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Hello, I am 5 weeks into treatment and hoping for some help tweaking my numbers.
Mask- FP SOLO PILLOW
RESMED 11
Pressure - 8-11.5. ( on autopap)
EPR is set to 3
Don't smoke, no medication, occassional wine, no drugs.
Femaie, 68, normal BMI
Medical issues - some AFIB not frequent
I mouth tape using KT tape or Silicone tape
I have had some good nights and feel soo much better since beginning treatment. Sleeping much better, less waking during night. Loving the therapy but want to tweak my leak issues and get best therapy I can. Two nights data attached.
Any help or insight or even contact info for an OSCAR specialist I would be happy to pay.
Your leak rate doesn't look too bad, but it's hard to tell from your partial Oscar chart. We could better help you if you reposted your chart set up differently. The easiest way to do that is to copy your chart using the F12 button (FN+F12 for Mac). That usually produces what we need to see, including the left panel. On the chart, we need to see the following, and only the following, in the order listed:
Hi all, I am only 2 months in to CPAP therapy and have learned much on this forum and others. I appreciate this community. I am using FP SOLO Mask and mouth tape, plus cervical collar. SLeep on back and side. My numbers are all over the place, a few nights with low AHI like the attached example but then several where they pop up higher. I am not sure what I am doing wrong.
I have attached pics of a great night and then one where AHI was up more than since I started therapy with all the same conditions. Any help or feedback would be so helpful!
Are you on any medications that affect your breathing or sleep? Do you have any health issues that affect your breathing or sleep? Can you post a copy of your sleep report with your personal info redacted.
Please use Oscar, not sleephq charts here. Show these charts, press F12 for a screenshot or Fn F12 for a mac Event Flags Flow rate Leak Rate Flow limits Pressure
We need to see the device settings.
Your ramp pressure is too low for an adult, set it to at least 7 cm.
Your Flow Limitations are too high and causing your pressure to increase throughout the night.
low Limitation Is Associated with Excessive Daytime Sleepiness in Individuals without Moderate or Severe Obstructive Sleep Apnea https://pubmed.ncbi.nlm.nih.gov/38530665/
06-16-2025, 02:23 PM (This post was last modified: 06-16-2025, 02:25 PM by jdougc. Edited 1 time in total.)
RE: AHI increasing can't figure it out
Are you a side sleeper? That can be a huge help to treat apnea.
If you sleep on your back, gravity can pull your tongue or soft palate down and restrict your airway .
Hide the calendar and device settings will show.
Raise the ramp pressure to 7cm
Raise the minimum to 9 cm and maximum to 12 cm for a few nights.
Your sleep doctor can give you a copy of the sleep report.
06-16-2025, 02:37 PM (This post was last modified: 06-16-2025, 02:44 PM by ejbpesca. Edited 1 time in total.)
RE: AHI increasing can't figure it out
You can close the calendar under View to allow more settings to be visible on OSCAR.
Are your pressure settings those prescribed by your Sleep Study? Your median pressure under Statisics is 9.5 and 9.6. Median (Med) pressure is the setting for minimum pressure often advised.
I see the APAP pressure going to maximum and obstructive apnea events occurring. See the red line pegging out at your max pressure setting during OA events? It would go higher automatically if allowed.
It is suggested also that if you use EPR the min pressure be raised 1, 2, or 3 cms along with the EPR's setting of 1, 2, or 3 to maintain effective therapy.
Check your sleep study prescribed pressure settings. If you don't have the study results you can order them.
You can ask your supplier who set up the machine also for the prescribed settings. If the prescribed settings do not resolve apneas you can change them.
You may need to adjust your min. and max. pressure settings for better therapy. Someone may reply soon with direct instructions. I only suggest the possibilities.
I only give suggestions from experience as a fellow CPAP user, not professional advice.
Thanks to both of you for responding. My sleep study is attached, my initial settings from sleep doc were 7-12 pressure. I have played with that a bit and now with your guidance will adjust 9-12 and 7 for ramp.
I start off on my side but wind up on my back due to shoulder soreness in middle of night.
It is during my supine sleeping is when my OAs register in clusters at times. Sometimes pressure prevents them, sometimes not. The collar you use is what is often suggested to prevent "chin tucking."
A thin pillow is often suggested to prevent "chin tucking," along with a collar. I use a very thin pillow but no collar.
Hopefully, you will be able to fine-tune your pressure settings for fewer OAs.
I only give suggestions from experience as a fellow CPAP user, not professional advice.
It is during my supine sleeping is when my OAs register in clusters at times. Sometimes pressure prevents them, sometimes not. The collar you use is what is often suggested to prevent "chin tucking."
A thin pillow is often suggested to prevent "chin tucking," along with a collar. I use a very thin pillow but no collar.
Hopefully, you will be able to fine-tune your pressure settings for fewer OAs.
I only give suggestions from experience as a fellow CPAP user, not professional advice.
