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Recently started CPAP, need help optimizing - Printable Version

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Recently started CPAP, need help optimizing - NowiREMember - 06-29-2020

Hi, I'm a male in early 20s with BMI of 21 who just started CPAP 5 days ago. Excited to begin therapy after experiencing a delay of several weeks due to COVID. I've been lurking the forums the last few days to help myself get acquainted with my machine. It has been a HUGE help for me. I am now looking for further help to optimize my therapy as best I can.

Sleep study:
Haven't received official report yet, but I'm working on getting it. Here's what I know.

-AHI in upper 20s
-AHI during REM sleep increased to upper 40s
-Diagnosed as OSA, minimal to no central events
-Lowest O2 sat @ 90%

Therapy:

Day 1: Brutal, with a lot of central events. Stopped using after less than an hour.
Day 2: Upped the min pressure from 4 to 7 due to feeling of suffocation.
Day 3: Lowered min pressure from 7 to 6 due to high amount of centrals.
Day 4: No change
Day 5: Lowered FLEX from 3 to 1 to try to further decrease centrals.

Chart from Day 5:

[attachment=24142]

Let me know if there's any other charts I should post. Thanks


RE: Recently started CPAP, need help optimizing - Sleeprider - 06-29-2020

The actions you have taken to reduce CA events seem appropriate. It might help to see the results of your sleep test that brought you to CPAP. With your age, and BMI, obstructive apnea seem unlikely, and we often see people like you diagnosed with obstructive sleep apnea, but in reality, the tests show more central and hypopnea or mixed apnea events. If you post the sleep study, please redact personal information.


RE: Recently started CPAP, need help optimizing - NowiREMember - 07-02-2020

Woke up not feeling so great today. Numbers are also not as good as previous few days with no changes made. 

Sleep study (results slightly different than original post) and chart from last night posted below.



[attachment=24192]  [attachment=24193]