Flow rate question

[JimmyBKK]

At 7cm I can successfully treat my sleep apnea. The concern is I wake up feeling like I been hit is my flow rate normal?
I've tried all settings from EPR on and off and low to high pressures.

   


I know the central apena is sleep onset.
   


Here is a full screenshot all the central apena is sleep onset.

   



https://filebin.net/q5014tk21erx51o7
Here is my entire sleepyhead files if someone wants to download and have a really deep look and make a recommendation.

[Gideon]

Is this sleep onset or treatment-emergent central apnea?

For Sleep onset you need to get an ASV.

For treatment Emergent you have a couple of other options

[JimmyBKK]

Thanks for your reply.

There sleep onset centrals


Im constantly tired without using Cpap if I sleep 7-8 hours would the flow limitation be the reason why im feeling exhausted?

Anything less then 7 hours sleep and i can hardly get up.

Could this be the reason why im waking up all night with the Cpap on and the Machine is logging the centrals ?

I constantly feel like I can't breathe during the day, I do suffer to stage 1 hypertension. When my blood pressure is ok I still feel like I can't take a full breath.

[SarcasticDave94]

If you have a sleep study copy, which I advise you already should have in your personal file, post a redacted of personal info copy of a detailed report here. It would be a good idea to ID these CA events for type. This is important as the various types require various methods to address.

And if you're certain these CA events are sleep onset, which admittedly I've not heard that descriptor, then I think an ASV is the only viable tool to address.

[Gideon]

I see no evidence in any of your posts that this is Sleep Onset Central Apnea. It should have been evident in your sleep study and you have yet to post a full night that shows this.

[JimmyBKK]

Here is the sleep study.

Please bear in mind I didn't get a lot of sleep and I usually don't take valium and I took 20MG for the test otherwise, I would of threw away money on this 2nd test.

[SarcasticDave94]

I could be mistaken, but this sleep study would not support an ASV regarding medical necessity at least in the US. It looks to be referred to as sleep/wake centrals or similar on the report. As is, Central count is very low.

[JimmyBKK]

Thanks for the replys 



if you have a look at my arousal summary I had one every 6 mins im smelling a combo of mild apnea and UARS that's why im asking about my flow rate does it look normal?

[JimmyBKK]

Sorry, guys, I meant sleep-wake centrals, im just so exhausted I thought onset was the same meaning.

[JimmyBKK]

Thanks for the replys 



if you have a look at my arousal summary I had one every 6 mins im smelling a combo of mild apnea and UARS that's why im asking about my flow rate does it look normal?