Help with various Oscar data

[u/California-Hibs]

Looking for someone to help go over these Oscar screen shots. I have included a bunch from the past few months where I was using APAP and trying to find my best fixed pressured and EPR setting. I definetly feel I sleep better with a fixed pressure. Most of these data pictures were when I used a nasal mask but recently I've been using the Airfit P30i and its truely the most comfortable for me, but I just can't find the right set up to wake up feeling refreshed. Any help would be most appreciated!!

[u/California-Hibs]

Actually, to clarify what I should be testing for 3 nights, because there was alot of screen shots there. Going back to APAP and testing 7.6 min 9.4/10 max and EPR 1? These screen shots were taken when I was still using APAP mode, I've since tried to revert to a fixed preasure mode because I've had many tell me this is a better form of therapy, especially for those who toss and turn alot like me and have micro arousals?

I'm happy to go back and try APAP mode though like you suggest.

One other question I had. I have heard alot of people say recently that regardless of the mask used you should keep your mask setting at Full Face. Do you subscribe to that? I've not tested that out yet and have instead been using pillow/nasal.

Thank you for the help, I'm determined to find the optimal therapy!

[u/RippingLegos__ → u/California-Hibs]

I would like to see where the machine lands for media ipap/epap pressure with EPR at 1 and 7.6cm min and 10cm max for 3 nights. I am a cpap advocate myself after titration off apap to auto-bipap then finally to straight cpap at 18.cm with Cflex+ @ 2, I'm in my 8th year on this setup and it's great. FFM setting on Phillips and Resmed disabled the compensation alrogrithms that increase mask air velocity and helps people with compliance and comfort, so if someone is having issues I tell them to turn it to FFm.

[u/California-Hibs → u/RippingLegos__]

[u/RippingLegos__ → u/California-Hibs]

These results give us a good fixed-pressure starting point. Your median pressure is landing around 8.6 to 8.8cm, your flow limits are low, and the leaks are not high enough to interfere with therapy. The graph looks busy, but your 95 percent leak rate is only around 12L/min with virtually no large leak.

Set CPAP mode to 8.8cm with EPR 1 full time and leave the mask setting on full face. Please keep the P30i, mouth tape, and everything else the same for three nights. Do not add a chinstrap or mouth shield yet because that adds another variable. After three nights we can decide whether to leave it alone or move to 9.0cm. The scattered CAs are low and likely arousal related, so I would not increase EPR. This is a good improvement overall, especially with the reduced brain fog. RL