[CPAP] Day 1 - OSCAR

[Daveman]

First post so go easy.   I don't have the best insurance so I did the sleep apnea test at home.  Results showed pAHI score of 36.5 so I ordered a AirSense 10 Autoset w/AirFit F20 full face mask.  

Attached are my results after night #1.  I've done some reading and it appears it's working (AHI - 1.39).  I thought I'd post my results from OSCAR and see if there is anything I should be concerned with.  Obviously this is only the first night so....

*I hope I have the test results formatted correctly.

Thanks! 

   

[OwenTrantor]

Hey Dave,

Congrats on your first night. An AHI on night 1 of 1.39 is a good result.

It will only get easier the more you get used to sleeping with the equipment too.

I suspect that your minimum pressure setting is too low and probably needs to be nudged up closer to 9 or 10 but I'll leave the experts on here to judge that.

All the best,

Owen

[Gideon]

Welcome to the forum.

Your flow limits are high but your AHI is good

One change.
Set min pressure=7 to give EPR room to work, then repost. I expect you to need more changes but let's get this basic one done for starters

[Daveman]

I'll bump it up to 7 and give it a few days. Thanks!

*This site has been very helpful so far!

[Gideon]

If you bump it down you need to also reduce EPR

[Daveman]

If you bump it down you need to also reduce EPR

Bump it down? I thought you guys said to increase it from 4 to 7/9? 

What is the EPR? Is that a setting in the menu?

[upsman]

EPR is Exhale Pressure Relief. Your pressure is reduced by the set value when you exhale. 
In your case with a minimum pressure of 4 cm and an EPR of 3 cm, the EPR has no room to work. 

To keep your EPR at 3, you would need at least a minimum pressure of 7 cm to allow it to work. In addition, a minimum pressure of 4 cm isn't likely to be doing you much good. it's the machine's absolute lowest pressure setting.

[Daveman]

Increased min. to 7 and left EPR at 3.  I felt like I slept better last night.  

[upsman]

If you felt comfortable with this configuration, I would actually suggest changing your minimum pressure to 10 for a day or two and see how you feel. 
Your 95% pressure from this chart is almost 13 cm. For a good part of the night, your machine was wanting to go that high to treat your events.
So getting closer to that pressure would be a good trial.

[Daveman]

I really appreciate all the help! I’ll bump it up to 10 tonight and see how it goes. 

Thanks again!