jumblegirl wrote: ↑
Mon Jun 20, 2022 3:04 pm
what about the 2 links 2 message above, they aren't zoomed as much but have more time before the apnea
The bottom link....iffy as to it being asleep related...can't always tell easily. There's a big gulp of air (we don't take big gulps of air when we are asleep) and then something that looks sort of like asleep breathing that is very brief. Is it maybe a sleep onset central???? Maybe. Then after it the flag the flow rate isn't easy to evaluate. IMHO
The top link....I don't think sound asleep for the first 2 but maybe asleep for the last one. Again maybe sleep onset?
I don't know for sure. I have this sort of thing myself on occasion and I can't always tell for sure.
Again...I think you are likely having a mix of arousal related central apnea flagging and some asleep central flagging.
Since there's really not much we can do about centrals except maybe play with EPR (which only helps IF EPR is a factor in the centrals) I still say work on what we know we can fix with the machine tweaking and that's OAs and hyponeas.
And also give yourself some time to just get adjusted to and sleeping with the mask and machine....and THEN see what is left that might be a problem.
If an OA causes the arousal which then causes some arousal/awake central flagging or again some sleep onset centrals...then what we need to do is deal with OA/hyponea causing the arousal.