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Bilevel Positive Airway Pressure Worsens Central Apneas During Sleep
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05-16-2013, 08:01 PM
RE: Bilevel Positive Airway Pressure Worsens Central Apneas During Sleep
That would be hard to say, Rich, because people on ASV machines already have CSA anyway.
Sleepster
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
02-13-2014, 11:25 AM
RE: Bilevel Positive Airway Pressure Worsens Central Apneas During Sleep
(07-11-2012, 03:28 PM)zonk Wrote: Results: BLPAP was more likely to worsen than improve CSR (p = 0.002), non-CSR central apneas (p < 0.001), and CSR or PB (p < 0.001). CSR (p = 0.03) and non-CSR central apneas (p = 0.01) were more likely to worsen with BLPAP (24% and 23%, respectively) than with CPAP (11% and 8%). Central events (p = 0.04) and CSR (p = 0.009) were more likely to worsen during BLPAP in patients with baseline CSR or PB (62% and 48%, respectively) than develop in those without baseline CSR or PB (34% and 18%). Higher BLPAP differences worsened central events in 28% of patients, while 7% improved (p = 0.02). During REM sleep, central apneas improved, while hypopneas and obstructive apneas worsened (p < 0.001). Would somebody please translate this for me? I am not fluent enough in initials. Which brings up another question. Does the board have a dictionary of initials? Should we maybe for those of us who do not know them or lose track of them? I am guilty of both. Best Regards, PaytonA
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02-13-2014, 12:01 PM
RE: Bilevel Positive Airway Pressure Worsens Central Apneas During Sleep
There is a Wiki page on acronyms: http://www.apneaboard.com/wiki/index.php?title=Acronyms
Most of the initials listed in that quoted passage are defined in the first post of this thread. I can't remember exactly what the p value measures. Something to do with the statistical significance of the result. I would have to dig out that statistics textbook that's gathering dust on the bookshelf! Here's my summary: BiPAP's induce central sleep apnea. It happened to me. The solution, just as it would be with CPA-induced central apnea, was to lower the pressure. Later, as I adapted, I was able to raise it back up again. I can't go all the way up to my titrated pressure of 13 because of aerophagia, but I'm close enough that my AHI is now consistenly below 2.0, with an average that's below 1.5.
Sleepster
INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
02-13-2014, 01:27 PM
RE: Bilevel Positive Airway Pressure Worsens Central Apneas During Sleep
(02-13-2014, 12:01 PM)Sleepster Wrote: There is a Wiki page on acronyms: http://www.apneaboard.com/wiki/index.php?title=Acronyms Absolutely right, I did lose track of those rather quickly I guess. I guess maybe I thought that Zonk was speaking in Australian. Well, I just started to go off topic so I had better sign off. Thanks, PaytonA
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02-13-2014, 02:11 PM
RE: Bilevel Positive Airway Pressure Worsens Central Apneas During Sleep
(02-13-2014, 12:01 PM)Sleepster Wrote: The solution, just as it would be with CPA-induced central apnea, was to lower the pressure. Definitions: CPA-induced central apnea: Central apnea events that occur in increasing frequency the closer we get to April 15th.
SuperSleeper
Apnea Board Administrator www.ApneaBoard.com INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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02-13-2014, 03:32 PM
RE: Bilevel Positive Airway Pressure Worsens Central Apneas During Sleep
(02-13-2014, 02:11 PM)SuperSleeper Wrote:(02-13-2014, 12:01 PM)Sleepster Wrote: The solution, just as it would be with CPA-induced central apnea, was to lower the pressure. Do you mean - CPA - Central Punishment Apnea? PaytonA
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PaytonA passed away in September 2017 Click HERE to read his Memorial Thread ~ Rest in Peace ~
02-13-2014, 08:21 PM
RE: Bilevel Positive Airway Pressure Worsens Central Apneas During Sleep
(02-13-2014, 03:32 PM)PaytonA Wrote:(02-13-2014, 02:11 PM)SuperSleeper Wrote:(02-13-2014, 12:01 PM)Sleepster Wrote: The solution, just as it would be with CPA-induced central apnea, was to lower the pressure. CPA - Certified Public Accountant, many of whom do tax returns to file on April 15th (U.S. tax day for our foreign members)). ..sorry, my poor attempt at humor.
SuperSleeper
Apnea Board Administrator www.ApneaBoard.com INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED AS MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEB SITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
DONATE to Apnea Board
Change your own pressure - Get the Clinician Setup Manual for your CPAP here OSCAR - Open Source CPAP Analysis Reporter
02-13-2014, 09:30 PM
RE: Bilevel Positive Airway Pressure Worsens Central Apneas During Sleep
(02-13-2014, 08:21 PM)SuperSleeper Wrote: CPA - Certified Public Accountant, many of whom do tax returns to file on April 15th (U.S. tax day for our foreign members)).In Australia you can lodge your tax returns from 1 July until 31 October Failure to lodge your tax return by this date means you may be subject to a penalty
02-14-2014, 08:24 AM
RE: Bilevel Positive Airway Pressure Worsens Central Apneas During Sleep
(02-13-2014, 08:21 PM)SuperSleeper Wrote: CPA - Certified Public Accountant, many of whom do tax returns to file on April 15th (U.S. tax day for our foreign members)). I sometimes lose the will to live when talking to my accountant. That's probably a case of CPA-induced apnea.
02-14-2014, 11:28 AM
RE: Bilevel Positive Airway Pressure Worsens Central Apneas During Sleep
(02-13-2014, 08:21 PM)SuperSleeper Wrote:(02-13-2014, 03:32 PM)PaytonA Wrote:(02-13-2014, 02:11 PM)SuperSleeper Wrote: Definitions: ...my poor attempt at humor too.
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