[Pressure] First Post - Feel like my doc is not listening to me. Oscar charts

[Bobbis2000]

Hi,

I am a fairly new cpap user (Resmed Airsense 10) and like many, I am having trouble adapting to using the machine.  (in early Feb, I was diagnosed with mild sleep apnea with an AHI of 12.7)

The main problems I am having are with bloating and irritation and blisters on the bridge of my nose.

On April 5th, I had an appointment with my sleep doctor and complained of these problems.  He changed the settings on my resmed and suggested I use Aquaphor in my nose.

Since then, the irritation on my nose is a little better but the bloating is worse.  Also, I feel like I am waking up in the early hours of the morning with high pressure in my mask and resulting mask leakage that I can't seem to fix.  As a result, I am not using the machine for the full night and am getting frustrated with that and the bloating.

If you have time, please look at the attached Oscar screenshots and tell me what you see as well as any suggestions as to what to change (settings or otherwise)

I prefer to sleep on my side but sometimes sleep on my back.

           

[staceyburke]

I would make 2 changes that will help keep your pressure down and sleep better. 

Min 7
EPR on full time set to 3

Let’s see how that does for a couple nights and post again with those settings.

[Gideon]

What is happening is that your flow limits are out of control. With AutoSet we use EPR to manage these, so as above

Set EPR=3, Fulltime
Set min pressure= 7 to allow the full use of EPR.

[Bobbis2000]

Thank you both.  I definitely slept better last night. The MyAir app gave me a score of 94/100 with .3 events per hour.

Bloating was much better but the marks on the bridge and side of my nose are worse.  I have a resmed F20 silicone mask.
In the past, I have tried making a mask cushion with a thin sock but that just made it worse.


Any suggestions?

Thanks,

Rob

[staceyburke]

I assume you are a mouth breather. If not a nasal mask leaks much less but if you open your mouth while asleep it won’t work. 

Masks are very personal, by that I mean the shape of your face, size of nose, etc are different on each person. So getting a mask that works for you is hit and miss.

[Phaleronic]

Thank you both.  I definitely slept better last night. The MyAir app gave me a score of 94/100 with .3 events per hour.

Bloating was much better but the marks on the bridge and side of my nose are worse.  I have a resmed F20 silicone mask.
In the past, I have tried making a mask cushion with a thin sock but that just made it worse.


Any suggestions?

Thanks,

Rob

You could try the airfit cushion on the F20 setup (it's foam), and you can purchase mask cushions from amazon for the F20 as well.  I had to try different sized cushions too (I was measured for a med, but needed a large).