resmed cpap titration protocol

ve found that using a fully data capable CPAP, one that allows ME to access my therapy data each morning encourages me to continue w/CPAP therapy even when I am having difficulties as the data helps to point out what the difficulties are - most often just too high a leak rate. I've used and been happiest w/the Resmed S8 Elite, then the Resmed S8 AutoSet Vantage and then the Resmed S8 VPAP Auto when I needed to be switched to a bi-level PAP due to my COPD.

• 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.

yeah needing to do something different. but the cpap mask is full mask. and think i remember its on auto. one of the new resmed models .

I wear TAP 3 appliance. Did a sleep study with Resmed Appnealink Plus. 4 Apnea, 12 Hypoapnea/M , AHI 19, Average O2 saturation 93%, lowest 83% once,pulse h 101, low 50, avg 74 then I wore Auto CPAP s9 along with TAP3 and AHI was 0, All Apnea are gone, O2 average was 95% but lowest desaturation episode was 76%, once, pulse H 104,lowest 47 and average 72 Why does this lowest desaturation event up to 83% occur even with CPAP ? Is this a clinically significant to seek an opinion ?

hi! I'm boiling my resmed mask in water for 30sec and I think it really helps to clean it out, vinegar may also work I've been taking d mannose hoping it will stop any brain damage I've gotten from sleep apnea if anyone wants to talk about sleep apnea and treatments that would be great!

Since you mention CPAP and APAP I assume you have had an in-lab sleep evaluation PSG and an in-lab CPAP titration PSG. Do you have a copy of the doctor's dictated results (1-2 pages each)from both in-lab studies AND the full scored data summary report w/condensed graphs (5+ pages each) from both in-lab studies? Most people experience most of their sleep apnea episodes when sleeping supine (on their back) and in REM sleep.

with sleep apnea. Did you do a follow-up sleep test (polysomnography with titration)? Or, did they actually put a CPAP mask on you during your test(s) at the laboratory? If not, you may need to see your sleep physician again and have a PSGT (Polysomnography with titration). If your problem is not "simple" obstructive sleep apnea, CPAP/BiPAP/AutoPAP, etc. may not meet your needs.

My husband uses a CPAP machine and for 5 years was very compliant. He began having trouble with the mask cutting into the bridge of nose. He has tried different masks, nasal pillows; I think everything that is available. He cannot get a good seal with any of them except the one taht cuts into his nose. Bandaids have not worked. Does anyone have a suggestion to protect his skin without compromising the seal. We would greatly appreciate any input.

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.

The MSLT was abnormal showing hypersomnolence but no REM sleep so no narcolepsy diagnosis. Setting ranged from 9 to 11 cm H20 on his CPAP - a ResMed EPR Elite II. 3 years of trying every mask and chin strap and with another PES sleep study to verify pressure, we finally gave up on CPAP and he moved to a TAP appliance. My son has very sensitive skin and tried his best to adjust. The TAP appliance has been a better fit for him.

Hi Bob How long have you had your machine mate, how often do you change the silicone face mask, how often do you clean the whole apparatus, how many hours on average per night or week do you use the CPAP machine , do you use a humidifier on the CPAP , have you had any trouble with the CPAP. I have had my CPAP machine just over 12 months I have used it for approx 1850 Hrs and used two face masks ( silicone ) I have my humidifier set at 2 no more.

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...

I was recently diagnosed with sleep apnea and put on a CPAP machine. I have been using it for about 5 days now. I am sleeping OK with it and even think I feel a little clearer in mornings and during the day. My problem is with the mask. After the first day I had painful whiteheads under my nose. I treated them with cream (after they popped) and that is doing a little better. Now the bridge of my nose is very red, a little puffy, and I have 7 small whiteheads there too.

I've had terrible sleep apnea for 4 years, it was so bad I couldn't read/remember sentences and had severe exhaustion and prediabetes, constant colds. I found that 0.5-1mg klonopin seems to help my central apnea, PLMD/seizures. I feel much clearer and have more energy but I heard that it's a narcotic and can cause memory damage long term/withdrawal problems? anyway I'm really unhappy that I just got this mysterious disease and asthma.

I don’t think you need a BiPAP because these are used for people who have high pressure settings. A lot of cpap machines like Resmed and Respironics ones have expiratory relief as well.

I have a CPAP machine on a months trial, this is one that varies the pressure as required it records the information on to an SD card so when I return to the clinic I will then be given a machine that has the correct fixed pressure. I have a full face mask as I could not get on with the nose only one. Now my problem is I wake in the middle of the night with a very dry mouth (i mean completely dry) my mouth has ballooned with air and the mask is vibrating against my face.

After 4 sleep studies and 3 machines (now using the Resmed ASV), I still have severe daytime fatigue and a very high AHI. Is there a center that specializes in this problem?

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.

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.

Yo, Julie. Another "hose-nose" here - I've been using my CPAP (mine is much like a BiPAP with exhalation relief) since being diagnosed with OSA (obstructive sleep apnea) three years ago and I wouldn't consider sleeping without it!! CPAP has actually saved my life! I say this because I have had very scary experiences before I got CPAP where I'd wake up not breathing and not be able to start breathing again.

My original polysomnography showed 1 obstructive apnea, 1 central apnea, 2 hypopneas and 148 respiratory effort-related arousals in 6 hours of sleep, with greatly increased stage 1 and significantly decreased stage 3 and REM sleep, so I think UARS fits. 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 ditto Chrochetya's comments.

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?

Resmed cpap titration protocol

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