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Help with OSCAR results

Posted: Mon Jun 02, 2025 1:28 am
by DQA
Got diagnoses recently with severe sleep apnea and began CPAP a few days ago on a Resmed 10 with a N20 mask (which I so far don't really like) and was hoping to get some pointers.
I've been experimenting with the settings and so far haven't been able to get a real good night rest. I am a back sleeper, but I just don't feel too comfortable with the mask/tube. I am not sure if that's the reason I actually wake up. Also, I don't feel very rested waking up, probably because I wake up frequently (more so than before CPAP) and I also seem to wake up earlier - around 4.30-5am as opposed to 6-7am.

Anyway, below are the results from the sleep study in the hospital and the first few days of CPAP results on SleepHQ, is there anything you spot that could help me improve my sleep/reduce AHIs?
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https://sleephq.com/public/af92ed2b-ddb ... b286425bbe

Re: Help with OSCAR results

Posted: Mon Jun 02, 2025 4:24 pm
by zonker
sorry I don't have the answer.

i'm just bumping this in hopes someone with the answer will see it.

good luck!

Re: Help with OSCAR results

Posted: Mon Jun 02, 2025 5:05 pm
by Pugsy
How many times do you think you woke up last night?

Do you take any medications of any kind? If so, what?

Do you have any other mental or physical health issues going on?

The bulk of your AHI is central/Clear Airway apneas.
The bulk of your AHI is SWJ sleep/wake/junk flagged events and you weren't sound asleep.
Fix your sleep quality (and yes, I know it is much easier said than done) as best you can and your AHI will reduce on its own.

I seriously doubt if your central apneas are being triggered by using EPR (it has been known to trigger centrals) but you might try turning EPR off or reduce it and see if the centrals reduce.
I don't think it will make any difference but worth trying just in case.

I think that once you get to the point where you are sleeping soundly for the most part that things will improve both on paper and how you feel..
You aren't getting good quality sleep and that sure is a recipe for feeling crappy during the day.

To get to where you are more comfortable with all this cpap stuff.....use it during the day (while under no pressure to sleep) while awake.

Time, experience and patience are what you need more than anything.

Re: Help with OSCAR results

Posted: Tue Jun 03, 2025 6:25 am
by DQA
Pugsy wrote:
Mon Jun 02, 2025 5:05 pm
How many times do you think you woke up last night?

Do you take any medications of any kind? If so, what?

Do you have any other mental or physical health issues going on?

The bulk of your AHI is central/Clear Airway apneas.
The bulk of your AHI is SWJ sleep/wake/junk flagged events and you weren't sound asleep.
Fix your sleep quality (and yes, I know it is much easier said than done) as best you can and your AHI will reduce on its own.

I seriously doubt if your central apneas are being triggered by using EPR (it has been known to trigger centrals) but you might try turning EPR off or reduce it and see if the centrals reduce.
I don't think it will make any difference but worth trying just in case.

I think that once you get to the point where you are sleeping soundly for the most part that things will improve both on paper and how you feel..
You aren't getting good quality sleep and that sure is a recipe for feeling crappy during the day.

To get to where you are more comfortable with all this cpap stuff.....use it during the day (while under no pressure to sleep) while awake.

Time, experience and patience are what you need more than anything.
Thanks. So a few updates. Yesterday I increased the minimum pressure to 7 and I slept without waking up much. Reduced EPR to 1. No change in the central apnea flags, but I have read that especially when you just begin CPAP, you might get many of these "junk flags". Also, the fact that the sleep study in the hospital didn't hint at any CAs, makes me wonder if these are indeed false positives.

Anyway, it seems like increasing the pressure has helped me sleep better. I'll do 8 tonight and see how it goes. Before doing CPAP, I actually slept much better (but wouldn't wake up feeling rested). I have ordered a different type of mask as I don't really like the one I have. Hopefully the new one will help.

As for your question about having other issues - yes I have a deviated septum and post-nasal drip (chronic). I have been to an ENT and will get the results of CT scan next week. Probably the doc will advise a septoplasty/turbinate reduction.
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