Hope you are all well!Sorry to keep coming back with queries, but I was hoping someone might be able to take a look at some my Oscar data to help determine if my pressure settings might be inducing central events/need tweaking at all?
Essentially, I started with the default APAP settings on my Phillps Dreamstation (30 minute ramp with 4-20 pressure range) and had some success with it at first.
As you can see from the stats, I had some issues with compliance and getting used to this all has been a bit of a battle for me, but more recently, I decided to up my pressure in the last month to deal with the issue I was having with vibratory snores (I was getting woken up by my own snoring and essentially used the 5 minute awake snore test to determine a good pressure).
I was then having issues with flow limitation and RERAs and was kindly advised by members of this forum to up the starting pressure a bit to overcome this.
As a result, I'm now on a starting pressure of 8.0 with no ramp function.
My RERAs and flow limitations seem to have dropped off over the month, and my OAs are very few and far between, but my central apneas do seem to have gone up slightly. I also have a lot of hypopneas, but I don't know whether there's any way of knowing whether these are obstructive or central in nature?
Last night was a particularly bad night, though I did feel a little woozy last night (not congested, but some possible heat stroke type symptoms) which might have exacerbated it) and whilst it's still considered in a health range, I wonder whether it's possible a higher pressure is driving more centrals and whether this is a cause for concern?
I've attached my monthly statistics where you can see the changes (April was a very poor month compliance wise). I've also attached last night's overview and a close up of a series of a CA, OA, and a series of hypopneas as an example to see if this is of any concern:
As always, any advice would be hugely appreciated!
Kind regards,
Stuart