  I can live with that. They are all centrals and hypopneas/RERS, but mostly CSA.

They say CSA's are consistently inconsistent.  Yep they sure are.   Night before last 1 single CSA, nothing else.
Last night, very different story.  I will say my leak rate was not stellar last night so possibly that plays into it?
I should also add that I upped my EPR from off to 3 initially (to treat aerophagia) now I'm down to 1.  I also increased min pressure from 5 to 6.6
over time as noticed SPO2 average would dip to an average of 94 when pressure that low.  (FYY- 2 PFT tests soince 6/1, both better than normal spirometry) 

Questions: 
1- Will leak rate affect CSA ?
2- Do any of my CSA's resemble OSA ?  
3- I have ramp set at 20 mins to avoid "Sleep junk CSA's" as I definitely get those when falling or especially lying in bed too long upon waking. " 
4- I had previously set range from 6.6 to 11 but then would wake up and see it really close (10.8) so I bumped it to 13 (maybe I can go down again to 11 after seeing these?)

Meds:  Hyroxyzine 25mg before bed, Famatodine 10-20 b4 bed, sometimes 3am melatonin mid sleep, sometimes Lorezepam midsleep (rarely though)
*
Can't post charts for some reason.  No idea why.  I only tried to post 3, it wouldn't even take 1 !
Post Reply Post Reply
#2
RE: New to CPAP, inconsistent results as of late
Attachments of charts.  Hopefully they work ! 

   
   
   
Post Reply Post Reply
#3
RE: New to CPAP, inconsistent results as of late
You have a Ramp that is stealing therapy time, every time you restart therapy. These restarts happen several times a night.

Your minimum pressure can be raised to a minimum of 7, which allows EPR to work a bit better. It will also help reduce Hypopnea and flow limits with at least Min 7, maybe Min 8 will be better.

You also have some moderate but fairly consistent leaks. These need attention to reduce sleep disruption. Going tighter on mask straps will most likely be the wrong answer. If the mask leaks with moderate tension, it's either the wrong size, shape, style for you.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Post Reply Post Reply


Possibly Related Threads...
Thread Author Replies Views Last Post
  [Treatment] New to CPAP, inconsistent results as of late Vike3 1 43 2 hours ago
Last Post: Vike3
  [CPAP] Oscar Results AlexinLA 4 112 Yesterday, 05:20 PM
Last Post: AlexinLA
  [CPAP] Brand New to all of this and not sure how to read OSCAR results Rngr503 5 114 Yesterday, 02:39 PM
Last Post: OpalRose
  New to CPAP - Question about results Urimare 1 91 Yesterday, 08:27 AM
Last Post: SarcasticDave94
  [Pressure] 3 months on CPAP, results have been mixed threeeyedsloth 19 664 10-17-2024, 06:50 AM
Last Post: AshSF
  [Symptoms] Help with OSCAR Results - headaches and fatigue SleepyinCincy 15 463 10-17-2024, 06:39 AM
Last Post: AshSF
  New to all of this and would like help with my overnight oxygen test results Shannon80 1 139 10-16-2024, 05:56 PM
Last Post: PeaceLoveAndPizza


New Posts   Today's Posts


About Apnea Board

Apnea Board is an educational web site designed to empower Sleep Apnea patients.