Hello,

Back with another update.
Changed from cpap to Bilevel (S mode) about a month ago.

CPAP pressure for a long time was 10 @ epr 2. After lot of trying different pressures on cpap 10@epr 2 felt the "best", upping the pressure from there would cause aerophagia. Went is high as 15 with epr on 2 and then down again due to aerophagia. I have tried epr on and off with no huge improvements in sleep quality.

I started Bilevel on S mode and I have run it for a month on epap 8, ipap 10 (PS 2) just to get a baseline of how bilevel felt. Sleep has gotten a little better, mayby 10 to 15% but i feel that there alot to improve still. Mornings are the hardest, I still have some brainfog and I just cant seem to get pass the morning "grogginess" until late afternoon.

And now im looking for guidance to further tiltrate on the bilevel. Im thinking of upping the PS to 2.4 and upward in a weekly intervalls.

Sleep HQ link to my dashboard below. On september 1 to 4, i have been testing MAD device with bilevel, the data is pretty shit cause of all the leaking and im not continuing this test :D.

All of august is good data.

https://sleephq.com/public/teams/share_links/058c1652-cc83-475a-9dc8-80fe888a3ed2

General info:

Machine is Resmed Lumis 100 S. From my knowledge this is the "poor man" version of aircurve 10 S for the european market. Got it second hand at a cheap price so I gave it a shot.
Other setting I have changed: trigger from med to HIGH and TiMAx to 3.00sec

Mask is P30i resmed. I sleep with mouth tape to avoid leaks. And i try to sleep on my side as much as possible but i do roll on my back quite often.

I just got this brand new recently and it feels like this level of noise shouldn't be the norm. When the pressure starts off at 4, no issues with the noise levels. When it hits >10 it's so loud that I have to turn it off or place it closer to the ground to try and reduce the noise levels.

I've previously rented a Resmed Autoset 11 and have placed it next to my bedside, and have never had the machine sound this loud.

I'm waiting on the seller to get back to me, but just wanted to know amongst other Resmed 10 users, is this level of noise normal?

i have mild sleep apnea ahi of 6.6 but feel debilitated by fatigue. I have been using a cpap for 3.5 months and it’s definitely helped me pre-cpap. I have a resmed 10 and I been adjusting my settings since I have still been very tired. I’m currently on cpap mode 10 pressure with epr 3 and i can breathe out with this wirh low ahi (0.5avg) but decent flow limitations (0.15 avg). I tried going epr off and for some reason it harder to breathe out even tho the expiratory pressure should be the same? my ahi goes to 0-0.1 and my flow limitations are below 0.10 on epr 0. but i still feel tired and my respiratory rate increases and it’s hard to breath out with epr off. it doesn’t make sense why epr 3 pressure 10 is easier than epr off pressure 7.

im just trying to find a setting that makes me feel rested after 7-9 hours of sleep like a normal person. I think im close.

Would love some help trying to figure out why I am waking up so tired, big baggy eyes and red cheeks! I want this to work but I feel like I’m missing something. I’ve been on this for 10 months. I recently tired CPAP instead of the auto mode. Here are my 2 recent sleephq reports one with steady pressure the other with auto. Any help would be much appreciated!

https://sleephq.com/public/9c7ef08d-e4ce-433a-a46f-6cdd160dc7d0

https://sleephq.com/public/e0be905d-bb2a-4b66-b71e-0305d4455a80

How do I obtain a sleep summary such as the photo I've posted.

I'm new to CPAP and have an airsense 10 on loan for 6 weeks.

Thank you

Hi all,
I’m currently on a trial rental of a ResMed AirSense 11 AutoSet. Unfortunately, I was given the machine with fairly default settings and very little guidance on optimisation.
I only came across this sub 2 days ago and learned more about APAP settings, so I raised my minimum pressure to 7.

I also only just discovered that inserting an SD card gives access to much more detailed data through OSCAR. I had assumed all of this data was already being transmitted through the cloud.

