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Cheyne-Stokes...Imminent Rigor Mortis?
#11
RE: Cheyne-Stokes...Imminent Rigor Mortis?
Philips (fixed) Resmed should have labelled it periodic breathing, they are scaring people naming it Cheyne Stokes and even worse when it is seeing obstructive as CS
this is Cheyne Stokes
https://www.youtube.com/watch?v=VkuxP7iChYY
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#12
RE: Cheyne-Stokes...Imminent Rigor Mortis?
Before you get too worried I was told by one of the smarter people here to just ignore it unless it starts going over 10% of the time.
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#13
RE: Cheyne-Stokes...Imminent Rigor Mortis?
ajack,
You have it backwards. ResMed calls it CSR. The DreamStations call it periodic breathing.
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Advisory Members serve as an "Advisory Committee" to help shape Apnea Board's rules & policies.

Membership in the Advisory Members group does not imply medical expertise or qualification for advising Sleep Apnea patients concerning their treatment.



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#14
RE: Cheyne-Stokes...Imminent Rigor Mortis?
Yes I did mix it, 10 points to Philips, dunce's cap for resmed.
mask fit http://www.apneaboard.com/wiki/index.php...ask_Primer
For auto-cpap, from machine data or software. You can set the min pressure 1 or 2cm below 95%. Or clinicians commonly use the maximum or 95% pressure for fixed pressure CPAP, this can also be used for min pressure.
https://aasm.org/resources/practiceparam...rating.pdf
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#15
RE: Cheyne-Stokes...Imminent Rigor Mortis?
First, the pattern posted is a brief episode of periodic breathing.  This does resemble Cheyne-Stokes patterns I have seen in a number of other individuals, but I will suggest to you that unless it becomes associated with an AHI of over 25 and persists for significant periods of time, that it is NOT CSR.  This is a periodic pattern of apnea and breathing.  Several people have commented that CSR is central, and that is true; however the machines frequently flag the event as obstructive.  It's hard to say why the machines detect OA during CSR but It seems pretty common. The defining difference between OA and CA is breathing effort, usually measured in PSG as chest expansion.  No CPAP does this, and while the use of pressure pulses and FOT are pretty good, they are not fool-proof.

The image below is from a congestive heart failure patient with CSR, and it has both OA and CA events.  Note the extent of the pattern and events, as well as the very gradual waxing and waning of respiration in this example.  This is quite different from your situation.  You can change the label in Sleepyhead to PB (Periodic Breathing) for all charts in File/Preferences/Events.  Just edit the names and abbreviations.

[Image: EQz81TP.png]

Note the flagging of OA and the length of events in this example of the same individual

[Image: K256c5R.png]
Sleeprider
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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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#16
RE: Cheyne-Stokes...Imminent Rigor Mortis?
Thanks, all.

I am indeed prone to long events (the median duration in my sleep study was 30), but the shocker sample above demonstrates that I’m only at death’s door for 3 moments or so every night. Just like most everyone else on the planet.

That sample is not from you in a former life, is it, SleepRider?
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#17
RE: Cheyne-Stokes...Imminent Rigor Mortis?
Nope! Nothing to do with me, but I was unable to help the person that had this to get better care.
Sleeprider
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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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#18
RE: Cheyne-Stokes...Imminent Rigor Mortis?
(11-13-2017, 02:47 AM)ajack Wrote: sorry mate, ya gonna live, they are obstructive and not CS, someone (me) may have mentioned you need more pressure.

Wow, always the bearer of bad news. JK

To a great week ahead, y'all.

Coffee
Dave

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INFORMATION ON APNEA BOARD FORUMS OR ON APNEABOARD.COM SHOULD NOT BE CONSIDERED MEDICAL ADVICE. ALWAYS SEEK THE ADVICE OF A PHYSICIAN BEFORE SEEKING TREATMENT FOR MEDICAL CONDITIONS, INCLUDING SLEEP APNEA. INFORMATION POSTED ON THE APNEA BOARD WEBSITE AND FORUMS ARE PERSONAL OPINION ONLY AND NOT NECESSARILY A STATEMENT OF FACT.
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