cpap titration pressure

I am a 32 year old male diagnosed with sleep apnea, so I was given an auto-pressure CPAP machine. Just as soon as I started using the machine it felt like I was struggling to exhale. The sleep company representitive said that the machine starts out using the lowest possible pressure, so I shouldn't be having a problem. I tried to use the machine for a couple of hours and I had the sensation that I had to take off the machine and struggle for breath, as I can't seem to exhale.

m guessing you were on the med at the time of your titration study, so that influence would have been factored in to the pressure you were prescribed. When you hear warnings about taking sleep meds with obstructive sleep apnea, that's mainly if your apnea is untreated. If you have central sleep apnea, then that's a different story.

Been on the CPAP for the last year. three months ago I had a septoplasty...All went well. Two weeks ago I had UPPP surgery and ever since the first night as soon as I fall asleep I start choking. Seems like even when I'm awake i can take a deep breath through my nose and feel my tonge/throat closing off. I"ve video taped myself sleeping the last few nights and it's happening about every 5 to 10 minutes. I'm choking on the inhale...

What type? What are your thoughts regarding automatic titration vs. setting the titration to a constant setting? Do some people require oral devices in conjunction with CPAP treatment? Thank you for your opinion.

However, the 2 titration studies I had seemed to have been focused on apnea; the CPAP pressure used only reduced my RERAS to 12/hr hour, and the sleep fragmentation was worse than my diagnostic study. I have used CPAP faithfully for 3 months, trying every setting from 5 to 9 cm. None of these pressures restore my sleep - I am waking every hour or so and feeling as tired as ever.

Yes, there can be a link. Every time you stop breathing, you create a vacuum effect that can suck up your stomach juices into your throat (causing your voice box inflammation which can lead to hoarseness, cough, lump sensation and post-nasal drip). It's been shown that stomach contents can then either go into your lungs or into your ears or sinuses. Consider that it's not just acid, but bile, digestive enzymes, and bacteria that's coming up.

However, I know that there is more to it than that, because prior to CPAP therapy I did not experience this, and with the increase in CPAP pressure to 12 cm H20 following titration, the swelling is quite severe. More telling is the fact that when I suspended CPAP therapy for almost a week (due to difficulties with the DME provider), the swelling went down (and night time visits to the bathroom to urinate returned).

My nonprofessional opinion is that you should focus your efforts on making CPAP work. Maybe your pressure needed adjusting or you needed a different mask. It took me a long time to work the kinks out of things and get used to stuff enough to feel comfortable sleeping with it. Now I won't lay down without it - it is my "security blanket" because I know as long as I'm using it, I won't suffocate in my sleep.

The problem started for me one fine day when there was absolutely no stress in my life. I have been using CPAP after the titration study, but the sleep pattern hasn't changed. This leads me to believe something else as the cause of this fragmented sleep pattern. Any ideas?

Welcome to the club. CPAP made a tremendous difference for me in terms of the quality of my sleep. I think it's been two years or so. I do have OSA. I've never really understood the difference between hypopnea and obstructive sleep apnea. I think I understand central sleep apnea, and to be honest, I'm surprised more MS patients don't mention that. I'm sure our friend Dr. Park could add some clarification here, if he reads this forum regularly.

I was diagnosed with OSA about 2 years. For all this time I am struggling with the cpap machine/mask. I got over the embarrsement/discomfort but still having problems that make me not use it. I have a good machine with humidfyer. But I get so bone dry in the mouth-tongue that it wakes me up.(no moisture to even swallow) I have tried different things but guess I am still mouth breathing with mask on. I have a full faced Mirage Quattro mask.

I stopped breathing 15 times an hour and my Blood O2 got to 82%.. I dont know, are those results bad or mid range?? I had a CPAP titration last night and slept great. It took a while to get used to the mask but i felt really good today. I hope over time i will be back to 100%. The only thing is that the machine pumped my stomach full of air.. Makes an unpleasant morning!! I will be set up on a machine by the end of the week..

i wont go to bed till i know that i can sleep..im on disabilty so i dont have any times to be any place..so i go to bed at 3:00am..i put the mask on and mess with it so it wont leak..once i get it taken car of,..i fall asleep within 15 min or less..if ur apnea then you know that the 1st 90 min is ( rem) sleep..then within 2-3 hrs you get to level 3 stage..then stage 4.. well i never seem to get to stage 4..i never did on my sleep study..about 30 min there..

