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[CPAP] New to the Forum - Please help Review OSCAR chart - Printable Version

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New to the Forum - Please help Review OSCAR chart - SinoAngTatayMo - 10-25-2020

Happy Sunday.
I'm new to the forum and appreciate all the help forum members consistently provide for each other. As a newbie, I've learned so much from everyone here. I've been on CPAP therapy for the past month and would like some feedback on my most recent OSCAR data. I've been prescribed a static pressure of 8 by my physician but I've been tweaking it (rather cluelessly Unsure ) the past few days. I'm currently using the ResMed AirTouch F20 full face mask with the AirSense 10 AutoSet.

Thank you so very much in advance. Have a wonderful day,

Kindest regards.
 
Sino


RE: New to the Forum - Please help Review OSCAR chart - becker44a - 10-25-2020

Hi Sino,
Welcome to the forum.  In reviewing your data, first, your leaks look very good - the occasional spike will happen, but isn't significant.  I still see some tendency toward obstruction - I won't be surprised if a small increase in pressure could reduce the flow limits and obstructive events (OAs and hypopneas).  However, it will be needful to watch the CAs, as increased pressure can increase the CAs.  If the CAs become more of an issue, it could help to reduce EPR from 3 down to 2.  Keep in mind that CAs tend to be inconsistent, so it is usually goodl to wait a few days to see if a trend develops .  Overall, it looks like you're off to a very good start.

Good luck on your journey.


RE: New to the Forum - Please help Review OSCAR chart - Cpapian - 10-25-2020

I notice you reached your maximum pressure during the night. If you cautiously increase your pressure a bit, you might find your sweet spot. Your clear airways could be central or SWJ (sleep/wake junk). How did you sleep? Did you rouse a lot during your sleep?

I was surprised you had EPR at 3 as your pressures were relatively low. Do you need that much EPR?

And most important. How do you feel?


RE: New to the Forum - Please help Review OSCAR chart - SinoAngTatayMo - 10-25-2020

Appreciate the input from you both! I did feel as if I woke up more than usual during this time. I'll adjust the max pressure slightly and will report back. Thanks again.

Take care.


RE: New to the Forum - Please help Review OSCAR chart - staceyburke - 10-25-2020

I think you need to reduce the EPR TO 1. Your centrals are your largest events.


RE: New to the Forum - Please help Review OSCAR chart - SarcasticDave94 - 10-25-2020

Welcome. I think you probably are going to need to shift both low and high pressure limits. A few apnea are still getting in and you're maxing the pressure available. I'd bump both by 1 and see what that yields. We may need to repeat again but regardless of what pressure you change, we can revisit daily as needed till you're dialed in to get it done quickly.


RE: New to the Forum - Please help Review OSCAR chart - SinoAngTatayMo - 10-26-2020

Day 2.  Increased low to 9.2 and high to 11.2.  Dropped EPR level to 1.
Feel similar to yesterday.  

Again thanks for the input from everyone!  Thanks


RE: New to the Forum - Please help Review OSCAR chart - staceyburke - 10-26-2020

Well numbers are better - centrals were cut in half with the drop of EPR.  The Obstructive events stayed the same - You need to go up more on the top number to cut them down. It is at 11.2.  I would move it to 12.6 or 13 to see if that is enough.  You are still bumping up to the max (11.2) so again it needs to be raised.

You will not feel better right away, it takes time and we have not got to the right settings yet.  I hope tonight is better!


RE: New to the Forum - Please help Review OSCAR chart - SarcasticDave94 - 10-26-2020

Yep, agree on bumping the max to 13. It won't go there unless it needs to. Let's see how that affects therapy. Include if you're feeling better during and after therapy.


RE: New to the Forum - Please help Review OSCAR chart - SinoAngTatayMo - 10-27-2020

Day (Night) 3 - increased max pressure to 13

Felt slightly better however was still restless overnight.
Thanks!