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Machine: ResMed 10 ASV Mask Type: Full face mask Mask Make & Model: Resmed F20 Humidifier: Resmed CPAP Pressure: Varied CPAP Software: Not using software
OSCAR
OSCAR Data attached: confirms central apnea - any help?
Thank you to the community and hello.
Have known since last year that my apnea was central as I get constant apnea episodes while resting but awake, along with constant oxygen desaturation (hypoxia & severe hypoxia). The attached top data-set is short but I was awake. Bottom data was asleep. No insurance, but am looking at maybe getting a used ASV, but if too expensive, maybe a Bipap Vauto or something similar. Can anyone offer any advice after taking a glimpse at the attached OSCAR data?
RE: OSCAR Data attached: confirms central apnea - any help?
The AirSense 10 is a therapy device, not a diagnostic device. If you have a valid diagnosis from a sleep study that assesses breathing disturbances, then CPAP, APAP, ASV therapy may be indicated. It is not unusual for an APAP device to report CAs when you're adjusting to therapy, especially during waking periods. Although it's too short, your report while asleep doesn't confirm CA to me. It looks like you're getting CA events while drifting off to sleep and then again when you're waking up, but none during the period where you may have been in a deeper sleep stage. None of that means that you don't have central apnea or that you don't also suffer from it while you're awake. If you're suffering from severe desaturations while you're awake, then you should consult with a pulmonologist or a neurologist to find out what's going on. There are breathing pacemakers that can be prescribed to treat central apnea. Self diagnosis could send you in the wrong direction.
RE: OSCAR Data attached: confirms central apnea - any help?
You can't really do much with a 14-minute and 2-hour session in terms of making conclusions. Your settings are 7 minimum, 9 maximum and EPR 2. I agree with the assessment by cdplatt that events seem to be clustered near the beginning and end of therapy and could be something that may self-resolve in time. If you have a sleep study that documents central apnea as a diagnostic before therapy, that might be more persuasive. You have a lot of flow limitation which is generally obstructive, otherwise I would suggest turning off EPR.
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