Need Help Analyzing OSCAR Results

[Goyard687]

Sorry I'm pretty new to this as I am trying to get things sorted out with this machine, I still feel very tired and often still feel the same without the machine when I sleep meaning I feel no Improvement and still very tired. Wonder if I am doing something that is wrong that you guys can help me correct.

My story is I've been going back and forth with my doctor and my doctor says that I am fine since the in lab sleep test said I had a AHI of 3.7 

I then went to a ENT since my sleep doctor was no help and he said I may have UARS according to my ENTs findings which were that I had a deviated septum and slightly enlarged turbinate's potentially causing me sleep issues even with a low AHI on a sleep test 

Hopefully one of you can help me with this terrible fatigue..since all my bloodwork is fine and thyroids and such are working perfectly leads me into one route which is this  

   
   
   

[Gideon]

Based on the UARS from your ENT and your somewhat high flow limits I would increase your EPR so
Set EPR=2 fulltime.
I see no history of higher central apnea In This thread to be cautious about. Assuming the Central Apnea is not a problem I would expect to raise EPR to 3 and likely move to a VAuto with higher PS (4+)

[Goyard687]

I will try that thank you,

The VAuto is the Bipap right? Guess I may have to go back to my doctor then.

How will the Bipap help me more than the current Apap that I have??

[Gideon]

Technically no, as BiPap is a registered PR name for a BiLevel but for all practical purposes yes.

[quiescence at last]

Yeah. Your charts do show a consistent flow limitations and snoring throughout the night. Adjusting the EPR will probably help even out tidal volume and respiration rate, and I would be adding the 2 cm to the starting pressure as well, so the exhale pressure will stay as high as it currently is. The exhale pressure is important to combat the snoring. In the future, you may want to adjust this exhale pressure even slightly more.

QAL

Min pressure 8.0 EPR 2 or maybe 9.0 EPR 2. reason is your exhale pressure EPAP rarely got below 7.0.

[Goyard687]

I have another question and pardon if I sound bad but I heard many people saying an ASV is the gold standard for People with UARS,Is this true? Should I go with an ASV Or with a bilevel? Thanks

[Geer1]

You aren't even close to maxing out your current machine. No point thinking about bilevel or ASV yet.