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Help with latest sleep study - EmaNTD - 06-11-2021
Hi guys,
After using my CPAP religiously for about 8 months, I haven't felt any difference in my symptoms. I still feel tired, have brain fog, and memory issues. The good news is that my wife can finally sleep!
Attached is my latest sleep study. I've tried medications over the years for PLMD and RLS to no avail.
If you have any thoughts, I'd love them!
Thank you!
RE: Help with latest sleep study - SarcasticDave94 - 06-11-2021
It states 5 CA to 3 Obstructive, meaning you're a bit Central heavy. With CA equal or greater than Obstructive, typically this will be interpreted as a pre-existing CA condition, well at least we'd consider that accurate most times here. Most doctors are trained to be Central blind. Apparently yours is also. If this above proves true, you're not going to succeed on CPAP or BPAP without backup rate. However a BPAP with backup rate called ASV is the Central Apnea combat specialist.
What's your OSCAR looking like? I prefer a single not zoomed view of Events, flow rate, pressure, leaks, and flow limit. All in one shot. Others may ask for different OSCAR shots with differing required aspects shown.
PS More specific, I'd consider calling your CA the idiopathic variant due to the other threads and info contained there.
RE: Help with latest sleep study - EmaNTD - 06-14-2021
(06-11-2021, 11:40 PM)SarcasticDave94 Wrote: It states 5 CA to 3 Obstructive, meaning you're a bit Central heavy. With CA equal or greater than Obstructive, typically this will be interpreted as a pre-existing CA condition, well at least we'd consider that accurate most times here. Most doctors are trained to be Central blind. Apparently yours is also. If this above proves true, you're not going to succeed on CPAP or BPAP without backup rate. However a BPAP with backup rate called ASV is the Central Apnea combat specialist.
What's your OSCAR looking like? I prefer a single not zoomed view of Events, flow rate, pressure, leaks, and flow limit. All in one shot. Others may ask for different OSCAR shots with differing required aspects shown.
PS More specific, I'd consider calling your CA the idiopathic variant due to the other threads and info contained there.
Thank you for the reply. I attached my last 3 nights, including a nap.
Do you think the relative sleep stages may be an issue?
Thanks for looking!
RE: Help with latest sleep study - SarcasticDave94 - 06-14-2021
I'd not know about the sleep stages. I do see the OSCAR data for 3 recent ones. Flow limits and some leaks are possible issues. If the data was accurate, the prior mentioned CA didn't appear as an issue.
RE: Help with latest sleep study - EmaNTD - 06-14-2021
Thank you. Any advice for the flow limits? I'm using a cervical collar for the leaks.
RE: Help with latest sleep study - SarcasticDave94 - 06-14-2021
The soft cervical collar will help if there's positional Apnea where you have problems kinking your airway. It won't really help with leaks I wouldn't think. You'd have to address mask sizing, proper adjusting of straps.
Flow limits, the best weapon the AutoSet has is EPR. You'd want to be sure to set it to full time and try setting 3.
RE: Help with latest sleep study - sheepless - 06-15-2021
I partially disagree with Dave on this one. a collar is the only thing I've found that reduces my lip leaks (can't tape, no luck with chin straps, still struggling to master the tongue suck method). otoh, I would agree that it does nothing for mask leaks.