Seeking OSCAR Report Feedback

Hi all,

I am looking to optimize my CPAP therapy.

I am using a Philips Respironics DreamStation with the DreamWear nasal mask.

I am open to any and all feedback, both in terms of my treatment settings and also in the layout/formatting of my OSCAR report to render it most useful for review.

Thank you kindly,

Jason

Hi Jason,

You have a fairly simple setup with a fixed pressure at 10 cm. Your overall AHI is pretty good at less than 1. Of that the largest component is obstructive events at 0.64. You could try a pressure increase of 0.5 cm to see if that helps or hurts overall results. More pressure can reduce OA events, but it may increase CA (central events). It is a bit of a trial and error exercise to see what is best.

I use a ResMed, but compared to my results you seem to have a higher number of RERA events. I see that FLEX is turned off, and that usually gives the best results, but you could try turning it on at 3 and see if that helps or hurts the RERA frequency.

Your format is pretty good. If you click on the graph divider grey line and drag you may be able to reduce the height of each graph enough to display one more. It might be useful to see the Flow Limitation, unless it never reports anything. Then possibly snore or Minute Ventilation.

The Leak Rate graph on a DreamStation is a bit confusing as it reports the total leak in the top trace, and the actual unintended leak in the lower trace. The top one is meaningless, but the bottom one is important. If you right click on the vertical scale there should be an option to display the leak rate redline. I find that helpful to determine if the leaks are of concern. This graph shows nothing of concern though for this night.

Hope that helps some. If you have any questions, just ask.

Thank you so much! I didn't see any option to include flow limitation, but I have added minute ventilation and snore and included the new visual below.

Tonight I will try 10.5 pressure and 3 FLEX, thanks!

What is the difference between C-FLEX and C-FLEX+, and which should I try initially?

According to this data, I had no snoring events?

I wasn't able to locate the option for the leak rate redline, but pleased to know that mine was not of concern that night!

-Jason

I unfortunately cannot read most of the screenshot, but it appears CA went up and OA went down, and possibly Hypopnea went up too? When you post a screen shot here it is best to use the orange Reply button in the bottom left of the screen. That lets you start a new full width post and in turn allows the screenshot to be displayed bigger.

Unfortunately in some people, myself included, when pressure goes up then CA events go up. 10 cm may be as much pressure as you can use, and 10.5 is too much. I think you have a couple of choices. First would be to leave it at 10.5 for a few more nights and see if there is any improvement. Or the other option would be to put it back to 10, and at the same time put it back to fixed pressure CPAP mode. The more I think of it the more I recall that DreamStation reports flow limitations as events, so that is why you can't find a graph. If you put it back to 10 cm then you could try the FLEX to see what it does.

But, if you repost that screenshot using the orange Reply button I will be able to have a better look at it.

Perfect, that must be where I went wrong, hopefully, this screenshot is an improvement!

Thank you kindly for all your guidance!

I took your advice and reduced the pressure, but instead of 10, I went down to 9.5 and cannot believe what happened.

Am I reading it correctly that I had zero obstructive apneas and zero central apneas last night? That would be a first for me, I have never had such a low AHI, awesome!

I believe I have found an even more user-friendly layout, especially when assessing events. Let's give this a shot :D