I would guess, without actually knowing and/or having experience, that supplemental oxygen would only work if it was a defect or deficit in your oxygen exchange mechanism BEYOND where the apneic processes take place...that is, in your lungs. As you know, there are three types of sleep apnea: obstructive, central, and complex (a combination of both types). If you do indeed have solely central apnea, you are not reacting systemically to hypercapnia. Your brain breathing regulator doesn't notice that your level of serum CO2 is rising beyond a safe limit, and it fails to induce breathing. If you're not breathing, what would a canula supplying oxygen do?
If you don't already have one, your central apnea can only be effectively treated by an adaptive servo-ventilator (an ASV). Some therapists and sleep labs will tell you that you can use a bi-PAP, but that's too often not the case, and our patients suffer as a result.
If you do get better saturation in trials using a canula, by all means continue to use it! However, this would suggest to me that you are breathing well enough to use the supplement, and that you're problem is likely not so much centrals where you simply don't react to high concentrations of CO2.
My first sleep study they jumped on after first hours and spent rest of session trying to control with mask and all attempts never trallybcontrolled it.
Moved to a university clinic and did whole 2nd whole nite session in sleep clinic just recording data including CO2 measurements.
Problem was my Hemoglobin was down to low 70’s due to bleeding hemeroids . Ferritin, Iron and all the Red cell numbers were low at the time.
After surgery for hemeroids and blood transfusions and iron infusions i had 3rd sleep clinic study to titrate machine settings that work.
Never could control the apneas but got the best they could. Ordered a ResMed curve auto machine with auto control set to 4 over 14-18. Not good, caused emergent CA. Changed to fixed 10-14.
Still getting 20-40 CA per hour. Now requested the home study WatchPat One while wearing the mask with ResMed set to fixed 10-14. Oscar showed. 40 events per hour.
I will get back with more data once doctor get bach with results. I did get a call that the doctor scoring the watchpat wanted to know if i was wearing the mask when i took the test!
So, I seem to be an unusual case.