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+--- Thread: My Oscar Data - some guidance (/Thread-My-Oscar-Data-some-guidance)
My Oscar Data - some guidance - Lotharen - 12-02-2023
Greetings everyone! I'm new to the forums and using Oscar. Been feeling a bit tired lately and trying to troubleshoot if its a CPAP problem. Hope someone can point me in the right direction or let me know if all looks good. I might be an unusual case in that I was started on CPAP therapy for Polycythemia and my last HGB/HCT came back a little high so I want to make sure the therapy is working.
My Settings are as follows -
Pressure: 7-16
EPR: Ramp Only
EPR Level: 3
Ramp Pressure: 7
Response: Standard
RE: My Oscar Data - some guidance - Crimson Nape - 12-02-2023
Hi Lotharen! -
My initial recommendation would be to:
1. Turn off the Ramp
2. Set EPR to 3 and Full Time
3. Set your pressure range to 11 - 13
Using the ramp is delaying your therapy. Your flow limitations are pushing up your pressure. The EPR of 3 full time should help in reducing the limitations. I listed only a 2cm pressure bandwidth to avoid pressure change arousals.
Try this for a night and see if you and your results improve. We can always tweak these settings.
- Red
RE: My Oscar Data - some guidance - Lotharen - 12-02-2023
@Crimson Nape Thank you for the suggestions. I will change the settings and see what happens. I appreciate your assistance.
RE: My Oscar Data - some guidance - Lotharen - 12-03-2023
Okay, with the changes I made this is what I get.
RE: My Oscar Data - some guidance - Crimson Nape - 12-03-2023
How do you feel?
- Red
RE: My Oscar Data - some guidance - Lotharen - 12-03-2023
I don't feel to bad. Little groggy this morning when I first woke up but not passing out tired between 4-5 like I have been most days.
I noticed that the one difference I saw was that the Pressure section had 2 lines. Before it was only one. I assume the settings helped with that? Just curious as I want to understand it a bit more.
Also, I see that a few times I capped out at the 13 pressure, does that mean we need to adjust that? or is it fine?
RE: My Oscar Data - some guidance - Crimson Nape - 12-03-2023
The red line is your inhale pressure and the green line is your exhale pressure. If your events were common throughout the night, then a pressure increase would be in order. Yours would seem to indicate positional events. These can be caused by turning, chin tucking, or sleeping on your back.
- Red
RE: My Oscar Data - some guidance - Lotharen - 12-23-2023
Okay, its been a bit since my last post. Generally sleep okay. My wife did say she heard me snoring when she came to bed a few nights ago. So I wanted to post on more oscar capture from last night. Could that have been a fluke? or should something be refined?
Thank you in advance for any help you can give.
RE: My Oscar Data - some guidance - Lotharen - 12-24-2023
I'm wondering if I need to increase the max pressure back to 16 with results of the previous file I attached. I believe disabling the ramp pressure was the best thing so far but I'm not understanding the narrow low/high pressure setting that was recommended. Specially since my wife heard me snoring the other night.
RE: My Oscar Data - some guidance - Crimson Nape - 12-24-2023
Your flow limit at 95% might make your CPAP go to your highest setting. To prevent a large pressure swing that may disrupt your sleep, you might try a pressure range of 12 to 14. Keep everything else the same.
- Red