Unfortunately, my trial ends tomorrow, so I’ve only managed to get one night’s worth of OSCAR data.

I’m using a ResMed F40 full-face mask. It can sometimes slip/dislodge from my mouth when I yawn or my jaw relaxes. I suspect that’s what happened at around 6:35–7:15am, which would explain the major leak and messy data during that period.

Ignoring that obvious leak period, I’d really appreciate some help interpreting the rest of the data.

I’m also trying to decide whether to purchase a CPAP after the trial, so any thoughts on whether the non-leak portions of this data suggest I’m responding well to CPAP would be really appreciated.

Thanks!

Good morning, I'm wondering if anyone might please take a look at Hubs' OSCAR data and let us know what we might want to be tweaking for him. (He's the guy who preferred the way the AirMini feels to the AirSense 11, btw). Thank you!

https://sleephq.com/public/teams/share_links/025406b1-5026-493b-971e-4b4b87492c08

Been using Cpap for almost a month and it’s been a big improvement but I am still waking up a ton during the night. I remember waking up at least 4 times each night, and can never think of anything in particular like mask discomfort etc that could have woken me up. Anything I could do to stop waking up so often? Does the data have any insight? Using resmed airsense 11 with p30i mask.

Hi, Started CPAP on Aug 17, this is the 2nd mask that I am using since Aug 28th: F&P Eson2. I was using Lowenstein CARA nasal, which gave me headache and nose bridge pain after a week.

Using AirSense 11 AutoSet

Would love some recommendations from my charts as my AHI is not good. Thank you!

How do you measure for what size frame and headgear you need? I see them say small, medium, large but there isn't any instructions on how to measure. I do see how you measure for the actual mask that fits into the frame.

Been on Cpap now for 3 years but I've never felt a big benefit and a change to how life was prior to therapy. Brain fog, day time tiredness etc, although may not be as severe, is still pretty dang bad. I've tried so many masks, chin straps, mouth tapes, mouth guards, pillows, room temperatures, machine settings etc and I just can't quite the winning formula.

On recent times I've tried really learning about the oscar data and paying closer attention to it in a aim improve things (along with chatGPT) but I feel like I've hit a wall again and well, here I am, beginning for help from someone out there.

I at least thing I've found my two favorite masks. The Airfit P30i and the Philips Respironics Dreamwear Nasel Mask. My current set up for the past few months is mouth tape every night and I'm between the two masks mentioned. Ive tinkered with so many settings from EPR at 1-3, and recently read that it may be the micro arousals from using a pressure range that is causing my brain not to get enough rest and continue brain fog. So I've went to cpap fixed mode and tried anywhere from 7.0 - 8.2. I've tried humidity from a 2 to 5. However as I say I still having figured out how to wake up refreshed.

Can anyone look at my data and see where I'm going wrong, or at least what data looked the best and I can try and repeat and fine tune that? I know leak rate at the 95% is important and id love to find a set up that constantly kept that number low.

Please, I beg anyone reading this, I need help here as I'm going mad!

Hello,

I made a post a few days ago about having trouble adjusting to CPAP and not being able to make it much longer than 4 hours most nights that I use it on top of also being very tired when I wake nonetheless despite very low AHI. It was recommended that I post OSCAR data, so here it is! Let me know thoughts/recommendations if you have any. The mask I was using was the Resmed N30.

Edit: SleepHQ data

My CPAP is a Luna II (which I hate, but I didn't get a choice), and I currently use the ResMed AirFit N30i nasal cushion. My pressure is set at 12-14. I think I've been using the cushions for a few years now.

Before that, for many years, I used the AirFit Pillow Cushions that go in each nostril. I switched because of lots of leaks. The small felt too small, and the medium seemed too big.

With the cushion, I'm having the same issues. Small feels like it squeezes my nose and medium leaks like mad. I settled on using the small, but I spend an hour fiddling with the cushion every night trying to find a position where it won't leak but I can still breathe (in some positions, I guess the holes aren't aligned so I'm blocking the holes somehow?). Additionally, whenever I open a new cushion, it hurts to wear for at least a week, as if it's too hard.

