cpap titration methods

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.

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.

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...

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.

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.

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?

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.

Hi everyone. I was dizgnosed with sleep apnea a few years ago... I used my CPAP machine for a while in the beginning and thaqt seemed to have helped. Latelly, Due to several factors such as stress, withdrawing from seroquel, withdrawing from xanax, and such, I have had to ask for sleep meds prescription. I take restoril which helps, however I stay in bed for 12 hours at a time... I decided to try cutting the capsule in half, to see if that would help with the amount of time I spend in bed...

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).

Hi friend, if your just beginning cpap treatment hand in there. Depending on apnea events prior to sleep study. Process will take awhile for your brain to retrain and adjust. My sleep doctor told me, that when patients begin cpap treatment, brains have to be retrained, because prior to cpap, our brains were trained to be alert, in case of stop breathing event, never going into a deep sleep state. The longer a person uses cpap, the brain learns to calm down, allowing deep sleep.

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.

how long does it take to easily and relatively painlessly detox from suboxone therapy? I have tried several methods and find the so-called 6 day detox offered in hospitals and rehabs ridiculous at worst, and ignorant at best. Physicians with no real education on addiction are required to take a 2 hour course to become legally able to dispense suboxone and have damaged so many people who are looking to save their lives. Who has an educated answer to my question?

Do not waste your money on quackery/dubious tests: "The following procedures are not valid for managing food allergies: Neurological Stress Reduction Therapy (NRST) purports to use a BAX 3000 device to assess and treat allergies and many other conditions with a 'light and sound energy relaxation technique' that supposedly identifies problematic substances and conditions the body not to react negatively to them." Source: https://quackwatch.

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.

Thereare plenty of benzo sites out there and they all have one thing in common, they are trying to get off of them and they all generally endorse titration methods. It is too hard to shave 1/16th off each pill and even be close to accurate. Best Luck and if absolutely have to do as your dr says and drop a 1/4 or even an 1/8th off of one pill see how you feel and keep the drop very slow ok. Take it from your body when withdraw gets bad back up a litlle and keep going.

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 read your post to me about how you don't like block/replace therapy, and that you like MMI titration, what is that? HOw do you keep your patients from going hypo thyroid on only ATD's? and if they do go hypo, how do you help them if you don't use replacement? Also, does using ATD's burn out your thyroid? and does replacement burn out your thyroid? Do you consider 5mg of MMI to be a high dose of ATD?

I have mild obstructive sleep apnea. PO2 only drops into mid 80's sometimes, mostly low 90's, but overnight polysomnogram says I have 13 apneic events per hour. I've tried O2 overnight (used neighbor's) and PO2 stays in the high 90's. Is that a sufficient treatment?... or do I need the positive pressure of CPAP. I've tried the CPAP and I've completely failed. Mostly keeps me from sleeping well unless I'm on Ambien.

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 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.

Cpap titration methods

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