Cpap titration rate
Common Questions and Answers about Cpap titration rate
cpap
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.
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.
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?
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?
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).
What I consider strange as well is that my respiratory rate is higher while sleeping than when I am awake. According to CPAP data my respiratory rate before falling asleep and after waking up is around 9 /min and during my sleep it's around 15 /min. I have understood that respiratory rate should go down when sleeping and also that 9 /min is considered slow.
I had arterial blood gas analysis done and it was otherwise normal except my pO2 was 9kPa or 67 mmHg.
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.
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..
That is extremely dangerous and will cause withdrawal symptoms.Usually Klonopin is discontinued at a slow titration rate. Generally doctors don't advise it for that reason but if they believe that to be medically neccessary then they usually have this done while a person is in the hospital as it can be dangerous. It would make sense to speak to the doctor who suggested this and find out why.
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.
Recently, in a randomized trial in 55 patients, CPAP therapy for 3 months improved ventricular function and reduced sympathetic activity in patients with heart failure and obstructive sleep apnea (OSA). Likewise, CPAP therapy in OSA patients reduced daytime blood pressure and heart rate, and was associated with a significant reduction in left ventricular end-systolic dimensions and increases in ejection fraction."
Source: http://eurheartjsupp.oxfordjournals.
It sounds like he has never received the support from his sleep professionals that he should be getting. And/or he's never asked for help.
His pressure setting might not be correct. His mask may be far too uncomfortable. He may be having too high a leak rate from mask leaks or mouth 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.
7 AHI and 18 RDI. But this time in 2020 just a few months ago they found 64 apneas/hour. I had lab titration and CPAP wasn't working, so they switched it to BiLevel and it worked. My AHI is now 1 and below. I've been dizzy since December. I've got orthostatic hypertension sometimes and hypotension sometimes. I've awaken at 4:00am and taken my blood pressure. 154/129 with 71 pulse rate. Irregular heartbeat icon showing on the monitor.
There was a few weeks of data, and we changed from Autopap to Cpap with c-flex and a ramp rate on the same machine, with a nasal mask only.
The little card in there showed an improvement on CPAP with the number dropping from 4 to 2 not sure what that number was, if it was number of detected disruptions or not.
"Some people do have an inset jaw that narrows the airway, and that could make a difference with cpap."
Yes, inset jaw, mildly.
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