Advice on Setting, still feel bad!

[Campnfun79]

        Hello All,

New to the board but have been lurking and enjoy learning!

Anyway I am looking for some help with my Cpap setting recommendations to try since doctors have been no help with this.

Was diagnosed with mild sleep apena and have been playing with setting myself and downloaded oscar to help review.  Don't know what I am doing wrong if anything because I still don't feel any better with tiredness, brain fog, etc.  Feel about the same in morning as when I went to bed if that makes any since.  Been at this for 4-5 month.

Currently using a Resmed Aircurve 10 VAUTO with fixed pressure between 8.8-9.4 in experimenting.  I have nasal masks but have been using full mask for last several months.  The Resmed F30i mask.

Looking for help on anything I should do or have missed since my numbers don't look that bad to me but I don't know what I'm doing.  ha!

Thanks in advance for any help that can be offered!  I have attached a couple Oscar reports for reference

[hydra]

I can't answer your questions, as I'm just a user.  I'm not criticizing, but I'm curious:  

Why are you using a BIPAP machine instead of CPAP if you have only mild OSA?

[Campnfun79]

I have it set on cpap mode I assume. The machine was my moms before she passed that she never used so I got it

I think you can change from bipap to cpap

[SarcasticDave94]

You're correct, it's running CPAP at this time. You might get better sleep with the bilevel mode VAuto. Your flow limits need more pressure as they're about a half restricted Apnea but not timed.

Two solutions, more pressure but better is VAuto which adds pressure support.

Try VAuto mode Min pressure 7, Max pressure 15, PS 3. No Ramp.

As for why bilevel is fine. It's 2 distinct pressures, one exhale one inhale, then PS is higher range than an AutoSet EPR 3, which give similar results otherwise. The VAuto also has a few timing controls for switching between exhale to inhale.

[Campnfun79]

   

Hello.  Thanks for response!  I saw the response just before bed and made the adjustments on the machine as recommended last night.  Attached is last night's oscar report for reference.  Does this look any better?

I am not sure what I need to be looking at on flow limits?

[SarcasticDave94]

I think it's looking better overall.

On the flow limits question, look at the black line, you want to see only a little much like this chart. Left panel stats regarding flow limits, it tells you .09 99.5%, it's pretty good compared to earlier chart where FL was .19 95%.

Zero events FL etc. isn't necessary, just improved from your first one. Second, you should feel better for the therapy. Not like instantly sleeping and feeling better, but certainly not feeling worse or uncomfortable.

[Campnfun79]

I do feel much better today. So you think leave setting as they are for now then correct?

Thanks so much!

[SarcasticDave94]

Sure, try 2 days as is and evaluate. You can't hurt things by looking at OSCAR charts and connect what you see with what you're feeling.