I was told that you correct it with a CPAP or variant of. I understand this, but what is causing this to happen. I had two sleep obstructions, four nuero, two mixed, and 29 hypopneas. I never went into Deep sleep NR3 or NR4. It recorded I had zero leg movements, but I kept popping off the leads on my legs from moving them. Venting aside, what is the path I must follow to get the underlying cause answered? Since childhood I have many symptoms of Narcolepsy and other sleep Disorders.

During the in-lab titration study for CPAP, they found that CPAP use was causing central apneas to pop up as a result of the treatment, so I've been put on a BiPap now and it has been a month. Settings are right and my AHI is now below 1 on a consistent basis so far. Still feel awful. Still have the POTS-like symptoms of blood pressure going up and down, heart rate going up and down, feeling dizzy/weak sometimes, etc.

Pillows should be kept to the minimum. Lowering the CPAP pressure can help but do not do this without consulting your sleep specialist. Switching over to bilevel pressure or C-Flex may help you too. So ask your specialist about it. Hope this helps. I think you should discuss these possibilities with your doctor. Hope this helps. Take care!

What brand and model APAP do you have? What was your CPAP pressure setting? What pressure range was your APAP set for? Which mask(s) have you used? Did you try a full face mask? A nasal cushion or nasal pillows mask w/a chin strap? What is your Leak rate w/the CPAP and APAP. High leaks whether mask leaks or mouth leaks can interfere w/your PAP therapy causing the PAP to provider higher and higher pressure to compensate for the leaks.

• With use of a CPAP or bilevel, they show a pattern of central apneas and hypopneas that meets the Centers for Medicare Services (CMS) definition of CSA Patients with CompSA may be seen as those who cannot tolerate conventional CPAP or bilevel therapy both during lab titration and at home. Neither CPAP nor bilevel therapy seems to alleviate their sleep disorders.

"It's not likely it's the cpap treatment itself doing anything to cause headaches later during the day." That's what I thought as well, but the doc and his nurse were out of the office for a few days doing flu shots around town, so I won't be able to call to confirm what he said until Monday. I had so much information given to me in the appointment that by the time I got home and answered a few phone calls I had forgotten some stuff.

I second JB1105's recommendation. Both are great sites with lots of experienced CPAP users giving out some great advice. I also participate in the www.apneasupport.org site. One of the more common reasons given for swollen eyes is an air leak. This also means that the pressure is not optimal, and he's not getting the full amount of air pressure into his lungs. Another reason is pressure by the mask on the face, preventing venous outflow from the eyelids.

i am 43 years.i am sleep apnea (mild) patent.i use cpap machine 65 days. now my blood pressure maximum time 110/70 but when i get up morning my blood pressure 135/95 but after 1 hour its 110/70. my sleep time is good sleep.sleep time i don't feel bad or any other problem,why that time my blood pressure is up?its any problem?if i take blood pressure medicine.my bp is so down.

re sensitive to. You may have to do some detective work to find out. If your CPAP pressure is not effective, it can make your sleep apnea worse, leading to cough or nasal congestion. You should talk to your sleep doctor about optimizing your sleep apnea treatment.

Hi, do you use a mask?. The pressure from the mask can cause swelling around the eyes. You could start by trying them for very short periods and then increase the timing as you get more comfortable. Alternatively, you could try BiPAP, which is a bi level pressure device, which regulates according to inspiration and expiration, and hence is more comfortable. Also check with your doctor to rule out other causes for the swelling like allergies or kidney disorders. Regards.

I had a home sleep study done and it came out that I had apnea and they ordered a CPAP titration. I also had some other bloodwork done and i was wondering if this could have anything to do with my symptoms and apnea. B12 --231 (reference range 211-911) Folic Acid --- 20.9 (says supposed to be below 5.4) I know that folic acid can mask B12 deficiency and was wondering if this could be my problem.

Cpap titration pressure

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