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First of all I'm sorry if my post's a bit hectic or hard to read, I've been really struggling with sleeping and the brain fog's in full force.
I'm frequently waking up throughout the night and I can't remember the last time I felt refreshed in the morning. I feel it's getting worse, but my doc, a pulmonologist, says everything's fine with my CPAP reports and that there's no need to modify the settings. Well, I'm not entirely sure about that since
I keep feeling like a roadkill every morning and OSCAR shows some events, hence I decided to reach out here for a "second opinion"
I'll be forever grateful for any feedback and tips regarding on my OSCAR results, thank you in advance!
You're likely needing more pressure on the top, better is to raise both minimum and maximum settings. I would try 7-12 for a night or two, feeling and looking for it to be better.
You can try higher EPR at minimum 7 pressure, however it may increase the CA more.
I would turn Ramp off or at least raise it to 7, when you edit minimum to 7 as well that is.
Do you have your detailed sleep study report? The CA flagged may likely be treatment emergent CA, but if your test results showed higher amounts of CA, then you might need a different machine. It's far from definite that you do though.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Usually when CA (clear airway) events occur together with flow limitation, they are not true central events. I would suggest changing pressure settings to minimum 8.0, maximum 10.0 with EPR on full-time at setting 3. Bet this clears right up, and if not, we can learn from those settings.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Thank you both for the suggestions, I'll try those settings and come back with more data.
As for your question Dave, the report from my study (done at home) shows 0.8/h CAs. I guess that's not much, at least when compared with OA numbers. Never had any heart issues, though I got referred to a cardiologist due to chronic headaches and poor cognitive performance in the past two years. Apart from that "only" depression and cervical spine problems haha
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Alright, so here are the results of the past two nights with modified pressure settings. The CAs are still there and appear around same times of the night
I didn't feel much of a difference in terms of sleep quality or how refreshing it was, unfortunately. Any suggestions on how to proceed from here?
You have what amounts to therapy induced central apnea, and my recommendation is to reduce both the EPR and the range of pressure settings. Lets stay with minimum 7 at EPR 2 and set the maximum pressure to 10.0.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Agreed, lowering both as indicated should reduce the CA cause. With you, this is CO2 flushing from the CPAP doing its thing. It should diminish relatively quick.
How long have you been on CPAP so far? For some, treatment emergent CA will drop within 3 months.
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
Thanks a ton both of you! I’ll start using 7-10 then, hope it’ll be fine in the longer run. I’ll report back after a few weeks
I used cpap for around 5 months, but that was half a year ago so you could say I’m starting from scratch now.