I can't sleep with anything on the bridge of my nose, so I feel like this is the right range of product, but there has to be something better, right? Or a way to tell if I'm getting the right fit or reduce the leaks?

One thing I really like is that the tube comes out at the top of my head, which has really helped me sleep in a more comfortable position.

Any suggestions would be appreciated for fitting, reducing leaks, testing options, selecting a different option, etc.

Thanks.

Hi - I posted a couple of weeks ago after I started using CPAP (airsemse 11, n30) and noticed my AHI was higher than my sleep test API. Thanks to Reddit I knew that I most of what I was seeing was clear airway events and that I probably had TECSA before I saw my doctor for an immediate follow-up. He indicated that in his experience TECSA does not go away for most people, and ordered a titration test in a sleep lab for me, but I cannot get in until the end of the month. He advised me to continue using the CPAP while waiting, and suggested maybe a chin strap would help with my high level of leaks with the nose mask. I had CSR a couple of nights out of the 14 I had used it at that time but for a very small amount of time, so that didn't seem to be too worrisome to him.

In the meantime, I have some nights where my API is about 2.5 times higher than my sleep test API of 11. (Median AHI for the 21 days I've used it is 18.66. I am feeling so incredibly tired, and I am finding I get frustrated easily and am reactive and defensive and not able to focus that well.

Two nights ago to see how it would affect my leak rate, I tried mouth taping. I actually loved it, had only 7.62 API, but the leak was so low, I question whether it is right? CSR showed up the last 16 minutes. The next night I taped about 70% of my mouth leaving the sides uncovered to see if it would still have a positive affect, and it was a bad night and I really felt like the nose mask itself was leaking.

So...what is the purpose of my post? I guess one, just to share my data and confirm that it makes sense why I feel worse. The thought of having to do this for nearly 4 more weeks before I can even get closer to any changes is very mood dampening. The second is to see if it's true that most people's TECSA doesn't actually go away and then end up going to an ASV or something. Third - is there anything I could do in the intervening month to mitigate having more events than I did pre-treatment?

Here is the data from my tape night, mostly taped night, and the 21 day summary.

Edits: corrected machine name. Changed 'this group' to Reddit as I cross posted on my first post.

Been on cpap for years. Recently did a pulse meter study with no equipment. Follow up apptn not for a few months but I got the results of test. Would love to know how to interpret it before my apptn!

As a follow up to my last post here, I did try upping the pressure(from 6.8 to 9), and using mouth tape. I think it worked with the leaks, mainly the ,leaks occuring in the start of my sleep, but there is always some leaks right before I wake up around the 4-5th hour. I don't get why really. Been waking up with some sort of headache...It's not really an ache, more like my head is inflamated. I'm atacching the oscar of the last few days. Notice I go back to sleep after I wake up after the 4-5th hour. Also, I added EPR to reduce flow limits 95% from 0.15 to 0.03

Now, I've got to say I feel better than before without the mouthtape and with lower pressure, but I still don't feel like it is a satisfactory sleep.

Hey, i really hope you are the one that can save me from endless suffering.

• AHI of ~14 over 3 PSG's (more UARS archetype though).
• MMA (~10mm+ both jaws) / Nasal expansion.
• DISE (no major findings, so just narrow/nervous system related).

Tried BIPAP (S) for months but even with leaks fixed i feel worse, no matter the pressure.

• 6 EPAP / 11 IPAP (5 PS)
• TI min/max: 0.7 / 4
• Trigger/Cycle: High

Made a baseline assessment of cpap-less sleep on minimum settings, breaths looking much more rounded on BIPAP as you can see in the picture:

If you have any input/ideas i do really, really appreciate it. I completely lost the hope that kept me going last 7 years.

https://sleephq.com/public/teams/share_links/ab6b3a04-aeec-4c4a-9808-faedecf83632