Cpapper22 - Therapy Thread

[Cpapper22]

Hey All,

I'm looking for some advice on what I can change to help my CPAP therapy. I used to use a MAD (SomnoDent Herbst Advance), and it worked great, did a sleep study, 0 apnea, slept 6-7+ hours without waking. Unfortunately, due to some of the side effects with my TMJ and teeth shifting I had to switch back to CPAP therapy and I'm trying to reach the same level of success as I had with the MAD, but I'm struggling.

Most nights my AHI as reported by OSCAR is < 1, but I tend to wake up many times throughout the night, especially mid-night ~3-4 hours in. Reading a bit on the forums and YouTube, I sometimes have high flow limits, up to 0.6-0.7 for brief periods, and I see some flattening on the flow rate (but not entirely sure here).

CPAP Settings:
Device: Resmed AirSense 10
Pressure: 5.4 constant
EPR: off
Ramp: off
Humidity: 4
Mask: ResMed F30

There's a 3 attachment limit, but I've included:
6-28-2025 full night
6-28-2025 zoomed in on the high flow limit + rera
6-26-2025 zoomed in on another high flow limit area

Any help/advice would be very appreciated, thank you.

[Deborah K.]

Your pressure is too low for an adult. I suggest you use Autopap mode and set a range of 7 to 20. Then we can hone in on what pressures you actually need.

Also, your flow limits are too high. Turn on EPR full-time, set at 3. That will lower your flow limits and should make your breathing more comfortable.

Unless asked, post full night charts instead of zoomed-in portions.

Your chart needs a fix. The easiest way to do this is to press the F12 button (FN+F12 for Mac) to copy your chart. This mostly works. We need to see the following, in the order listed:

Event Flags
Flow Rate
Pressure
Leak Rate
Flow Limits

Again, welcome, and best wishes for achieving great therapy and comfort!

[ejbpesca]

Your OSCAR report also shows 0.00 AHI even with a fixed cm level that is considered below therapeutic capability.  

What AHI and pressure setting to resolve OAs etc. is indicated in your sleep study?  You may want another study to make sure PAP therapy is needed.