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First Impressions? - sw33ttsunade - 06-17-2019
[attachment=12941]
Good evening!
I am trying to get first impressions about this OSCAR data- I have used Sleepyhead and OSCAR is comfortable for me. My docs all say that my Sleep Apnea is well controlled, but I wanted to see what you think about this night's data. It's the most recent night, not any different than a regular night for me. I do have Narcolepsy, and I do know that I take off my mask when I am asleep sometimes. I also have to wake up half way through the might to take XYREM (which is when the machine started up again after that long break in the middle. Please tell me what you think, or if you want more info. I'm trying not to bias answers so I'm trying not to include too much info.
Thank you for your help and patience!
RE: First Impressions? - ajack - 06-17-2019
It doesn't say on the left hand side, but in the seems you have the max pressure at 11?
I would have that as your min pressure and raise the max to 20 and see where the machine wants to land. You will have a better idea then. There may also be positional apnea that could be worked with. You could read about mask fit in the link below, There is a leak to sort out.
RE: First Impressions? - Sleeprider - 06-18-2019
At 8.5 to 11.0 Auto CPAP with unknown Flex, you have an acceptable AHI with mostly hypopnea and a mix of OA and CA. Your auto CPAP is at the maximum set pressure throughout the night, and that suggests you might want to try a higher maximum pressure. I think your chart would be easier to read if you turned off VS2 events. You seem to need higher pressure to clean this up, and we might want to look closer that the cause of why pressure is persistently at our maximum setting.
RE: First Impressions? - mesenteria - 06-18-2019
Once pressurized air begins to slip past seals around our faces, it's going to cause arousals; we'll partially awaken, and someone with sleep disturbances might simply yank the mask off end attempt to resume sleeping. You'll have to figure out how to control the mask removal, and the first step will be getting a grip on the mask seal. Maybe sleep position is the problem, maybe poor fit...not sure.
RE: First Impressions? - sw33ttsunade - 06-22-2019
Thank you all for your replies! I have had some more things come up these past weeks, but I did raise the pressure a smidgen. It didn't help much, but I can say I have tried in the past to go wide open to 20 and it maxed out around 14 or so (I think) but gave me bad aerophagia. Also, it seemed like I could get a pressure that worked for a few days, then it would start maxing out and I would raise it, and repeat that cycle.
I will try this again, however, because circumstances have changed. I have had mask leaks increasing, so maybe I should tighten my mask, too. I am going to try these out and post them in a few days.
Here is a screenshot without the VS2, etc, too.
THANK YOU for your help!
RE: First Impressions? - mesenteria - 06-22-2019
By all means tighten your straps, but in this case as with some other matters in life, less is more. Measure where your strap ends lie against their mate headgear pads, and then tighten them only by a couple of mm if possible. If you make great changes, you'll run the risk of deformation and actually make things worse.
Once again, don't be surprised if we end up agreeing that you should probably spend some time getting used to a different headgear and mask. In fact, quite a few people who post here regularly own two different masks, and not just for variety; they need to wear them occasionally much like active people are encouraged to have two pairs of sports footwear.
RE: First Impressions? - sw33ttsunade - 06-26-2019
So I changed the settings to min 10 max 16 with a 20 min ramp from 8.5. I also tightened my mask quite a bit. Here is the data from the last few days:
RE: First Impressions? - ajack - 06-26-2019
Looks good to me, I'd leave it as it is. Tweak the leaks a bit more. Now you need to keep the mask on. You aren't doing too bad with 2.5 - 3,5 hours at a time before taking it off and you are putting it back on when you wake up again. You really need to keep it on and go back to sleep. I was waking every 1.5hr when I started. it may be disturbing when it's on, but remember, you are choking when it's off.
dreamstation has a mask fit function, that blows high pressure air, to help you fit the mask.
RE: First Impressions? - Sleeprider - 06-27-2019
Looks like you nailed it! Good job, and I agree with holding at these settings.
RE: First Impressions? - sw33ttsunade - 07-06-2019
Thank you very much for the feedback!
Unfortunately, I must wake up in the middle of the night to take a second dose of Xyrem- it's a Central Nervous System depressant that helps me stay asleep, because without it I wake up every 45 minutes or so because of the Narcolepsy.
I tightened the mask, and that seems to be doing fine, but now my RDI is going up- I am seeing an increase in Hypopneas and Centrals, but at least it's staying below 5.0.
I did notice this in Oscar, and I've seen it before, but it wasn't surrounded by Centrals like it is now. I am worried it might be Periodic Breathing, but Oscar is not saying it is... any thoughts?