(10-17-2019, 12:40 AM)jaswilliams Wrote: Centrals are often caused by holding your breath whilst rolling over. Your number of events over the night are not enough to worry about. I suggest you download OSCAR there is a link in my signature. It’s easier to use than rescan and the graphs are easier to see what’s going on

(10-17-2019, 01:57 AM)DeepBreathing Wrote: G'day xXZexxMooreXx. Welcome to Apnea board.

While a few centrals might be caused by rolling over I doubt that's the case when there are 8 or 9 clustered together as you have on 15/10/2019. First we need to know what the sleep report showed - can you post a copy please? Make sure you erase anything you don't want to share with the public, but make sure you include the charts and tables. Its important to know what the mix of apneas and hypopneas was before treatment.

A lot of people get "treatment emergent" central apnea, as the therapy changes the CO2 concentration in the blood, causing the brain to "forget" to initiate a breath. (That's a crude simplification but it will do for now). In the majority of cases the emergent apnea will fix itself over a period of weeks. In a few cases it is particularly stubborn and needs special attention but I don't expect that will be a problem here.

I agree with jaswilliams that OSCAR[url=https://www.sleepfiles.com/OSCAR][/url] is a far more useful program than ResScan for looking at your data - it's easier to use and presents the information in a more coherent format.

Edit: I should also mention that a pressure range of 4 - 20 is not really a prescription - it's how the machine comes from the factory. Most people do a lot better on a narrower pressure range, especially raising the minimum a few cm to aid inhalation.

(10-17-2019, 08:28 AM)SarcasticDave94 Wrote: I agree with the others; let's see what OSCAR shows along with that sleep study info. Then we can work on making therapy the best possible for your success which will include narrowing the pressure settings to something specific for your needs. And, welcome to the Apnea Board.

(10-17-2019, 08:38 AM)Sleeprider Wrote: A very notable feature of your Resscan charts is Flow Limitation.  It is persistent through the night and is driving your pressure changes.  I think you need to abandon your default settings of 4-20 and consider a minimum pressure of 8.0 and turn on your EPR (exhale pressure relief) full time to a setting of 3.  While EPR sometimes will increase CA events, it will reduce the flow limitations and should feel comfortable. I look forward to seeing your OSCAR charts in the near future.